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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

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