Prior Authorization:
Getting it Right
Certified Instructor
Live and On Demand
Certificate of Completion
Prior authorization is a process used by insurance companies to determine if they will cover the cost of a particular medication, medical procedure, or service. To receive prior authorization, healthcare providers are required to submit certain information to the insurance company, including medical records, clinical justification, and other relevant documentation.
Training on prior authorization is needed in understanding the steps involved in the process, as well as the types of information that need to be submitted to the insurance company. Healthcare providers may also need to learn how to complete prior authorization forms and how to communicate effectively with insurance company representatives.
Some key topics that will be covered in this prior authorization training include:
- Overview of the prior authorization process
- Common reasons why prior authorization may be required
- How to identify which services require prior authorization
- How to communicate effectively with insurance company representatives
- Tips for avoiding common errors and delays in the prior authorization process
- How to document prior authorization requests and outcomes in patient records.
Overall, prior authorization training is important for healthcare providers to ensure that patients receive the necessary care while also minimizing administrative burdens and costs.
On-Demand
- Overview of the prior authorization process
- Common reasons why prior authorization may be required
- How to identify which services require prior authorization
- How to communicate effectively with insurance company representatives
- Tips for avoiding common errors and delays in the prior authorization process
- How to document prior authorization requests and outcomes in patient records.
- Operating System: 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
- Office Managers
- Clinic Managers
- Hospital Director
- Medical Software Developers
- Coders
- Billers
- Physicians
- Nurses
- Medical Assistants
- Coding and Billing Trainee
About the instructor
Jennifer McNamara
CCS,CPC,CPC-I,CPMA,CRC,CGSC,COPC,AAPC Approved Instructor
I serve as the Director of Education and Coding for Oncospark. I brings impact and results with 20+ years of proven healthcare revenue cycle experience and effective instruction through Spark Advisory Network for 1000+ students. I have embraced the changes in the billing and coding space by embracing the movement to value-based care and software deployment across specialties. I am committed to teaching others the intricate world of billing and coding and the future of the space.
I hold the following credentials CCS,CPC,CRC,CPMA,CGSC,COPC,CPCI and serve as the Consulting Editor for the AAPC Codify Podiatry Newsletter
I started my Career in 2000 and have worked in many specialized areas of Coding including Orthopedics, Plastic Surgery, General Surgery, Ophthalmology, Podiatry and many more. My coding team provides Auditing, Consulting, RCM services, Credentialing and Compliance through our team of experts.
I am the host of the podcast “Healthcare Crossroads ” discussing connections in HealthcareData, ComplianceandPatientCare. It is available on many podcast stations.
I have served as Education Officer for the Joplin MO AAPC Chapter previously and has written articles for AAPC Healthcare Business Monthly. I am a National public speaker and have been a past speaker at AAPC Healthcon as well as many specialty conferences and events both Virtually and In-person including Decision Health for Orthopedics.
