Navigating the Pre-Authorization Maze: Strategies for Success

Stephanie Thomas, CPC, CANPC, COSC

Stephanie Thomas, CPC, CANPC, COSC

Stephanie has worked in the medical, billing and coding industry for nearly 20 years. It is truly her passion. Stephanie works closely with small and large private practices to audit and collaboratively improve their revenue stream. She prides herself in her dedication to her clients and has built a team of incredible billers and coders to...
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60 Mins
Stephanie Thomas, CPC, CANPC, COSC

Mastering Pre-Authorizations: Strategies for Streamlining Approvals and Enhancing Practice Efficiency

Are you facing challenges with pre-authorizations overwhelming your staff? Do you find yourself spending excessive time on appeals, Peer-to-Peer discussions, or struggling to navigate the authorization approval process? Look no further, as we have the solutions you need!

In the year 2023, pre-authorizations have become a significant burden for medical practices nationwide. The ever-changing landscape of payers and their escalating expectations have led to countless hours being devoted to this process, resulting in mounting frustration. Our speaker, Stephanie Thomas, with over 20 years of experience in dealing with payer pre-authorizations, has witnessed it all – the good, the bad, and the ugly.

We invite you to join us for an enlightening webinar that delves deep into the strategies for securing initial authorization approvals, understanding payer preferences, and improving internal processes. This session will cover crucial policies from major commercial payers, as well as Medicare NCD and LCD. You will learn where to find this valuable information and how to leverage it to enhance documentation practices. Additionally, we will provide tips on effective provider communication in accordance with payer rules.

Don't miss out on this highly informative webinar that will equip you with the knowledge and tools to navigate the complexities of pre-authorizations, improve approval rates, and optimize your practice's operational efficiency.

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

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