Answered step by step
Verified Expert Solution
Question
...
1 Approved Answer
Scenario: Your team receives an average of 10k prior authorization denials on a monthly basis with a daily production expectation of 50/day/rep. The top denial
Scenario: Your team receives an average of 10k prior authorization denials on a monthly basis with a daily production expectation of 50/day/rep. The top denial reasons are: Medical Necessity, Not Covered by Health Plan, OON, No Retro Allowed, Lack of Information, and Timeline Exceeded. Create an action plan: - Detailing how you would assign and prioritize work within your team - How you would plan to decreased prior authorization denials - How would you determine whether you are appropriately staffed and/or need additional resources
Step by Step Solution
There are 3 Steps involved in it
Step: 1
Get Instant Access with AI-Powered Solutions
See step-by-step solutions with expert insights and AI powered tools for academic success
Step: 2
Step: 3
Ace Your Homework with AI
Get the answers you need in no time with our AI-driven, step-by-step assistance
Get Started