I know this is an old thread yet couldn't resist putting my 1 cent in (was 2 cents yet with deflation ...)

I sometimes have patients sit with my assistant while she is on the phone trying to get the prior auth (I especially do this with medication prior auths). This gives them a clear sense of what we have to go through to get their test approved and usually they understand better our world and frustrations in trying to provide quality care. Also, if you wanted you could bill a level 1 or level 2 visit for this and recoup some income (I generally have not done this however). I hope this helps someone.