Allegheny County Medical Society
713 Ridge Avenue
Pittsburgh, PA 15212
On January 1, 2019 the act of balancing healthcare access and cost became more complex. Highmark announced a number of new procedures which require providers to obtain prior authorization to perform. Healthcare providers have expressed concern that burdensome prior-authorizations for routine procedures will create new delays for patients to receive care and force more care into higher cost settings.
On June 28th Highmark will present on the performance of prior authorizations for CPT 93306 – TTE “rest” echo complete Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography
The meeting will be held June 28th from 1:30 to 3:30pm EST. An in-person meeting will be hosted at the Allegheny County Medical Society at 713 Ridge Avenue, Pittsburgh, PA 15212 and a teleconference will also be made available.
The purpose is to evaluate the performance of their prior authorizations, now with several months of data. Key questions to be addressed include