How do I manage request and update prior approval for MoH patients?
Some treatments for MoH patients require prior approval.
If you chart a treatment item which requires prior approval, you will see a red error message in the chart alerting you to this.
If this happens:
Click 'Create prior approval', on the right of the error message.
A prior approval document will be generated, auto-populated with the patient's info and the treatment details.
You can then view this and all your prior approvals in the claim management tool, under the 'Prior approvals' tab. Here you will also see the date it was created, so you can identify overdue prior approvals.
Once you have received approval from MoH, you can open the treatment plan (either directly in the patient record, or by following the link in the 'Prior approvals' tab of the claim management tool).
Add the approval number and update the approval status.
You'll also have the option to upload the approval document.
You can then carry out the treatment which has been approved.
If you make changes to the treatment plan, after you requested prior approval (regardless of whether you have received a response yet), you will be prompted to update it.
If you do not correctly obtain prior approval for a treatment item which requires it, you will not be able to complete the treatment, until you add the approval number.
If you delete the treatment which has prior approval, the prior approval will also be cancelled/deleted.
You can view all prior approvals in your claim management tool.