Enhance collections and leverage patient care with outsourced prior authorization services
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To make sure that the patients get maximum benefit available under their policy, and to ensure that the services being provided or being requested are medically appropriate for the condition/diagnosis and covered under the policy, prior authorization services plays a vital role. goo.gl/8U4Aqj

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Enhance collections and leverage patient care with outsourced prior authorization services

Enhance Collections and Leverage Patient care with Outsourced Prior Authorization Services

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What is prior authorization

What is Prior Authorization?

  • Managing Prior Authorization in the physician facility shows profitability.

  • Industry experts in the particular field are of the view that Outsourced Prior Authorization Services is suggested as a crucial part in giving prominent patient care, without the hesitation that the doctors providing the procedures are not on the losing side.

Call Us at 866-767-7019 (Toll Free)

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What is prior authorization1

What is Prior Authorization?

  • Prior Authorization is the way toward getting an assertion from the payer to cover particular administrations—before the procedure is performed.

  • Typically, a payer that approves a service before an encounter allocates an authorization number that you, have to incorporate on the claim when you submit it for reimbursement.

Call Us at 866-767-7019 (Toll Free)

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Healthcare services to patient s

Healthcare Services to Patient’s

  • Pre-requisite metrics play an important part with prior authorization to accurately judge the amount of claim, or to find out look if the claims fall in the FWA category.

  • To process clean claims that are precise at the first time, and submitted to payer, removes in-house workload.

  • This brings a seamless perfection in claims correction process, with in-depth efficiency to boost income cycle.

Call Us at 866-767-7019 (Toll Free)

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Benefits of outsourcing prior authorization services

Benefits of Outsourcing Prior Authorization Services

  • Current Procedural Terminology (CPT) codes are a key to achieve prior authorization. It is compulsory to provide mandatory CPT codes. Regularly, it has been observed that, recognizing right procedural codes before the administration is a tough assignment. To decide the right code, checking with the doctor is a wise decision.

Call Us at 866-767-7019 (Toll Free)

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Benefits of outsourcing prior authorization services1

Benefits of Outsourcing Prior Authorization Services

  • It is advisable to approve treatment not conveyed than to be denied payment for non-approval.

  • To ensure that individuals be given maximum benefits accessible under the strategy. Likewise, it will also ensure that procedures being given or being asked for are medically suitable for the condition and covered for reimbursement.

Call Us at 866-767-7019 (Toll Free)

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Facilities for physicians

Facilities for Physicians

  • Payable Benefits

  • Co-Pays

  • Co-Insurances

  • Deductibles

  • Policy Status

  • Out of Pocket

  • Effective Date

  • Authorization Requirements

  • Benefits Exclusions and Limitations

Call Us at 866-767-7019 (Toll Free)

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Timely services

Timely Services

  • Once the data is received through fax or email, a 24-48 hour turnaround time is ensured as a rule and most work should be possible on the same day.

  • We handle most STAT requests within 60 minutes.

Call Us at 866-767-7019 (Toll Free)

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Enhance collections and leverage patient care with outsourced prior authorization services

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