Health systems continue to face growing prior authorization volume, staffing strain, and payer complexity—challenges that stretch even further across multiple service lines and rural environments.
In this Office Hours session, Rayne Premo, Quality & Prior Authorization Manager at Iowa Specialty Hospital, discusses how her organization strengthened its prior authorization workflows using a centralized model supported by AI-enabled services. We’ll explore how teams can streamline processes, reduce administrative burden, and prepare documentation to meet payer expectations while positioning themselves for future expansion.
Attendees will gain practical insights into workflow redesign, change management, and modernizing prior authorization operations with scalable technology.
Learning Objectives:
- Understand the operational and staffing challenges that commonly disrupt prior authorization efficiency in a multi-service healthcare environment.
- Identify the components of a centralized prior authorization model that reduce clinical workload and improve scheduling, denials management, and revenue outcomes.
- Evaluate how AI-enabled tools, medical necessity checks, and tech-enabled services can complement existing EMRs while supporting future scalability.
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