2022 Annual Meeting | Prior Authorizations – Everything You Need to Know and Now Will

Date Sunday 04/03/22

Time 12:00 PM - 12:30 PM PDT Add To Calendar

Session Format This program will be presented both in-person and online

On Demand This program is not expected to be available in the meeting's On Demand product.

Event Type Learner Engagement Center (Practice and Policy Engagement Center)

Director(s) Kavita Nair, PhD, FAAN, Jose M. Rocha, MHL

Topic(s) Practice, Policy, and Ethics

Learning Objectives In interview format, Kavita Nair, PhD, Vice-Chair of the AAN’s Coding and Payment Policy Subcommittee, sits down with Jose M. Rocha, MHL, business practice manager of a large multidisciplinary neurology practice, to discuss solutions and strategies for easing the burden of prior authorizations (PA) for clinicians and staff. Fred Essis, staff with the Advocacy Committee, will join the interview to discuss federal reform efforts.
Neurologists and their staff nationwide are facing increasing administrative burdens due to prior authorization (PA) requirements. Prior authorization remains an onerous processwhere health care providers are required to obtain advance approval from a patient’s insurer before a specific service, procedure or drug is made available to a patient to qualify for payment coverage. In the next 45 minutes, we will first provide strategies to help minimize the burden of PA for the neurologist and their staff. Through an interview conducted by the Vice Chair of the AAN’s Coding, Payment and Policy Subcommittee with the business practice manager of a large multidisciplinary neurology practice, attendees will learn how to ease the burden of PAs for clinicians and staff alike using three commonly encountered examples medications in a neurology practice:

Obtaining PA for onabotulinumtoxinA used in the treatment of chronic migraine
Obtaining PA for magnetic resonance imaging (MRI) studies for any neurological condition
Obtaining PA for electrodiagnostic testing

Attendees are encouraged to participate with their own questions as well and sample PA templates will also be highlighted. Second, neurologists and their staff need relief from overwhelming regulatory requirements, so they may prioritize caring for patients. A member of the AAN’s Advocacy group will join the interview to discuss federal reform efforts, specifically, the Improving Seniors’ Timely Access to Care Act, bipartisan legislation that would improve care for seniors by streamlining and standardizing the way Medicare Advantage (MA) plans use prior authorization and increasing oversight and transparency around prior authorization. A cameo by the one of the bill’s sponsors (Representative Suzan DelBene (WA-01) may be possible). State specific reform efforts in this area will also be discussed.

CME Available No CME available

Core Competencies Patient Care & Procedural Skills, Practice-based Learning and Improvement

Program Level Intermediate

Program Tracks Business of Neurology

Recommended Audience Fellow, Resident, General Neurologist, Specialist Neurologist, Non-neurologist, Advanced Practice Provider, Neurohospitalist, Medical Student

Teaching Styles Other

Program Materials Program Evaluations

Event Timeline
12:00 PM - 01:00 PM PDT	Speaker	Prior Authorizations – Everything You Need to Know and Now Will Kavita Nair, PhD, FAAN, Jose M. Rocha, MHL

Faculty Disclosures
Kavita Nair, PhD, FAAN	Dr. Nair has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Bristol Meyers Squibb. Dr. Nair has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Novartis. Dr. Nair has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for PhRMA Foundation. Dr. Nair has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Genentech. Dr. Nair has received personal compensation in the range of $500-$4,999 for serving as a Consultant for TG Therapeutics. Dr. Nair has received personal compensation in the range of $500-$4,999 for serving as a Consultant for MJH Healthcare. Dr. Nair has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Sanofi. Dr. Nair has received personal compensation in the range of $500-$4,999 for serving as a Consultant for EMD Serono. Dr. Nair has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Horizon. Dr. Nair has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Anylam . Dr. Nair has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for Sanofi-Genzyme. The institution of Dr. Nair has received research support from Genentech. The institution of Dr. Nair has received research support from Novartis. The institution of Dr. Nair has received research support from Genentech. The institution of Dr. Nair has received research support from Phrma Foundation. The institution of Dr. Nair has received research support from Bristol Meyers Squibb. The institution of Dr. Nair has received research support from Novartis. The institution of Dr. Nair has received research support from NINDS.
Jose M. Rocha, MHL	Mr. Rocha has received personal compensation for serving as an employee of Performance Medical Management. Mr. Rocha has received personal compensation in the range of $0-$499 for serving on a Speakers Bureau for AAN.