Prior Authorization, The Foundation of Revenue Management

Posted by healthcareus on October 16th, 2018

Prior Authorization, the quintessential eligibility verification service that preludes the medical revenue management system has been the professional forte of Prior Auth Online. The company was formed in the year 2007, since when it has been leading the medical revenue management cycle in the United States of America with aplomb in the matter of prior authorization. Prior Authorization, that deals with the basic verification of the patient’s service profile with his insurance policy to ensure the required coverage, marks the beginning of revenue cycle management in the USA. Prior Auth Online performs the eligibility verification duty for its clients on a standalone basis with ultimate panache and professionalism.  

Prior Auth enjoys a stellar clientele of medical service providers which includes top medicine companies DMEs or Durable Medical Equipment, Orthotics and Prosthetics, Rehabilitation Centers, Dermatology, Neurology, Pathology, Cardiology, Oncology, Radiology, Skilled Nursing Facility, Urgent Care Centers, Pediatrics amongst others. Some of the highlights of our prior auth practice management service are as follows

  • 100% HIPAA and HITECH compliance
  • Comprehensive range of services which means authorization  request, follow up and approval
  • Turnaround time less than 48 hours
  •  Low service fees with no hidden cost
  • Zero lock up service contract that can be canceled at any time
  • Excellent client references by providers across the states
  • Real time audits and custom reporting
  • Excellent visibility and proven expertise

The process that we follow for meeting our prior auth commitments is as follows

  • Initiation: Speaking to the payer to ensure pre auth procedure and turnaround time, furnishing relevant documents, submission of the claim, tracking the same      
  • Follow up: Regular checking of the status of the claim by providing additional information   
  • Approval: Uploading the approval or the denial information in the provider’s system with start and end dates.

Thought at Prior Auth Online we are serving an eclectic mix of medical clients in their preferred way. That makes us a busy and high profile organization but not inaccessible at all. We are available on call as well as at a click. Visit priorauthonline to know more about us

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