Managing Prior Authorizations in Orthopedic Practices
3:00 PM - 4:00 PM EDT
Providing prior authorizations for surgeries, DME, injections, and other services is now an essential function for orthopedic practices. Determining the most efficient way to complete prior authorizations is a complex issue given the staffing, financial, regulatory, and workflow issues involved. This panel of orthopedic practice administrators will discuss several aspects of the prior authorization process, including in-house vs. outsourced options, prior authorization timing, the services that need prior authorizations, who receives the authorization, what systems are available, and the pros and cons associated with using an outsourced solutions. The panelists will highlight things to watch for when implementing a prior authorization workflow, potential pitfalls, staff feedback, and lessons learned.
Speakers(s)
David Kobasa
South Shore Orthopedics, LLC
Biography
David Kobasa is the Practice Manager at South Shore Orthopedics in Hingham, MA. Prior to joining SSO, David Kobasa spent 12+ years with RehabCare as an Executive Director for Rehabilitation Services with Care New England (RI) and as an Area Rehab Director with RehabCare (Kindred) overseeing 17 skilled nursing facilities throughout the Northeast Region. With over 20 years of clinical and Healthcare management experience in the post-acute sector, Mr. Kobasa has demonstrated consistent success in leadership, operations and customer service initiatives.
Speaker Sessions
Managing Prior Authorizations in Orthopedic Practices
Saturday, Apr 22, 2023 3:00 PM - 4:00 PM EDT
Jennifer Monroe, MBA, CPC, CPPM
OrthoTennessee
Biography
Jennifer has worked in all revenue cycle roles from front desk to practice manager and all points in between. She began working in a mental health practice setting, then found her passion in billing and the revenue cycle process. Her medical billing company served many specialties for 24 years including DME, gynecology, hospitalist care, infectious disease, neonatology, pediatrics, primary care, prosthetics, radiology and orthopedics. Jennifer has taught coding and billing classes, and consulted on collections and practice management issues. Her current work as a Director at OrthoTennessee focuses on continuous improvement, training, standard processes, and collaborative management.
Speaker Sessions
Fierce Feedback and Tough Love
Thursday, Apr 20, 2023 12:30 PM - 1:30 PM EDT
Managing Prior Authorizations in Orthopedic Practices
Saturday, Apr 22, 2023 3:00 PM - 4:00 PM EDT
Jason Wilfong
Monterey Spine & Joint
Biography
Jason has been working in healthcare for over 18 years starting in Military Healthcare with the US Army as a Medic. During his 12 years in the military, he learned the importance of efficiency and teamwork and attended Colorado State University where he received his degree in Healthcare Administration and Management. Jason joined Monterey Spine & Joint in 2017, where he's the CEO and works to ensure that MSJ is an organization where the companies values their staff and their staff value each other to ensure care and concern for the patient is at the core of all we do.
Speaker Sessions
Managing Prior Authorizations in Orthopedic Practices
Saturday, Apr 22, 2023 3:00 PM - 4:00 PM EDT
Shannon Young
Bluegrass Orthopaedics
Biography
Shannon Young has an Associates degree in Health Information Management, she is also a Certified Professional Coder, and is currently working on her CPPM (Certified Physician Practice Manager). She is the Co-Director of Business Operations at Bluegrass Orthopaedics in Lexington, KY. She has worked in healthcare for 27 years, 16 years in orthopedics. Her hobbies include her new grandbaby and her church family. She is currently married to the love of her life she has 2 sons and a daughter, son-in-law. Her superpower is to multi-task like a mother.
Speaker Sessions
Managing Prior Authorizations in Orthopedic Practices
Saturday, Apr 22, 2023 3:00 PM - 4:00 PM EDT
Managing Mental Health
Sunday, Apr 23, 2023 9:15 AM - 9:45 AM EDT