Use Five Whys on a Prior Auth Delay
Apply Five Whys to identify a controllable process cause for repeated podiatry prior authorization delays.
A custom ankle brace prior authorization has been pending for 19 days and required two resubmissions. Five Whys root cause analysis: move from symptom to controllable cause The common trap is accepting "insurance is slow" as the final answer. That may be partly true, but it hides missing packet quality checks the practice can control. Why 1 Why was the authorization delayed? The first submission was rejected as incomplete. The first why turns a vague delay into a specific event with evidence. Why 2 Why was it incomplete? The packet lacked conservative-care documentation required by the payer. The second why…
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