A Case Study on Automating Prior Authorizations – Best Practices and Lessons Learned

Presented by Mohammed Ahmed , Founder of AuthPal and VP Authorizations Business Development, Availity, and Linda D’Amore , Independent Healthcare Consultant and former CEO, Woodlands Medical Specialists

March 20, 2018
10 a.m. PT/1 p.m. ET

Six industry leaders, including the AMA recently announced collaborating to improve the prior authorization process. In the statement, they said “Prior authorization approvals can be burdensome for health care professionals, hospitals, health insurance providers, and patients because the processes vary and can be repetitive. Streamlining approval processes will enhance patient access to timely, appropriate care and minimize potential disruptions.”

Nowhere is that more true than in independent radiology, where prior authorizations are required for the majority of procedures. While the industry works to enact wider change, several innovative practices and solution providers are actively working to find a better way to manage prior authorizations in radiology. Some have even implemented fully market capable solutions.

This session will profile one those fully implemented solutions as a case study and explore the lessons learned from that journey for others considering this type initiative. Hosted by RBMA, this session will explore best practices as well as lessons learned and remaining challenges for both Health IT solution providers and the radiology organizations seeking a solution. Join us for this panel interview format discussion of innovation, implementation, and automation in radiology prior authorizations.