Revenue Cycle Optimized: The Hidden Hazards of Surgical Prior Auth

The Hidden Hazards of Surgical Prior Auth Prior authorization for
surgical procedures continues to be one of the most frustrating and
costly hurdles in the revenue cycle. In this episode, Bo Bowman and
Stuart Newsome unpack the hidden hazards that routinely derail
authorizations—before a procedure is even scheduled. Drawing on
firsthand experience and fresh examples from real-world surgical
workflows, they explore the most common pitfalls, including failure
to prove medical necessity, inaccurate procedural coding,
insufficient documentation, and timing missteps. They also touch on
the role automation and AI can play in supporting human
teams—helping to surface missing requirements, flag coding
mismatches, and push authorizations forward before deadlines hit.
Whether you’re on the clinical side, in operations, or supporting
from RCM or technology, this session will give you a clearer path
forward and arm you with the awareness needed to avoid denials,
delays, and administrative fatigue.