2023 Pre Authorization Requirements By CMS & Commercial Payers - Detailed Assessment Of The Constantly Evolving Process

Webinar Background, Agenda & Trainer Profile :

Pre-authorizations in 2023 are overwhelming medical practices across the country. Countless hours are spent and frustration is rising with payer changes and expectations intensifying. . Authorizations can delay patient care and take up hours of staff and provider time. Studies show that 78% of prior authorizations can sometimes, often or always lead to patients abandoning a recommended treatment. Our expert, Stephanie Thomas CPC CANPC COSC has over 20 years experience with payer pre authorizations. She has seen it all, the good, bad and ugly. . Working with payers across the country in multiple specialties she has a vast understanding of the games insurances play. During her upcoming training Mrs. Thomas will provide proven strategies to make this process more efficient and much less stressful. The burden of ever-changing policies and guidelines can seem impossible, but with some help you can simplify the process and improve your success rate!

Join us for this highly informative webinar, we will go through the process authorizations, step by step, to give you the tools to take this from unattainable to seamless for your practice!

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 regards to payer rules.
 
The following agenda will be discussed in detail during this live session :

• Patient involvement and communication-can speed up processing
• Types of authorization-know the most appropriate for your cases
• Importance of documentation and auditing
• Payer education, 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
• Denials and Appeals Process-quick action, better results
• Time management and process improvement
• Payer changes-stay informed
• Outsourcing-the pros and cons
• Top mistakes seen in authorizations-how to avoid these
• Q&A

Ask your questions & get expert advice directly from the speaker during the informative Q/A session at the end of the webinar session.

About The Trainer: Stephanie Thomas 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 support her mission of assisting practices and Physicians across the country with proper coding and aggressive billing practices while being compliant. Stephanie also has extensive knowledge in physician practice processes, front desk, back office, and clinical. This knowledge allows her to be an invaluable asset for all things clinical operations, revenue cycle, internal audit, risk management, and healthcare administration.