Prior Authorizations
Prior authorizations can cause delays in patient care, add to administrative burden, and negatively affect revenue. Our Prior Authorization team manages the entire authorization process, from eligibility to payer communication, to help you get quicker decisions and reduce treatment delays.
We assist healthcare providers in obtaining approvals in an efficient and timely manner, without compromising their compliance with payer requirements and clinical guidelines.
Simplifying Prior Authorizations For Healthcare Providers
Many insurance companies require prior authorization for various treatments, procedures, medications, diagnostic tests and hospital admissions. Claim denials, delayed care, and loss of finances can result from missing or incomplete authorizations.
We handle the entire Prior Authorization process for healthcare providers at Med Billing. Our team collaborates closely with insurance companies, checks eligibility, and ensures that the necessary paperwork is completed and submitted in a timely and accurate manner so patients can receive timely access to medically necessary care.
We streamline administrative processes and increase approval rates, allowing providers to concentrate on what's important: exceptional patient care.
Our Prior Authorization Services
Insurance
Eligibility
Verification
Active insurance coverage, benefits, policy requirements and authorization needs are verified prior to scheduling services.
Documentation
Collection
& Review
We collect medical records, physician notes, diagnostic reports, treatment plans, etc. and clinical documentation needed for approval.
Authorization
Request
Submission
We make and submit all authorizations fully coded with correct ICD-10, CPT and HCPCS coding for the payers.
Insurance
Coordination
Direct communication to insurance companies, managed care organizations and third-party payers during the review process.
Status Tracking
& Follow-Up
All requests for authorization are listened to and are not overlooked, to avoid delays and prompt response.
Appeals & Additional
Documentation
Appeals for requests for further information or for requests initially refused are handled and supporting documentation is provided.
Why Choose us
- Dedicated Authorization Specialists
- Faster Approval Turnaround
- Reduced Administrative Burden
- Accurate Documentation Management
- Payer-Specific Expertise
- Improved Patient Access
Prior Authorization Support Across Multiple Payers
We work with:
- Medicare&Medicaid
- Commercial Insurance Plans
- Managed Care Organizations
- Workers' Compensation
- No-Fault Insurance Providers
- Specialty Benefit Programs
