Effective Strategies for Prior Authorization and Eligibility Verification - On Demand Access

Prior authorization and eligibility verification are critical to the healthcare practice revenue cycle, impacting operational efficiency, patient satisfaction and financial stability. Mastering these processes can reduce claim denials and optimize revenue. This 90-minute webinar will explore both manual and automated approaches to prior authorization and eligibility verification and then demonstrate how technology can reduce administrative burdens in these areas. Participants will gain actionable strategies to improve workflow, prevent denials and enhance revenue cycle performance.

Learning Objectives

At the conclusion of this program, participants should be able to:

  1. Describe the fundamentals of prior authorization and eligibility verification.  
  2. Explore the impacts of artificial intelligence on revenue cycle processes.  
  3. Apply best practices for managing prior authorization and eligibility verification.  

An Internet-based CDE/CME Activity
Original Release Date: February 12, 2025
Expiration Date: February 12, 2028
Estimated time to complete this educational activity: 1.5 hours
Method of participation: Self-Study

Vanessa L. Moldovan, CRCR, CPB, CPC, CPMA, CPPM, CPC-I

Vanessa Moldovan, CRCR, CPC, CPB, CPMA, CPPM, CPC-I, has over 20 years of experience in revenue cycle operations and process improvement. She is the owner and founder of the healthcare consulting company For the Love of Revenue Cycle and is the host and creator of a podcast by the same name. She has served as an AAPC Certified Professional Biller virtual instructor and was a member of the AAPC National Advisory Board and Billing Advisory Committee. She also has held various leadership roles at HCA Healthcare and Medic Management Group, LLC.

Disclosures: No relevant financial relationships were disclosed.

Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The American Association of Oral and Maxillofacial Surgeons designates this activity for 1.5 continuing education credit(s).

AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680

The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Key:

Complete
Failed
Available
Locked
Faculty and Planner Disclosure
Pre-Quiz
5 Questions  |  1 attempt  |  0/5 points to pass
5 Questions  |  1 attempt  |  0/5 points to pass
Effective Strategies for Prior Authorization and Eligibility Verification - ADD VIDEO
Open to view video.
Open to view video.
Post-Quiz
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
Evaluation
11 Questions
Certificate
1.50 CDE/CME credits  |  Certificate available
1.50 CDE/CME credits  |  Certificate available
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