When scheduling diagnostic testing, what should the scheduler confirm?

When scheduling diagnostic testing, confirming that the patient has the necessary referrals and pre-authorization is crucial. This step ensures that the testing is covered by the patient’s insurance, preventing any financial surprises for the patient or the healthcare provider. Many diagnostic tests require prior authorization from the insurance company, and without it, the provider may not receive reimbursement for the services rendered. This process also validates that the test is medically justified and in line with the patient's healthcare plan, which safeguards both the patient's interests and the practice's revenue.

While other aspects, such as the appropriateness of the location, the readiness of the patient, and lab availability, are also important for the smooth operation of scheduling, the requirement of referrals and pre-authorization is a foundational step that enables access to care and ensures compliance with insurance regulations.