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Electronic Prior Authorization: A Better Way

Learning Objectives
1. List problems associated with the current prior authorization (PA) process
2. Identify who is burdened by the current PA process
3. Describe how pharmacy electronic prior authorization (ePA) is different from current PA processes
4. Identify at least three advantages of ePA over the current PA process
5. Describe how to get started with ePA
0.25 Credit CME

Prior authorization (PA) is a growing administrative burden for physicians and their staff. Moreover, PA can lead to care delays, treatment abandonment, and negative clinical outcomes for patients. Current manual submission processes are time consuming and present an opportunity for greater automation through electronic prior authorization (ePA). This 10-minute video series outlines the burdens associated with current manual PA processes, describes how pharmacy ePA can help improve PA processing times, and explains how physicians can implement ePA in their practices. After watching this video series, physicians and their staff should feel comfortable contacting electronic health record (EHR) vendors about ePA and asking to have it installed in their practices.

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Video Information

Credit Designation Statement: The American Medical Association designates this enduring material activity for a maximum of 0.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships.

If applicable, all relevant financial relationships have been mitigated.

Credit Renewal Date: May 20, 2021, July 28, 2022

AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Enduring Material activity for a maximum of 0.25  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 0.25 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 0.25 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 0.25 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 0.25 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 0.25 credit toward the CME of the American Board of Surgery’s Continuous Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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