The Fundamentals of Prior Authorization
Learn the fundamentals of prior authorization in healthcare. Understand the process, team members, coding, terminology, and more. Start your career or improve your workflow. Affordable alternative to certification training. Gain the knowledge needed to succeed.
What you’ll learn
- Understanding the role of a prior authorization specialist
- Know the different types of authorizations in healtcare
- Understand the workflow of authorizations
- Get a career in prior authorization specialist or an administrative assistant in healthcare who needs the knowledge to obtain prior authorizations.
The Fundamentals of Prior Authorization will cover the following topics:
1. Prior Authorization Process
2. Team Members of the Prior Authorization Process
3. Insurance Payers
4. Medical Coding
5. Medical Terminology
6. Medical Records
7. Service Line Authorization Workflow
8. Service Line Authorization Fundamentals
9. Medication Line Authorization Workflow
10. Medication Line Authorization Fundamentals
11. Out of Network – Non-Participating Authorization
12. HIPPA
13. Ways of Submitting Prior Authorization
14. The Approval
15 Denials and Appeals
16. The Future of Prior Authorizations
These concepts will provide the student with complete understanding of what is needed to be successful in obtaining prior authorizations. This course goes in details about what is needed to obtain authorization for infusion therapy medications which is the most complex type of prior authorization requests. The student will walk away with the knowledge that is needed to land a job in various medical settings such as a doctor’s office, homecare, diagnostic and treatment center or a hospital. This course is also helpful for those who are in the field already and wants to improve their standard workflow. Also, job opportunities exist in which the student can work from the comfort of their own home obtaining prior authorizations. This course open for everyone. It does not matter if you are a nurse, a clerk or doctor or someone who never had experience in a healthcare setting. As your instructor, I am very happy to share with you my knowledge and experience in this field. I would also like to take the opportunity in advance for thanking everyone who has made the decision to enroll in this course.
Who this course is for:
- This course is for people who are interested in field of becoming a prior authorization specialist, or works in the healthcare that requires the knowledge of obtaining prior authorizations.
- Also, this course give the opportunity to those who can not afford to take the training course to be a certified prior authorization specialist which cost $900.00 by the ACMA. I paid $1000 for my certification and I want to share my knowledge along with my experience in healthcare with those who want to get their foot in the door.
User Reviews
Be the first to review “The Fundamentals of Prior Authorization”
You must be logged in to post a review.
There are no reviews yet.