Do you feel like pre-authorizations are drowning your staff? Are you spending time appealing, performing Peer to Peer discussions, or just scratching your head of how to get authorizations approved? Look no further, we have the answers for you!
Pre-authorizations in 2023 have single handed overwhelmed medical practices across the country. Countless hours are spent, and frustration is rising with payer changes and expectations intensifying. Our speaker has over 20 years’ experience with payer pre authorizations. She has seen it all, the good, bad and ugly.
Join us for this highly informative webinar that will go in depth about how to get authorizations approved the first time, what payers want, and how to improve internal processes. We will cover major Commercial payer policies as well as Medicare NCD and LCD, where to locate these and how to utilize this valuable information for documentation improvement and tips on Provider communication in regard to payer rules.
Webinar Objectives
- In depth look and breakdown of the pre-authorization process.
- Types of pre-authorizations, how to perform, best practices and tips
- Commercial payer policies-breakdown of information found in these, how to use, what to do BEFORE an authorization is initiated
- Medicare (CMS) National Coverage Database (NCD) and Local Coverage Database (LCD)-in depth look at these, what information is included, how this will affect your practice in regards to authorizations
- Process improvement-take the pain out of this costly and time sucking task
- Documentation improvement-utilizing coverage policies as auditing tool
- Top mistakes seen in authorizations-how to avoid these
Webinar Agenda
- Overview of process
- Coverage policies
- Tips for success
- How to deal with denied authorizations
- Process improvement
- Tips for Provider communications
Webinar Highlights
- Coverage policies
- Appeals and Peer to Peer
- Dealing with 3rd party companies
- Patient involvement
- Denied authorization tips.
Who Should Attend
Medical professionals, pre-authorizations specialists, billers, coders, front desk, Administrators, Supervisors, surgery schedulers
