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Automated Guidelines for Healthcare Reimbursement Series

Part 1: Orthopedic Surgery Preauthorization

As presented by:

Denis Gagné, CEO and John Svirbely, CMIO of Trisotech

Preauthorization can be a source of stress for patients and providers. It is difficult to keep up with the changes made by different insurers, and there is the threat of criminal prosecution. In the first webinar, we will give an example of a routine preauthorization for an orthopedic surgical procedure – first total knee arthroplasty. The burden for providers can be reduced by integrating preauthorization with models used to prepare the patient for surgery.

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