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Prior Authorizations serve as 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 across the country.
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 2025.
Webinar Objectives
Prior Authorizations are a key cost-containment strategy used by third-party payers to control healthcare expenses, but they often create administrative burdens for providers.
This session will address the complexities of the Prior Authorization process, offer insights into 2025 updates, and provide strategies to improve approval outcomes and reduce delays.
Webinar Agenda
Understand major Prior Authorization updates for 2025
Recall the role of medical necessity in the Prior Authorization approval process
Identify which insurance payers require Prior Authorizations in 2025
Review methods for obtaining Prior Authorizations in 2025
Recognize common challenges in the Prior Authorization process
Learn strategies for escalating and appealing Prior Authorization denials in 2025
Webinar Highlights
Discuss key updates to Prior Authorizations for 2025
Explore 2025 Prior Authorization requirements for Medicare Advantage Plans
Define medical necessity and its importance in securing Prior Authorization approvals
Review the regulatory landscape for Prior Authorizations in 2025
Identify insurance payers that require Prior Authorizations in 2025
Explore methods for obtaining Prior Authorizations in 2025
Examine common challenges faced during the Prior Authorization process
Share strategies for overcoming challenges with Prior Authorizations in 2025
Discuss how to escalate and appeal Prior Authorization denials effectively in 2025
Provide best practice compliance tips for successful Prior Authorizations in 2025
Who Should Attend
Medical Coding Specialists
Medical Billing Specialists
Medical Auditing Specialists
Private Practice Physicians
Managed Care Professionals
Operations Leadership
Practice Administrators
Office Managers
Compliance Officers/Committees
Chief Medical Officer
Medical Practices
Accountable Care Organizations
Medical Societies
Medical Associations