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Prior-Authorization for In and Out of Network Providers

Conference Materials (Password Required)

It is crucial for a fee for service providers to understand all necessary payer requirements to get properly paid for the services they provide, and to avoid administrative mistakes that cause thousands of dollars to the practice. The goal of this webinar is to go over one of the most important steps in preparation for services called Prior authorization. We will review what this process means, how to initiate it, what paperwork is needed, what forms to look for, how to get information on prior authorization requirements, and how to handle authorizations when providers are in network and out of network.

Learning Objectives:
  • To learn the meaning behind prior authorization.
  • To understand why prior authorization is needed.
  • To go over the steps to figure out if prior authorization is needed.
  • To go over the prior authorization requirements for in-network providers.
  • To go over the prior authorization requirements for out-of-network providers.
  • To go over examples of different payer requirements for prior authorization.
  • To go over where to obtain information about prior authorization requirements.
  • To discuss ways how to implement a good process for prior authorization verification.
Areas Covered in the Session:
    • What is the process called Prior Authorization?
    • Why prior authorization is needed?
    • Steps on how to figure out if prior authorization is needed.
    • Prior authorization requirements for in-network providers.
    • Prior authorization requirements for out-of-network providers.
    • Review examples of different payer requirements for prior authorization.
    • Discuss ways how to implement a good process for prior authorization verification.
Suggested Attendees:
  • Medical providers, who are involved in the payment process of their practice
  • Physicians
  • Practice Managers
  • Billing Managers
  • C-level executives
  • Office managers
  • Medical billers
  • Medical Coders
  • Office staff and Billing Managers
  • Medical Billing Companies
  • Providers’ Office Staff
  • Hospital Revenue Cycle Staff
Presenter Biography:

Kate Gilman has almost two decades of experience in the healthcare industry. She is an expert coder, compliance officer, and trains healthcare providers all over the country. Kate utilizes her expertise to uncover ways to improve billing and coding inefficiencies, training staff, and ensuring compliance while achieving maximum results and revenues for her clients.

Kate’s successes include small and large practices, ranging from primary care to specialists and surgeons. She is known for helping providers feel confident in their coding and peace of mind with their compliance practices. Kate’s acute attention to detail, deep understanding of coding and billing, and proactive approach make her an indispensable asset to all her clients.

Snippet From Our Previous Session

Frequently Asked Questions:

HOW MUCH TIME DOES IT TAKE TO RECEIVE THE DVDs/ FLASH DRIVE? +

For DVDs/ FLASH DRIVE – It will take around 7 working days.

CAN I PLACE AN ORDER ON CALL? +

Yes, you can call our toll-free number 302-444-0162 and ask our representative for the enrollment. Alternatively, you can also mail us at care@skillacquire.com .

CAN I PURCHASE ANY OF YOUR TRAINING FORMATS, AT ANY TIME? +

For DVDs/ FLASH DRIVE – Yes, you can place the order at care@skillacquire.com using the order brochure or can call us at our toll-free number 302-444-0162.

DO I REQUIRE A COMPUTER FOR ATTENDING A LIVE COURSE? +

The system requirements are quite basic: OS: Windows any version preferably above Windows Vista & Mac any version above OS X 10.6 Internet Speed: Preferably above 1 MBPS Headset: Any decent headset and microphone which can be used to talk and hear clearly, in case of live course you can raise questions using a microphone.

HOW CAN I BECOME FACULTY AT SKILLACQUIRE? +

Please share your detailed CV with us and our team will screen the best faculty for the specific field.

HOW CAN I GET ACCESS TO THE LIVE TRAINING? +

You can access the live training using Joining Link or Dial-In Number. To get the joining link, you can click on the conference materials on the product description page, and enter your email address and password that you received in your email.

We will also send you the joining link or dial-in number to the registered email address 2-3 days prior to the live training. You can simply click the joining link to join the live training.

HOW CAN I MAKE A BULK PURCHASE? +

You can call our customer service department at 302-444-0162 and may also avail some discounts on the bulk orders.

WHAT’S THIS DIFFERENT FORMAT? +
  • Live (One Attendee) – Only 1 person will be able to join the webinar
  • Live (2 to 4 Attendees) – Upto 4 persons are allowed to join the webinar
  • Live (5 to 10 Attendees) – Upto 10 persons are allowed to join the webinar
  • On-Demand Recording (One Attendee) – Webinar recording link will be provided for a single attendee
  • On-Demand Recording (Multiple Attendees) – Webinar recording link will be provided that can access by more than one person
  • DVD – DVD will be shipped physically to the address provided
  • Flash Drive – Flash drive will be shipped physically to the address provided
  • Live + DVD – This allows you to attend live webinar plus you also get DVD shipped to the address provided
  • Replay + FLASH DRIVE – Allows you to get webinar recording link plus you also get DVD shipped to the address provided
  • Live + REPLAY + DVD – This allows you to attend live webinar plus you also get webinar recording to your email and DVD shipped to the address provided
WHAT CERTIFICATION DO I GET POST THE TRAINING? +

After successful completion of the training, you will be awarded the course completion certificate (on request). The certifications/ recertifications should be mentioned under the description of every course.

TESTIMONIALS

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