Prior Authorization Pains and How to Implement Checks and Balances
Posted by healthcareus on August 15th, 2018
Almost 66% of the medical prescriptions at the pharmacy need prior authorization. When there is a requirement with prior authorization, only 29% of the patient ends up with the original prescribed item. Nearly 40% completely abandon the therapy altogether!
This almost amounts to 21 billion and 31 billion on an annual basis. It is true that prior authorization costs more to a health system than it can save! While prior authorization was introduced as a cost containing measure, the labor intensive measure associated with providers, patients, pharmacists, benefit plans make it otherwise!
Multiple telephonic conversations, multiple letters with relevant documents are a part and parcel of securing prior authorization. It is an expensive approach that is delaying the process of a true shift to value based care!
The Sunknowledge Approach in Prior Authorization
Sunknowledge Services Inc is a complete revenue cycle management company. We understand your practice management priorities better than anyone else. We provide you a complete support for all your prior authorization challenges by working as your reliable operational extension. Our team is well versed with all practice management/billing software in the marketplace.
Right from gathering of procedural information, contacting the physician office for documents, follow up on status , payer side communication, collecting the additional documents, updating the auth outcome in the billing system of the client, we are your one stop destination. Let us share with your our best practices, we provide stand alone prior authorization support!Top Searches - Trending Searches - New Articles - Top Articles - Trending Articles - Featured Articles - Top Members
Copyright © 2019 Uberant.com599,805 total articles and counting.