Prior Authorization
Improve your revenue through best in class
prior authorization RCM process
Improve your revenue through best in class prior authorization process
Prior Authorization to Billing Efficiency
Obtaining prior authorization is a tedious and time draining task that poses a huge challenge for any practice. A streamlined and expedited process to effortlessly handle prior authorization not only addresses this challenge but also improve outcomes of your revenue cycle. We, at RCM Workshop, offer a solution through an efficient prior authorization service, delivering precision and exceptional results.
Our team of adept authorization specialists takes charge of effectively liaising with payers to seamlessly submit all required documentation, diligently track authorization status, and expertly oversee the entire authorization process until its successful completion, well before any services are rendered. Let RCM workshop be your go-to provider for all your prior-authorization needs.
Our Process
Our prior authorization process starts with gathering the coverage information and evaluating prior authorization requirement for the procedure to be done. Our authorization specialist with specific knowledge on the payer’s requirement performs the tasks to obtain approval starting from authorization initiation to follow up with the payer till closure.
- Evaluate authorization requirement based on coverage and payer specific requirements
- Methodically gather all necessary medical documents and records to submit to payer
- Initiate authorization request using the standard template
- Track status of auth request and diligently follow up with the payer
- Submit additional information to the payer as and when asked by the payer
- Finally update the system with approval reference number for future reference
Performance Measurement
Utilizing a myriad of communication channels including phone, email, and fax, our experienced authorization specialists methodologically work on every authorization requirement to successfully obtain approval. Our best practices and a methodical approach serve your practice getting the desired outcome and you measure our performance based on the following metrics.
- % of prior authorization approval to total number of requests
- Turnaround Time to Submit Authorization Request
- % of denials due to prior authorization
BENEFITS
Outcomes Guaranteed
Our prior authorization service offers exceptional benefits to your business through a structured and methodical approach that supercharge your ROI. Partnering with us for your authorization needs offers a host of benefits such as…
Improved rate of prior authorization approval
Faster PA request submission to reduce approval cycle
Optimized payment collection for the services rendered
Improved speed of care delivery due to efficient prior authorization
Increased patient satisfaction due to prior approval of costly treatment
Reduced denial rate due to prior authorization
WHY US?
Why partner with us
Our Prior Authorization process gears up to overcome the challenges in obtaining authorization approval on time and efficiently. Our authorization specialists are meticulous and proficient in insurance requirements to improve your prior authorization process that augments your revenue cycle. Let RCM workshop be your go-to provider for all your prior authorization needs. Partnering with us for your pre-authorization needs offers a host of benefits – partner with us today for exceptional results.