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Revenue Cycle 30/30/30

Revenue Cycle 30/30/30: Mastering the Referral: Prior Authorizations

This portion of the Revenue Cycle 30/30/30 will focus on prior authorizations, what they are, and the purpose they serve for payors. Tips and tricks for best practices to complete prior authorizations timely to ensure patients are treated per orders and that the organization is getting paid for the drug and services provided. There is often confusion between a prior authorization and predetermination so the program will identify when and where each are applicable while working through the process.
This portion of the Revenue Cycle 30/30/30 will focus on prior authorizations, what they are, and the purpose they serve for payors. Tips and tricks for best practices to complete prior authorizations timely to ensure patients are treated per orders and that the organization is getting paid for the drug and services provided. There is often confusion between a prior authorization and predetermination so the program will identify when and where each are applicable while working through the process.

Learning Objectives

  • Define what a prior authorization is and what purpose it serves for the payor.
  • Learn tips to complete prior authorizations timely to ensure financial health and positive patient outcomes.
  • Learn the difference between a prior authorization and a pre-determination and identify which one is required and when.
  • Speaker(s)

    Tabitha Brown 
    Senior Corporate Intake Support Specialist
    Amerita, Inc.

    Speaker

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