Extending an IP authorization
You can extend an open IP authorization request. The extend function includes standard or comprehensive workflow that offers convenience and work/time efficiencies.
In the Extend workflow, you can only extend a stay as related to the existing authorization. Not all fields of the authorization request form can be edited, because some fields default from the initial authorization. For example, you cannot change the primary diagnosis. For any new episode of care, create another IP authorization request.
All IP authorizations that you extend require prescreen evaluation.
When extending IP authorization requests, you might need to submit detailed notes or upload more attachments to justify the specific request. Specification is set by the payer. In such instances, text messages are displayed in the workflow to inform you of the exact requirements. Look for these directions on the Authorization Details page.
Note: Review the following information.•Before submitting an authorization request, you can extend an existing stay only once, but you can make multiple extensions on a single authorization. Each extend submission creates a distinct line item on the authorization request.
•You can edit information added during the extend workflow only before you submit the request.
As you proceed through the workflow, the header on the screens reflects the type of authorization request you are creating: Extend Inpatient Authorization for medical IP Authorization requests or Extend Inpatient Behavioral Health Authorization for behavioral health IP Authorization requests. You can also see where you are in the main parts of the workflow: Prescreen, Authorization Details, or Authorization Confirmation.
The standard authorization extension workflow involves the following high-level tasks:
1. Start an authorization request extension.
2. Complete the Prescreen section of the extension.
3. Complete the Authorization Details section of the extension and submit it.
Note: The option values shown in the workflow topics in this section are illustrative only.The comprehensive authorization extension workflow involves the following high-level tasks:
1. Start an authorization request extension.
2. Complete the Admission Prescreen section of the extension.
3. Complete the Admission Details section of the extension.
4. Complete the Procedure Prescreen section if an Inpatient Procedure is needed or click Next to go the Review page.
5. Click Submit.