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Presented by Toni Elhoms
Duration - 60 Minutes
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2024 Prior Authorization Process For Medical Providers | Prior Authorizations are a cost containment strategy that third-party payers leverage to control costs, restrict patient access to services, testing, and medications, and ultimately discourage medical providers from ordering unnecessary medical treatment. Prior authorizations are a major source of headaches for healthcare providers nationwide. Despite the intention to control costs and ensure appropriate care, the prior authorization process has been criticized for its enormous administrative burden, potential delays in necessary medical treatment, and added complexity for healthcare providers.
Striking a balance between cost control and efficient patient care remains a major challenge in the healthcare industry. Join us for an insightful 60-minute webinar as we take a deep dive into the complexities of the Prior Authorization process, discuss the pearls and pitfalls, define medical necessity requirements, and demystify the intricacies of obtaining prior authorizations, ensuring a smoother workflow and higher approval outcomes in 2024.
Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer is an internationally known speaker and recognized subject matter expert on medical coding, reimbursement, compliance, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC (ACE). She holds multiple credentials with the American Health Information Management... Read more
Learning Objectives
Areas Covered
Background
Prior Authorizations are a critical cost containment strategy that third-party payers leverage to control healthcare expenditure costs, which can lead to frustrated medical providers, delayed medical treatment, delayed or missed diagnosis, etc.
Why Should You Attend
Prior authorizations are a major source of frustration and headaches for healthcare providers nationwide. In this session, we deeply dive into the nuances of Prior authorizations and how to challenge and escalate denials successfully.
Who Should Attend