Service Authorization Basics (Medi-Cal)

Service authorization is the process of obtaining confirmation from a patient’s insurance payer that the patient is eligible to receive their intended services or procedures. Neglecting to obtain pre-authorization for services can lead to denials, which negatively affect a provider’s revenue cycle. In this course, we explore the process of service authorization, best practices for confirming service authorization, and the effects of failing to obtain pre-authorization.

  • Define service authorization and discuss its importance
  • List the steps and components of service authorization
  • Identify key aspects of a successful service authorization process
  • Examine the implications of a poorly functioning or non-existent service authorization process

Additional Information

Advance Preparation: None

Prerequisites: None

Program level: Basic

Delivery Method: Self-study

CPE Field of Study: Specialized Knowledge



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