Out-of-network is no longer a billing scenario—it’s a revenue risk zone. In 2026, payers are tightening controls, automating reviews, and denying claims before services are even rendered. If your team is still using outdated authorization workflows, you are losing revenue without realizing it. This webinar cuts through the confusion and shows exactly how payers evaluate out-of-network requests today—and what documentation, timing, and strategy actually get approvals. You’ll learn how to secure pre-authorizations that hold up under scrutiny, structure referrals that meet payer expectations, and avoid silent denial triggers built into automated review systems. More importantly, you’ll understand why approvals fail—and how to fix those gaps before claims are submitted. This is not theory. This is a practical, payer-aligned framework designed to help you reduce denials, protect revenue, and stay compliant.
If you deal with out-of-network patients, this session will change how you approach authorizations forever.
BONUS: FREE ACCESS TO SECOND WEBINAR
Denials Decoded: How to Prevent, Fix & Recover Lost Revenue Faster
Claim denials are not random—they are predictable, preventable, and fixable when you understand the patterns behind them.
This bonus session breaks down the real reasons claims get denied and gives you a step-by-step approach to prevent errors, fix rejected claims, and recover revenue faster.
You’ll walk away with a denial prevention system you can implement immediately.
Toni Elhoms is an internationally known speaker and recognized subject matter expert on medical coding, reimbursement, compliance, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC (ACE). She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC). Ms. Elhoms’ expertise extends to both inpatient and outpatient coding, compliance, billing, and reimbursement. Ms. Elhoms serves as ACE’s Senior Consultant and conducts training and educational seminars across the country on a variety of topics including, but not limited to, Medical Coding, Medical Billing, Practice Management, Managed Care, Revenue Cycle Management, Revenue Maximization, Regulatory Compliance, etc.