Rising Above the Challenges of Prior AuthorizationPosted by William Jones on May 12th, 2023 Healthcare's administrative complexities are vast and mixed, where prior authorization system is the most complex domain. Pre auth, precertification or pre authorization is a process where approval of a treatment or procedure is decided for the patient by the insurance company. The prior auth process in fact comes with a high degree of denial plausibility and an increased probability of errors mainly due to constantly changing regulations, codes and lack of skilled resources. However, there are several ways to streamline this process and minimize potential pitfalls. Few common ways to reduce your prior auth complications:One such method is electronic prior authorization, a stepping-stone to harnessing artificial intelligence, and application program interfaces in a more systematic approach in order to reduce the administrative burden and pre authorization complexities. Another significant way to reduce the authorization burden always beupdate with the present industry mandates as with prior authorization unique requirements when it comes into play. Thus, staying aware of all the requirements and addressing issues upfront and being constant aware of the present industry mandates can reduce the authorization error and burdens. Also not to forget about outsourcing, outsourcing, is a potential solution. Catering to all your prior auth needs, there are one stop RCM solution that takes care of both your complex authorization process and other billing activities. Initiating authorization initiation, approval and follow up and ensuring 100% authorization at the same day, there are RCM destination like Sunknowledge further ensures:
Helping you in reducing 80% of your operational expenses, Sunknowledge further give you time to focus on what matters the most – patient care. So stop worrying and partnering with Sunknowledge if you are looking for a seamless pre auth one stop destination. Like it? Share it! More by this author |