Prior Authorization Overview

This is a recording of an event hosted on April 23, 2026. In this insightful webinar we focused on the Medicare prior authorization process. The two key areas included: Hospital Outpatient Department (HOPD) prior authorization process and the Repetitive Scheduled, Non-Emergent Ambulance Transport (RSNAT) prior authorization process. Key details included: - Walk-through of both processes - Submitting requests - Frequently asked questions about the processes Whether you're new to prior authorizations or seeking to refine your approach, this webinar provided the tools and knowledge you need to streamline your submissions and avoid common pitfalls. Resources: Final List of Outpatient Department Services That Require Prior Authorization : https://www.cms.gov/files/document/opd-services-require-prior-authorization.pdf Prior Authorization for Hospital Outpatient Department Services (HOPD) Overview: https://www.wpsgha.com/guides-resources/view/672 Prior Authorization for Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Overview: https://www.wpsgha.com/guides-resources/view/804 HOPD Prior Authorization Request Form: https://www.wpsgha.com/forms/view/673 RSNAT Prior Authorization Request Form: https://www.wpsgha.com/forms/view/823 42 CFR 410.40(e)(1) and (2): https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-410/subpart-B/section-410.40 Chapters: 00:00 Introduction 00:34 Objective and Agenda 01:37 Prior Authorization 08:54 HOPD Prior Authorization Services 21:40 RSNAT Prior Authorization 31:58 Submitting Requests 39:50 Prior Authorization Review 52:50 Common Provider Questions 1:04:20 Closing Remarks