Knowledge Check
Module 5: Prior Authorization
Answer all 3 questions to complete this module. You need 70% or higher to pass.
1
What is the "golden rule" of home infusion?
Always call the patient before starting therapy
No authorization, no payment
Get three quotes before ordering medications
Always use the cheapest medication available
2
What is the FIRST step in the prior authorization process?
Gather clinical documentation
Submit the request
Verify coverage and understand the payor's specific rules
Follow up with the payor
3
What unique advantage does IFH offer for Medi-Cal authorizations?
We waive the authorization requirement for Medi-Cal patients
We pre-fill state authorization forms for MDOs and run monthly eligibility checks
We have a direct line to the Medi-Cal office
We only accept Medi-Cal patients with commercial secondary insurance