Prior Authorization - PACS - ACMA

Prior Authorization - PACS - ACMA The ACMA offers a prior authorization specialty certification (PACS).

Recognition goes to Joe Forster, PACS, who has earned the Prior Authorization Certified Specialist (PACS) credential. Th...
11/21/2025

Recognition goes to Joe Forster, PACS, who has earned the Prior Authorization Certified Specialist (PACS) credential.

This signals expertise across utilization management, clinical justification, payer logic, documentation precision, and workflow efficiency. You have shown the competence to reduce administrative delays, strengthen approval accuracy, and drive measurable improvements in patient access pathways. Your elevated understanding of payer expectations and medical policy frameworks positions them as a high-value contributor in reducing friction between providers, payers, and patients.

Congratulations on earning the PACS credential and advancing the standard of excellence in prior authorization operations.

11/21/2025

DID YOU KNOW?👇

Durable Medical Equipment (DME), like wheelchairs and CPAPs, has 30% higher denial rates compared to other service types, usually due to incomplete or incorrect submission.

In Special Considerations for service orders, PACS gives professionals the nuanced knowledge they need for these tricky cases.

Every checkbox matters. Every document counts.

Avoid the red tape. Approve with confidence. That’s what PACS trains you to do.

âś… Why PACS?
- 20% improvement in appeal approval rates
- 55% increase in approvals after appeals
- 12% reduction in time spent on appeals

Navigating automation without compromising care access.

Discover more here https://hubs.ly/Q03Vn-qZ0

You mastered the complexity of Prior Authorization and proved you can navigate payers with accuracy, strategy, and confi...
11/20/2025

You mastered the complexity of Prior Authorization and proved you can navigate payers with accuracy, strategy, and confidence.

Congratulations, Deanna (DeVito) Kass, on earning the Prior Authorization Certified Specialist (PACS®) credential. Your skill, determination, and impact now stand above the rest in the access and reimbursement landscape.

This Black Friday, cut through payer friction and command Prior Authorization with specialist-level precision.The PACS® ...
11/20/2025

This Black Friday, cut through payer friction and command Prior Authorization with specialist-level precision.

The PACS® program equips you to reduce delays, raise approval rates, and execute payer communication with clarity and control across complex systems. Build the expertise that accelerates access and strengthens patient impact.

Use code NBFPACS25 for 15% off; offer ends November 30, 2025.
Enroll: https://hubs.ly/Q03VhZ3f0

11/20/2025

Myth: You can’t predict which cases will be denied.

Truth: With the right payer intelligence, you can predict and prevent over half of denials before they happen.

The PACS® program competency on payer data analytics and real-time decision logic shows you how to spot red flags before submission.

Predict denials before they hit.
Enroll in PACS® today - https://hubs.ly/Q03VgMCH0

11/20/2025

Did you know regulatory professionals are responsible for ensuring patient safety from concept to commercialization?

CNMAP Competency takes you deep into:
- U.S. and global regulatory systems
- Timelines for drug/device approvals
- The nurse's role in helping teams meet regulations

Discover more and learn how you could earn 15 CE Credits while future-proofing your career - https://hubs.ly/Q03VcrpC0

11/20/2025

Did you know? Effective drug promotion is about more than just advertising – it's about providing healthcare professionals with the right educational resources. The goal is to build trust and offer clear information about the drug’s efficacy, safety, and benefits.

Key Takeaway?

The promotion should be data-driven and compliant with regulatory standards, ensuring you communicate the right message to the right people.

👉Pro Tip: Learn how to leverage the power of drug promotion in the CSPP program and enhance your pharma sales game.

Enroll now https://hubs.ly/Q03Vcqmw0

11/20/2025

Claim Denials Are Up. But So Are Overturns. What’s Going On?

According to Modern Healthcare, insurers initially denied 11.8% of hospital-based claim dollars in 2024 - a rise from 2023.

But here’s the twist: Insurers still ended up paying nearly 97% of total requested dollars.

Why? More info. Medical necessity. Missing documentation. Sound familiar?

📌 That’s the PA paradox:

- More pushback upfront.

- More approvals after chasing.

- More time, resources, and stress spent getting to the same destination.

For healthcare professionals managing prior authorizations, this trend reinforces the urgent need to get it right the first time - with clean, complete, payer-aligned submissions.

✅ That’s where the PACS® program steps in.

Certified professionals are seeing:

- 44% increase in first-claim approval success
- 2.9 days faster turnaround times
- 46% more cases handled weekly

💡 From mastering medical necessity documentation to navigating appeals and denials, the PACS® program equips you with the tools to reduce friction, respond strategically, and accelerate access to care.

Learn how the PACS® program can support your team in a changing payer landscape: https://hubs.ly/Q03Vcr7N0

Hats Off to Our Latest PACS® Professional, Dawn Bina, MHA!👏 Congratulations on officially becoming a Prior Authorization...
11/19/2025

Hats Off to Our Latest PACS® Professional, Dawn Bina, MHA!

👏 Congratulations on officially becoming a Prior Authorization Certified Specialist. You’ve taken a major step in mastering the complexities of patient access, insurance navigation, and reimbursement strategy, skills that are critical in today’s healthcare ecosystem.

Your credential is more than just letters; it's a commitment to excellence in medication access and healthcare delivery.

What part of the PACS journey did you find most valuable?
Let us know in the comments!

11/19/2025

đź“Ś ACMA Career Corner - Welcome to the future of career excellence!

Whether you're actively job hunting, revamping your resume, or gearing up for high-stakes interviews, Career Corner is your all-in-one solution for success in the life sciences industry.

- AI-Powered Resume & CV Builder
- Smart Job Board tailored to your certifications and goals
- Live Interview Practice Tools
- Expert-Led Blogs & Career Webinars
- Instant AI Mentorship & Feedback
- Salary Benchmarks & Company Insights

Built to complement ACMA’s recognized programs, Career Corner helps Medical Affairs/MSL and Pharma professionals stand out, get hired faster, and grow with confidence.

🎯 Elevate your career with purpose - where excellence meets opportunity.

11/19/2025

“Why didn’t this go through?''

It’s the question that usually comes after the denial lands.

But the truth?

Many denials happen before a prior authorization (PA) is ever submitted.

In the “Fundamentals Before the Authorization Process” competency, the PACS program equips you to get ahead of the issue—focusing on:

- Proper medical documentation
- Accurate use of ICD-10, CPT, and HCPCS codes
- Clearly demonstrating medical necessity

These are the essentials that build a stronger case before it reaches the payer’s desk.

đź’ˇ Want to cut down on denials?
Start where it counts, before the process even starts.

With PACS, you’ll learn how to spot the red flags early and avoid the common mistakes that cost time and access.

âś… Why choose PACS?
37% faster approvals
3.9x boost in understanding the PA process
12% less time spent chasing appeals

Master the fundamentals. Improve access. Prevent denials.

👉 Learn more: https://hubs.ly/Q03T-S1f0

Congratulations to Jenn Carpenito for earning the Prior Authorization Certified Specialist (PACS®) credential!You have t...
11/18/2025

Congratulations to Jenn Carpenito for earning the Prior Authorization Certified Specialist (PACS®) credential!

You have transformed how prior authorizations, payer communications, and reimbursement strategies get executed - faster, smarter, and with measurable impact. With PACS®, you're setting the standard for efficiency and accuracy in patient access.

Healthcare stakeholders recognize his expertise. Payers respond faster. Patients benefit sooner.

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National Board of Prior Authorization Specialists

Why Become a Prior Authorization Certified Specialist?

Certification is becoming an important factor in the healthcare industry in general.

The Certification Prior Authorization Specialist Training is the first of its kind in the World. This course was created by a panel of experts with a range of experience from every role involved in the Prior Authorization Process. This allows for you to gain valuable access to inside knowledge and expertise from provider’s offices, pharmacies and Insurance plans. Becoming Certified will allow you to become an expert in your field, distinguish yourself, and become a leader with tremendous career growth potential. National Board of Prior Authorization Specialists https://www.priorauthtraining.org/ Informations about PACS: https://www.priorauthtraining.org/program/