Transforming Pre-Service Authorizations into Cash (BP5)

Date & Time

Monday, November 3 — 1:30 – 3:00 p.m.

Speakers

Florence Davis
Director/PatientAccess and Utilization Review
Children’s Hospital of Atlanta

Tammy Jones
Manager, Central Authorization and Verification
Children’s Hospital of Atlanta

Summary

As payers put more emphasis on pre-service clinical authorizations, engagement with clinical operations, especially physicians, is the key to building a coordinated, shared

approach to pre-authorizations for services. Through teamwork between revenue cycle and clinical staff, an integrated pre-authorization process had led to significant improvements in patient and physician satisfaction, reductions in denials, and increases in cash collections.

After This Session, You'll Be Able To:

  • Develop an effective pre-authorization program
  • Explore how the right tools and templates are necessary components of a successful program
  • Use metrics to monitor performance and continue to improve operations