About This Webinar
The Centers for Medicare & Medicaid Services (CMS) defines Prior Authorization as a request for “provisional affirmation of coverage” submitted for review before the service is rendered and a claim presented for payment. Prior Authorizations have been the Achilles heel of the Claims ecosystem. Many payers have standalone systems which impact the delivery of services to members. The multiple touchpoints, documents, and participants that contribute to the decision-making can increase response times and add inefficiencies to the process.
During this webinar, we will explore some of the possibilities with how health insurance providers can continue to monitor and ensure care is given at the right time and in the right setting while at the same time eliminating the current burden of doing so on the provider and member.
Attendees Will Learn About
- Current challenges with prior authorizations
- Regulations and impacts to payers and providers
- Recommendations for how to improve Prior Authorizations experiences for providers and members