Streamline Prior Authorization Documentation
The PA Document Finder is designed to simplify the prior authorization process for oncology treatments. By providing quick access to documentation requirements organized by cancer types, subtypes, stages, and treatment phases, this tool helps reduce delays in patient care and improve authorization success rates.
Key Benefits
-
Comprehensive Cancer Coverage
Get documentation requirements for 6 major cancer types: Breast, Cervical, Colorectal, Lung, Skin, and Uterine cancers.
-
Subtype-Specific Requirements
Detailed requirements tailored to specific cancer subtypes with intelligent filtering based on your selections.
-
Stage-Aware Documentation
Documentation requirements organized by cancer staging (Stage 0-4) with subtype-specific stage availability.
-
Phase-Based Organization
Clear organization by treatment phases: Neoadjuvant, Adjuvant, and Maintenance therapy requirements.
-
Radiation Therapy Integration
Specialized documentation for treatments that include radiation therapy components.
-
Intelligent Workflow
Five-step selection process with dynamic filtering to quickly find the exact documentation needed for any treatment scenario.
How to Use the Pathway Document Finder
Follow this 5-step process to quickly find the exact documentation requirements for your patient's treatment pathway.
Step 1: Cancer Type Selection
Comprehensive coverage including DCIS, Inflammatory, and Invasive subtypes.
Documentation for NSCLC, SCLC, and Adenocarcinoma subtypes.
Requirements for Adenocarcinoma, Adenosquamous, and Squamous Cell subtypes.
Coverage for polyps with invasive cancer and metastatic disease.
Requirements for Melanoma (Cutaneous/Uveal), Basal Cell, and Squamous Cell.
Documentation for Endometrial and Uterine Sarcoma subtypes.
Step 2: Cancer Subtype Selection
Once you select a cancer type, the system automatically filters available subtypes. Each cancer type has specific subtypes with tailored documentation requirements.
DCIS, Inflammatory, Invasive
Adenocarcinoma, Non-Small Cell (NSCLC), Small Cell (SCLC)
Adenocarcinoma, Adenosquamous Carcinoma, Squamous Cell
Polyps with invasive cancer, with/without distant metastases
Basal Cell, Melanoma: Cutaneous, Melanoma: Uveal, Squamous Cell
Endometrial, Uterine Sarcoma
Step 3: Stage Selection
Select the cancer stage. The system intelligently filters available stages based on your subtype selection. For example, DCIS only shows Stage 0, while Inflammatory breast cancer shows Stage 3 and 4.
In situ cancers (like DCIS) - cancer cells are only in the layer of cells where they started.
Early-stage cancers - small tumors that haven't spread to lymph nodes or nearby tissues.
Locally advanced cancers - larger tumors that may have spread to lymph nodes.
Metastatic cancers - cancer has spread to other parts of the body.
Step 4: Treatment Phase Selection
Choose the treatment phase. Available phases may be restricted based on your subtype and stage combination. For example, DCIS Stage 0 excludes Neoadjuvant therapy.
Pre-surgical treatment to shrink tumors and improve surgical outcomes.
Post-surgical treatment to eliminate remaining cancer cells and prevent recurrence.
Long-term therapy to maintain remission and monitor for recurrence.
Step 5: Radiation Therapy Option
Indicate if radiation therapy is part of the treatment plan. This selection may show additional or modified documentation requirements specific to radiation treatments.
Additional documentation requirements for treatments involving radiation therapy planning and delivery.
Best Practices for Documentation
-
Accurate Cancer Classification
Start with the correct primary cancer type to ensure appropriate subtype and stage options are available.
-
Subtype and Stage Verification
Ensure accurate subtype and stage classification through proper testing, imaging, and pathology review.
-
Stage-Specific Restrictions
Be aware that some subtypes have restricted stage options (e.g., DCIS is only Stage 0, Inflammatory breast cancer is Stage 3-4).
-
Phase-Specific Planning
Review documentation requirements for each treatment phase, noting that some combinations exclude certain phases (e.g., DCIS excludes Neoadjuvant).
-
Radiation Therapy Considerations
When radiation therapy is planned, select this option to see additional documentation requirements specific to radiation treatments.
-
Sequential Documentation
Follow the treatment timeline and ensure previous phase documentation is complete before proceeding to the next phase.
-
Current Protocol Verification
Always verify documentation requirements with your local team and current treatment protocols before final submission.