Concepedia

Prior Authorization Optimization

Prior Authorization Optimization is a methodological framework in healthcare administration that systematically enhances the efficiency, accuracy, and success rate of obtaining pre-approval for medical services by aligning clinical documentation, coding practices, and payer requirements through data-driven process refinement.

12

Publications

312

Citations

51

Authors

40

Institutions

Publications per year

2017–2026

7

Parents

Publications

12

Effect of Prior Authorization of Second-Generation Antipsychotic Agents on Pharmacy Utilization and Reimbursements

Michael R. Law, Dennis Ross‐Degnan, Stephen B. Soumerai · Psychiatric Services · 2008 · 64 citations

, , +16

A Prior Authorization Program of a Radiology Benefits Management Company and How It Has Affected Utilization of Advanced Diagnostic Imaging

David C. Levin, Robert L. Bree, Vijay M. Rao et al. · Journal of the American College of Radiology · 2010 · 49 citations

, , +12

Improving Prior Authorization in Medicare Advantage

Kelly E. Anderson, Michael Darden, Amit Jain · JAMA · 2022 · 27 citations · Full text

, , +17

What happens when the insurer can say no? Assessing prior authorization as a tool to prevent high-risk prescriptions and to lower costs

Marcus Dillender · Journal of Public Economics · 2018 · 23 citations

, , +14

Evaluating the effect of prior authorizations in patients with complex dermatologic conditions

Olivia S. Jew, Joyce Okawa, John S. Barbieri et al. · Journal of the American Academy of Dermatology · 2020 · 23 citations · Full text

, , +8

1–5 of 12

Authors

51

  1. KM
    Karen M. Clements

    Harvard University, United States

    1 publications · 20 citations

    1

    h-index

  2. DP
    Daniella Pena

    Cornell University, United States

    1 publications · 18 citations

    1

    h-index

  3. MR
    Michael R. Law

    University of British Columbia, Canada

    1 publications · 64 citations

    1

    h-index

  4. JE
    Jean E. Johnson

    Wayne State University, United States

    1 publications · 49 citations

    1

    h-index

  5. GE
    Gregory Eschenauer

    University of Michigan, United States

    1 publications · 21 citations

    1

    h-index

1–5 of 51

Institutions

40

  1. University of Pennsylvania

    Philadelphia, United States

    2 h-index

    3 publications

    59 citations

  2. Philadelphia VA Medical Center

    Philadelphia, United States

    1 h-index

    1 publications

    23 citations

  3. Detroit Medical Center

    Detroit, United States

    1 h-index

    4 publications

    84 citations

  4. Jefferson Hospital

    Jefferson Hills, United States

    1 h-index

    1 publications

    49 citations

  5. University of Massachusetts Chan Medical School

    Worcester, United States

    1 h-index

    8 publications

    160 citations

  6. UPMC Presbyterian

    Pittsburgh, United States

    1 h-index

    1 publications

    21 citations

  7. Cornell University

    Ithaca, United States

    1 h-index

    1 publications

    18 citations

  8. University of Maryland Medical Center

    Baltimore, United States

    1 h-index

    6 publications

    120 citations

1–8 of 40

Venues

  1. Psychiatric Services

    2 publications · 76 citations

    2

    h-index

  2. JAMA Neurology

    1 publications · 21 citations

    1

    h-index

  3. Journal of Public Economics

    1 publications · 23 citations

    1

    h-index

  4. Journal of the American Academy of Dermatology

    JAAD · 1 publications · 23 citations

    1

    h-index

  5. Quality Management in Health Care

    QMHC · 1 publications · 20 citations

    1

    h-index

1–5