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Most medication PA delays trace to six causes: incomplete documentation at submission, manual fax submission instead of electronic, step therapy requirements not documented, payer-specific criteria not addressed, authorization numbers missing from claims, and insufficient PA staffing capacity

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Rule #3: Request Modifications Without Apology Don't hesitate to ask for: "Grilled instead of fried" "Dressing/sauce on the side" "Steamed vegetables instead of fries" "Can I get a half portion?" "Light oil, please" "No butter on that" Servers handle special requests constantly

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JAMA Network In other words, the science is evolving , and different hospitals or anesthesia groups may follow slightly different protocols

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