Prior Authorization Certified Specialist (PACS) Program
Who developed PACS: The PACS program was created by a panel of experts with a range of experience from every role involved in the Prior Authorization Process. This allows for you to gain valuable access to inside knowledge and expertise from provider’s offices, pharmacies and Insurance plans. Becoming Certified will allow you to become an expert in your field, distinguish yourself, and become a leader with tremendous career growth potential.
- Online, self-paced program designed for busy professionals.
- Contains a glossary, knowledge check points, downloadable resources, applicable case studies and more..
- Have a question? Instant chat function for live support with content related & technical questions.
- Progress check indicators to track your performance
Initiating and submitting a service and medication prior authorization
Finding medical necessity and proper research to find insurance medical guidelines to align with the prior authorization
Learn how the insurance company/payer evaluates the prior authorizations request when recieved
Gain a better understanding of the prior authorization process while gaining an understanding of what role each healthcare professional plays in the process
Understand the use of medical compendia, ICD-10 codes, CPT and FDA approved diagnosis to get a prior authorization approved
Learn about the process of denials and approvals and how to successfully execute a prior authorization
To learn more about each module click on the module below.