Healthcare Prior Authorization

This course covers the essential steps of the prior authorization (PA) process in healthcare, including how to manage insurance requirements and navigate approvals, denials, and peer-to-peer reviews. It explains the different types of insurance plans (HMO, PPO, Medicare, Medicaid, etc.) and how pre-authorization works for each. Participants will also learn how to request authorizations through online portals, phone calls, and emails, as well as handle retro-authorization and denials. By the end, learners will be able to streamline the PA process, ensuring better compliance and efficiency in patient care.
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Course content

13 sections | 130 lessons