Out of Network-how to get pre authorizations or referrals to protect your bottom line

April 15, 2021
60 Mins
Stephanie Thomas
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Pre authorizations and referrals are one of the most important parts of your medical practice. If you are seeing patients out of network, even more so! Let us show you how to simplify this process and save valuable time for your staff and practice.

According to studies 76% say pre authorizations lead to patients stopping recommending treatments! We cannot allow payers to determine how patients are treated, this webinar will allow your practice to take back that power and get authorizations and referrals the first time. We will show your team tips on how to identify what payers are looking for and what to provide in requests to get better results from their hard work!

Make sure your entire care team attends this very informative webinar, this will protect your bottom line. Missed, denied or incorrect referrals or authorizations can be extremely detrimental for a medical practice. These errors or oversights can cost your practice thousands of dollars and usually cannot be recovered. Let us help you put processes in place to NEVER miss or have another denied or missed payment for a procedure or visit. It IS possible!

Webinar Objectives
  • Missed revenue for denied or absent authorizations/referrals
  • Excessive work to try to get retro-authorizations/referrals
  • Incorrect processes for auths/referrals
  • Payer rules and regulations not known or being followed
  • Denials of claims for coding issues on auths/referrals
  • Incorrect payer auths (changed insurance)
  • Referral visits running out
  • Incorrect provider/facility authorized
Webinar Agenda
  • Issues we see often
  • Things we can control
  • Areas to improve
  • Tools for success
  • Processes to implement
Webinar Highlights
  • Patient information-be sure you have all the pieces of the puzzle
  • Payer policies, how to decode
  • Internal processes for success
  • Follow up-OFTEN
  • How to deal with denials
Who Should Attend
  • Medical office staff
  • Administrators
  • Office managers
  • Pre authorization staff
  • Billing staff
  • Billing managers
  • Front desk staff
  • Medical assistants
  • Practitioners (MD, DO, PA, NP, CRNA, etc)
Stephanie Thomas

Stephanie Thomas

Stephanie 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,...
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