Efficient and Cost-Effective Management of the Authorization Process
PROGRAM DESCRIPTION This symposium will focus on the prior authorization (PA) process, which requires healthcare providers to seek approval for medication and procedure coverage. Because PA is often necessary for ...
This symposium will focus on the prior authorization (PA) process, which requires healthcare providers to seek approval for medication and procedure coverage. Because PA is often necessary for imaging and branded medication prescriptions, treatment strategies are often impacted. A recent survey by the American College of Cardiology (ACC) found that 78% of surveyed cardiologists cite the documentation and administrative burden associated with PA to be a barrier to using newer therapies. During this activity, faculty will provide participants with recommendations and resources for streamlining the PA process in their practices, with the goal of reducing the associated burdens on healthcare providers, minimizing related stress for patients, and preserving time for direct patient care. Faculty will also present a challenging patient encounter and supply evidence-based strategies which learners can apply in a clinical setting for optimal success.
Upon completion of this activity, participants should be able to:Describe steps that can be taken by healthcare providers to reduce the time and expenses associated with submissions for prior authorizationsSummarize available resources that may facilitate the prior authorization processDiscuss current advocacy efforts to streamline the preauthorization process and how they may affect clinical practice
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