Navigating pre-authorizations is a critical aspect of medical practice, especially for out-of-network providers. Striking a balance between patient care and the increasing administrative load of pre-authorizations and denials is a common challenge. Healthcare practices spend, on average, 14.6 hours weekly on pre-authorizations and utilization management, costing over $68,000 annually per practice. This webinar is designed to simplify your pre-authorization process, freeing up valuable time for your staff and practice.

Understanding the detailed requirements of major insurance companies can significantly boost your approval rates. With the right knowledge and confidence, your practice can take control of patient care decisions rather than letting payers dictate them. In this webinar, our expert speaker Stephanie Thomas will guide you through the process of locating payer-specific guidelines and preparing effective authorization requests, ensuring success on the first submission.

Ensure your entire care team attends this must-see webinar to protect your practice’s revenue and efficiency.

Webinar Objectives:

• Understand what payers are looking for in authorization requests.
• Streamline your internal processes for handling pre-authorizations.
• Learn how to properly appeal denied authorizations.
• Identify risk areas and how to manage them effectively.
• Evaluate the pros and cons of different types of pre-authorization requests.
• Gain confidence in your documentation for various authorization requests.
• Master time management strategies to optimize your workflow.
• Gather and utilize accurate patient information to streamline the authorization process.
• Consider the advantages and disadvantages of outsourcing the pre-authorization process.

Webinar Agenda:

• Introduction to Referrals and Pre-Authorization: Defining the terms and their importance in practice management.
• Creating Efficient Workflows: Key components for developing a streamlined process for authorization success.
• Gathering Accurate Information: Best practices for insurance verification and patient data collection.
• Organizing Payer Information: How to efficiently categorize and utilize payer-specific guidelines.
• Time Management Tips: Structuring your day to handle pre-authorizations effectively.
• Documentation Best Practices: Ensuring your submission materials meet payer requirements.
• Managing External Authorizations and Denials: Techniques for working with external companies and handling denials.
• Live Representative Authorizations: Tips for direct communication with payer representatives.
• Appealing Denied Authorizations: Understanding denial trends and crafting successful appeals.
• Using Online Portals: Maximizing the efficiency of online tools for authorizations.
• Outsourcing Considerations: Evaluating whether outsourcing the pre-authorization process is right for your practice.

Webinar Highlights:

• Insights into payer guidelines and procedures.
• Effective strategies for appealing denied authorizations.
• Best practices for organizing and submitting information to payers.
• The critical role of insurance verification.
• How to enhance workflow efficiency.

Who Should Attend:

• Medical office staff
• Practice administrators
• Office managers
• Pre-authorization specialists
• Billing professionals
• Billing managers
• Front desk staff
• Medical assistants
• Certified Nursing Assistants (CNAs)