Has anyone had to deal with this for physican services need to be precerted for outpatient? I think this is setting us up to fail on getting auths for payments. When the bills obs we are billing out patient for the physician billing, therefore if we do not get auth we will deny. I don't understand how this is possible to do when you aren't getting the docs charges until AFTER services have been renedered. Anyone have suggestions on how they handle these?