‘Fighting back’ a key element of the prior authorization process
FORT LAUDERDALE, Fla. — Appealing claims denials in the prior authorization process requires continuous pressure, according to a presenter at the 2026 Rheumatology Nurses Society annual conference.
“I am not going to pretend in 45 minutes to tell you everything you need to know about prior authorizations,” Katie Taylor, CMPM, CRH-c, CRMS, an administrator with Carondelet Rheumatology, in Kansas City, Missouri, told attendees. “It is not fun and there are no shortcuts.”
In an interview with Healio, Taylor described the prior authorization process as a “beast