Authorization Basics
The process of reviewing certain medical services before they are performed.
Prior Authorization
Where sleep studies can be conducted
In-Lab or Home
The interactive worklist where patient authorizations are accessed
PHC Sleep Medicine Workqueue
The two additional pieces of information that should be documented with authorization requirements were obtained via phone.
Call Reference # and Representative Name
His wife is the CEO of Rhode
Authorization requests can be submitted via:
Portal or Fax
CPT 95800
Ring Sleep Study
The Coverage Service Area for applicable coverages should state:
PROHEALTH CARE
The name of the templates used when creating a specialty comment
SmartPhrase
This OPM group made history as the first Filipina group at Coachella in 2026.
BINI
3 things we need to provide to a payer to determine auth requirements
Name
Dob
Service Location
ICD and CPT Codes
Provider NPI
Provider Address
Tax ID
Adjusting the pressure levels of a breathing device during a sleep study to find the optimal pressure for keeping airways open.
Titration
These must be signed prior to submitting as clinical evidence for medical necessity.
Medical Records
The smartphrase used for No Auth Required and Auth Denied
.EVER
This singer recently got her Drivers License and became the first Filipino American to grace the cover of Vogue US.
Olivia Rodrigo
_______ should be determined before submitting a request for authorization
authorization requirements
A machine that delivers one constant PAP or pressure.
CPAP
The _____ is an external software interfaced with Epic that allows users to obtain current insurance eligibility and benefits information.
RTE
The status reason used with authorization was approved by the payer
Received Carrier Authorization
Caleigh's favorite band
Paramore
Suggested scripting when calling a payer to inquire about authorization requirements:
Hi, my name is Caleigh and I'm calling from Pro-Health Care. I'd like to verify if a patient has benefits for sleep studies and if they require authorization. Are you able to help me with this?
A machine that delivers two pressures (higher pressure when inhaling, lower pressure when exhaling) and is used with a CPAP is not tolerated.
BiPAP
The _______ and ________ are the last two fields that need to be completed before closing a patient's authorization.
Status and Reason
The smart phrase used when sending an in-basket message to clinical staff informing them of a denied authorization.
.hello
Where season 26 of Survivor was filmed in the Philippines
Caramoan, Camarines Sur