Prior Authorization Articles

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Prior Authorization Pains and How to Implement Checks and Balances
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!Not only is this negative for the pharmaceutical companies, patients does not get the medicine to treat their ailments promptly. They bear the brunt of cancellation of medical procedure, prescriptions resulting in delays!For most prior authorization, physicians have to follow multiple numbers of steps. This involves securing the right f...

A Company That Specializes in Radiology Prior Authorization
Prior Auth Online is a company that provides special care in Prior Authorization services to an array of medical service providers of the United States of America. Our clients include DMEs, Orthotics and Prosthetics, Dermatology, Oncology, Radiology, Rehabilitation Centers, Nursing Homes, Pharmacies, Urgent Care Centers, Long Term Care Centers, Skilled Nursing Care Units and many more such. Standardized practices, efficient communication and digital platform make the job easier and more effective. Prior Authorization being the prerequisite of every Revenue Cycle Management practice, it is impo...

A Company Which Provides Premiere Prior Authorization Services
Prior Authorization is the first step which determines the success or failure of the medical billing and revenue cycle management practice. Prior Auth Online is the company which extends pure professional practice in executing all the steps of Prior Authorization with accuracy and expertise. We started our journey from the year 2007and since then we have played a major part in changing the industry interface of USA’s medical revenue recovery. We serve a variety of clients like the DMEs or the Durable Medical Equipment, Dermatology, Oncology, Rehabilitation Units, Skilled Nursing Care Uni...

Prior Authorization, The Foundation of Revenue Management
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 O...

Prior Authorization for DME Just Gets Faster With US
Ability to extend superior pre-billing/post billing assistance, Sunknowledge Services Inc caters best in the class prior authorization for DME. Our company delivers proactive support that meets practice management/ revenue cycle management support with complete versatility across all billing systems, transpiring into better collections. Our company offers best in class support, extends one of a kind support that gives a viable edge in your daily practice management priorities with us working as you a reliable operational extension.Our company extends cutting edge prior authorization for DM...

Response to Faster Prior Authorization for Orthotics and Prosthetics
In a fast technology advance generation era everyone demands a faster solution to everything, starting from faster breakfast delivery to faster orthotics and prosthetics delivery. However everything is not as easy as it is seen specially obtaining a smooth prior authorization process.According to AMA the process of prior authorization takes place with a minimum one business days and sometimes up to 3 business days. Though the reason behind the delay or denial is still unknown still incomplete and incorrect information, irregular follow up, expensive treatment and lack of trained resource are...

Prior Authorization for Genomics Lab is Easy with us
An exclusive pool of medical billers/ coders understanding the claims adjudication mandates, Sunknowledge offers unparalleled support in prior authorization for genomic lab. We are a one-stop destination for implementing checks & balances/gathering of information in• Patient / Subscriber information: Name, DOB, Insurance• Servicing provider information (LAB): Name, NPI, Tax ID, Address, Phone• Ordering provider’s information: Name, NPI, Tax ID, Address, Phone• Place of Service• Procedure / CPT codes• Diagnosis codes• Estimated dat...

Solving Your Prior Authorization Crisis in Orthotics & Prosthetics
A study shows that every week a medical practice complete an average of 29.1 prior authorization requirements per physician which take an average of 14.6 hours to process. This is equal to two business day. This is why more and more medical health provider is opting for outsourcing option from proper RCM Company.What can be done?Electronic updating – With modern technologies and facilities old method of manually PA process is coming to an end. Even manually updating does take a long time in the process. Whereas electronically PA is complete faster than any manual process. It also d...

Apply Electronic System for Travel Authorization Application prior to USA visit
The United States Division of Nation security has presented the Electronic System for Travel Authorization (ESTA) under which an individual journeying to the USA on the Visa Waiver Program acquires electronic travel authorization prior to getting on a service provider journeying by air or sea to the USA. This new system does not offer assurance admissibility to the USA at the US airport, but rather allows a visitor to board a carrier destined for the United States.There are 36 nations, mostly Western, that are categorized as the VISA Waiver Program and people from those nations need to imple...

Insurance Prior-Authorizations
Several factors influence insurance payments, of which prior-authorization seems to be one important factor that is often overlooked by Providers. What is Insurance Prior-Authorization? It is the process of obtaining an approval to cover specialty services, Durable Medical Equipment (DME) and specific medical supplies. All Providers are required to get this approval prior to providing specialty services to patients for better medical practice management. Getting prior-authorizations from insurance companies has several advantages, which are briefed below,Accurate Physician Billing: It is the...

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