Understanding the prior authorization changes in MA final rule

The world of healthcare is in a constant state of flux, and as we venture into 2024, pivotal changes in Medicare Advantage (MA) and Part D regulations are poised to reshape the landscape. The 2024 MA and Part D Final Rule, recently unveiled by the Centers for Medicare & Medicaid Services (CMS), shines a spotlight on critical areas such as marketing oversight, prescription drugs, and prior authorization processes. While the entire spectrum of changes is significant, the spotlight particularly falls on prior authorization reform—a long-awaited advancement that has garnered immense attention from providers and healthcare stakeholders alike. 

Unveiling the Burdens of Prior Authorization 

Prior authorization has been an enduring conundrum for healthcare providers, imposing substantial burdens and barriers to timely patient care. The urgency for reform has been underscored by data from the American Medical Association (AMA), revealing that physicians navigate a labyrinth of an average of 41 prior authorizations each week, collectively dedicating a staggering two business days to these processes. 

The real impact of these authorization demands is further felt by patients, with a staggering 93 percent of physicians reporting that their patients encounter delays in accessing necessary treatments or services due to the time-consuming prior authorization requisites. In the wake of these delays, patients may even forsake treatment, raising concerns about their well-being. 

The Medical Group Management Association (MGMA) has cast a spotlight on prior authorizations, labeling them as the top regulatory burden for medical practices in recent years. In fact, last year itself in 2022 alone, nearly 89 percent of practices were compelled to allocate resources exclusively to tackle the challenges of prior authorizations. This unprecedented shift has led to widespread changes in practice dynamics, indicating the imperative nature of prior authorization reform. 

Revolutionizing the Landscape: MA Prior Authorization Changes 

The 2024 MA and Part D Final Rule introduces pivotal reforms in the prior authorization sphere, fostering a more streamlined and efficient process while safeguarding patient access to essential care. These reform measures encompass several key facets: 

• Ensuring Parity with Traditional Medicare – In a bid to ensure that Medicare Advantage beneficiaries enjoy equitable access to care, the final rule necessitates that Medicare Advantage plans adhere to national coverage determinations, local coverage determinations, and the broader coverage and benefit conditions established in traditional Medicare regulations. This move serves to bridge the gap and fortify the continuity of care for beneficiaries. 
• Streamlining Prior Authorization – CMS has embarked on a journey to streamline the prior authorization process, redrawing the boundaries of its application. Health plans will now only employ prior authorization to ascertain the presence of a diagnosis or other medical criteria, ensuring the medical necessity of specific treatments or services. 

• Transition Period and Continuity of Care – To facilitate seamless transitions in care, coordinated care plans are mandated to provide beneficiaries with a robust 90-day transition window. During this period, beneficiaries undergoing treatment and migrating to a new Medicare Advantage plan are shielded from prior authorization demands, ensuring the continuity of their active treatment. 
• Annual Utilization Management Review – The final rule introduces an annual review of utilization management policies for all Medicare Advantage plans, aligning these policies with the coverage guidelines established under traditional Medicare. This strategic alignment aims to enhance consistency and guarantee that beneficiaries receive consistent and comprehensive care across the Medicare Advantage spectrum. 
• Validity of Prior Authorization Approvals – Emphasizing the importance of care continuity, the final rule enforces that prior authorization approvals remain valid for the duration of medical necessity, guided by relevant coverage criteria, a patient’s medical history, and the provider’s expert recommendations. 

In essence, these modifications signify a concerted effort to strike a balance between ensuring beneficiaries’ access to essential care and streamlining prior authorization procedures, you surely need an expert to manage the prior auth confusion. With the constant evolving regulations and changing rules, an expert can not only help you with all your prior auth confusion but assist in managing it seamless. 

Sunknowledge – the conclusion for seamless prior authorization: 

Closing all your prior authorization gaps are closed efficiently, Sunknowledge today is a decade old authorization solution for many leading names in the industry. Improving your clinical validity of coverage criteria, increasing transparency of health plans’ prior authorization processes and reducing disruptions in prior authorization requirements, Sunknowledge further ensures an increase in authorization rate by 1.5 – 2x. 

 Reducing all your administrative burdens and harmonize Medicare Advantage regulations with those under traditional Medicare, Sunknowledge expert streamlined processes, and improved patient access to essential care in no time. With 100 % authorization submission on the same day and 99.9 % accuracy rate, the expert further guarantees highest productivity across the industry. 

So if you are looking for expert solution to manage the complex nature of prior authorization or pre certification, call Sunknowledge now! 

How to cope with the constant prior authorization dilemma

Managing prior authorization has always been a troubled affair. Though the process was solely for improving patient health and providing the right treatment solution at a cost effective rate, for ages it has not only created burned out but has also been the reason for many patient health deteriorations. 

In fact, for years and till today the process of prior authorization in the healthcare industry is a topic of concern for both patients and healthcare providers  

Few prior authorization concerns are- 

• Narrowing Payable Diagnosis Codes: with the constant change in codes, it often becomes difficult for many to ensure the accurate modifier and codes at times. as a report in Becker’s ASC Review highlights the increasing difficulty in obtaining preauthorization for knee osteoarthritis surgeries. Insurance companies are narrowing the payable diagnosis codes, requiring orthopedic surgeons to provide specific and detailed diagnoses for knee osteoarthritis. Simply stating “knee pain” is often insufficient for preauthorization. Patients must meet specific criteria to receive an osteoarthritis diagnosis, making it more challenging for surgeons to get reimbursement for necessary procedures. 

• Inefficiency and Lack of Transparency: Health insurance companies frequently require prior authorization for medications, durable medical equipment (DME), and medical services. Unfortunately, prior authorization policies are fraught with inefficiency and a lack of transparency, leading to delays in patient care. According to the American Medical Association (AMA), physicians often have to wait several days or even weeks for prior authorizations, impacting both patient outcomes and the efficiency of physician practices. 
  
• Increased Administrative Burden: Healthcare providers must handle the administrative burden associated with prior authorization, which can be time-consuming and costly. The Medical Group Management Association (MGMA) conducted a poll that revealed a significant increase in prior authorization requests and other documentation demands from health plans. This surge in paperwork puts additional strain on healthcare organizations, diverting resources from patient care. 
  
• Elaborate Documentation Requirements: Insurance companies often require pre-certification for various medical services, procedures, medications, and medical devices. To obtain reimbursement, physicians must submit extensive documentation proving the medical necessity of the prescribed services or drugs. This elaborate process can lead to delays in treatment, impacting patient outcomes and causing frustration for both patients and providers. 
  
• Varied Preauthorization Policies: Each insurance company has its own unique preauthorization policies, which can vary significantly. This lack of standardization adds to the complexity of the prior authorization process, making it difficult for healthcare providers to navigate the requirements of different insurers. This variation can lead to confusion and potential delays in patient care. 

With all these changes and confusion, it often becomes difficult for many to stay updated and maintain a profitable scenario. This is also why where many today find outsourcing to be a convenient and cost-effective solution to lessen all the authorization woes. 

Sunknowledge – unclog your pre authorization troubles: 

 As the healthcare industry continues to grapple with these challenges, understanding the prior authorization needs and a growing need for streamlined and efficient prior authorization processes Sunknowledge ensures timely access to necessary medical treatments and services for patients. Closing all your authorization gaps efficiently, Sunknowledge authorization specialist not only further guarantees- 

100% authorization submission on the same day 

90% authorization approval rate and an increase in the authorization rate by 1.5-2x. 

Providing end-to-end PA support including Re-Authorization and Dr.’s Office Follow-ups, with full proficiency in working on multiple software platforms as well as the client’s proprietary software or platform, Sunknowledge offers the fastest turnaround time in the industry where regular requests are completed in 24 Hrs. max & STAT requests in under 15 mins. 

So if your prior authorization trouble is keeping you awake at night? Call Sunknowledge and know how the expert can help in changing your authorization strategy for better results. 

How to deal with your complex prior authorization, preauthorization or pre certification

Prior authorization, preauthorization or pre certification has always been one of the daunting tasks in medical billing. It is mainly done to get approval or pre-certification for medication or treatment before being carried out to ensure it is the best solution to the health problems for the patient and if it is covered by the insurance company.  

It is no secret that handling pre-certification is one of the most cumbersome and time-consuming responsibilities for all and also one of the leading causes of frequent burnout. In fact, today 76% of providers are looking for cost effective and convenient solutions to resolve the issues of the pre auth burdens and so Sunknowledge fits in. Here to deliver efficient authorization solutions for all your pre-certification transactions, Sunknowledge for the past 15 + years is known for outstanding support solutions for all. 

Sunknowledge – tackle all your pre authorization ups and downs: 

Assisting various hospitals, outpatient facilities, and physician practices, Sunknowledge has been catering to the complex prior authorization services needs for many leading names in the industry. From obtaining insurance authorization for procedures and services that necessitate prior approval, Sunknowledge not only saves your precious time but with constant follow up further reduces the difficulties of dealing with insurance providers for all. Freeing up staff to concentrate on primary tasks and securing maximum reimbursement, partnering with Sunknowledge as your pre-authorization company can help you be confident that all aspects of the pre-certification process will be handled effectively.  

With dedicated pre-authorization specialists collaborating for better authorization transactions, the expert further ensures: 

• Claims for treatments or services requiring preauthorization are submitted promptly  
• All payer criteria are met before submitting a pre-authorization request  
• 100% authorization submission on the same day 
• Offering customized status updates  

• Decreased paperwork and errors rate, as with the right checks and balances we guarantee 99.9% accuracy 
• Lowered insurance write-offs and denials rate 
• Fast pre-certification turnaround time  
• Increased focus on patient care by 50%  
• 80 % reduction in operational expenses and elimination of unnecessary expenses 

• No long-term annual contracts  

So if you are looking for a professional expert to handle the authorization dilemma and looking for the best solution you know where to call. 

To discover more about our pre-authorization solutions, call Sunknowledge expert over a ‘no commitment call’ now. 

How an operational extension for your Prior Auth process can help

Prior authorization (PA) is a crucial step in the healthcare reimbursement process. Designed to ensure that patients receive the best and cost-effective treatments while having controlled healthcare spending, managing authorization services can be a real challenge. Leading to delays in patient care and increased administrative costs, prior authorization comes with many crises. Thus today it is best to have experienced support to manage the complex affair, plus having operational support taking care of all your pre auth affair further reduces your expenses as well.  

Benefits of partnering with a professional for managing complex prior auth services: 

Streamlined Workflow and Increased Efficiency – An operational extension for prior authorization services saves time, money and resources effort by streamlining workflows, automating manual tasks, and minimizing human error. As a result, providers can expect reduced wait times, fewer denials, and improved cash flow. 

in fact, this further enables healthcare providers to not only focus on the other core functions, such as providing quality patient care and business expansion while the operational extension takes care of all the tedious and time-consuming aspects of the authorization process.  

Improved Compliance and Reduced Risk – It is no secret that Healthcare regulations are constantly changing and making it difficult for providers to keep up with the latest requirements. However, a support from prior auth expert not only helps your organization maintain compliance with these ever-evolving regulations but also reduces the risk of non-compliance penalties and costly audits. In addition, the Prior Auth Consultant further ensures that prior authorizations are submitted accurately and on time in order to prevent denials and appeals reducing financial risks for your practice. 

Access to Expertise and Technology – Outsourcing prior authorization services allows healthcare providers to tap into a wealth of expertise, technology and software that may not be available in-house. Here having a Prior Auth Specialist and a dedicated team of experts who are well-versed in the intricacies of the prior authorization process can quickly adapt to changing regulations, automate and optimize the process in no time, leading to faster turnaround times and increased accuracy. 

Aids in Scalability and Flexibility – When the organization grows, so does the need for efficient and effective prior authorization services. Assistance from the right Preauthorization can provide you with the required help in case of the scalability and flexibility needed to accommodate the rising fluctuations in volume while ensuring that your organization is always equipped to handle the demands of the prior authorization process. 

Cost-Savings – One of the primary benefits of using expert prior auth professionals is the possibility of significant cost savings. By outsourcing these tasks, a provider can not only reduce the overhead expenses associated with hiring, training, and retaining in-house staff dedicated to prior authorization but further help in allocating resources more efficiently. In fact, giving you additional time in focusing on core competencies, partnering with an operational extension improves the overall quality of patient care. 

Sunknowledge: The ideal Operational Extension for Your Prior Authorization Services support: 

Being a leading RCM offering a comprehensive solution that combines advanced technology, experienced professionals, and proven processes to save time and money for healthcare providers, Sunknowledge for the last 15+ years is known for offering state of art prior authorization solutions for many leading names in the industry. 

 Focusing on streamlining workflows, improving compliance, and enhancing data security, Sunknowledge has become the one stop destination for anyone looking to optimize their prior authorization process. 

What makes Sunknowlede unique? 

Being committed to providing exceptional authorization solutions, the expert ensures a dedicated account manager 24*7 for all kinds of assistance. Offering customized solutions tailored to unique needs, offering a level of service that is unmatched in the industry, by choosing Sunknowledge as your operational extension for prior authorization services, you can be confident that your organization is in the best possible hands. As we are here to help you focus on what matters most in patient care while we deal with the complex authorization affair. 

Obstacles During Prior Authorization Process in Imaging Centers

In the AUA’s survey, practices reported an implementation of 5 to 300 prior authorizations per week. In which every payer have a different obligation for Prior Authorization.

Imaging service serves as a front door for health care sector accessing a critical overall growth strategy as revenue generation is connected. Prior authorization for imagining centers is an ongoing struggle.  Prior authorization is a frustrating and time-consuming process, for which most health care sector is outsourcing their billing services.

Reasons for Delayed Prior Authorization Process:

Incomplete information– Irreverent information or incomplete data is one of the main reasons, for the lengthy process. Incomplete information will only result in denial. This will only add up to the expense in the process.

Updating to the trends – Some places still use the primitive manual method for prior authorization. It not only cost wastage of paper but equally time-consuming. One must always find out the effective and faster way reaching towards the achievement. Even due to modern technology medicine are changing, resulting in the elimination of the old process. One must also be updated as it will only faster the PA process.

Regular follow-up– A dedicated team with regular follow up is necessary in case of PA services. It will only faster the process but also identify the area to focus.

Outsource service – The Prior authorization is frustrating and lengthy as stated by most of the physician. Outsourcing will only reduce the cost and give an effective approach for seamless cash flow.

Outsourcing is The Best Option for Prior Authorization Process:

Nowadays healthcare sectors are going for outsourcing services. Outsourcing services not only give a 100% HIPAA HITECH but also reduce the operation cost. It helps the health care provider focusing on patient care.

Sunknowledge Service Inc is one of the leading RCM Company serving 360 degrees in medical billing. With 12 years of experience and more than 100 satisfied clients, it’s creating a record of its own. It also offers a real-time audit along with customized reporting daily/weekly/monthly according to clients need. Working with both payers and provider Sunknowledge understands and offers no contractual binding. Here clients have the privileges to choose among standalone/end to end service as their requirement.

To experience an effective revenue generation, 24/7 expert are available over ‘no commitment call’. So leverage Sunknowledge service as your operational extension.  For more information, visit Sunknowledge service Inc.

How to Improve Revenue with a Powerful Prior Authorization Stance

It is true that challenges with prior authorization are many! It poses a serious threat and an administrative burden for the managed care organizations, patients as well as the physician offices. It delays the needed care.

The biggest pain with prior authorization is with the administrative process incurring a lot of time and affects healthcare/ provider workflow. Sometimes when a patient sees their physician, they get the care that is not needed by them. Other times, they don’t get the care that they really need!

Members also get affected! Good communication with the members is critical if they look to have a good experience with the member. Not so long ago, according to an AMA survey, nearly 70% of the physicians reported waiting for several days for prior authorization while 10% said that they had to wait for a week!

Insurance companies need pre certification for outpatient/inpatient hospital services, clinical procedures, medications and others. They are not going to pay for the service or the drug until the physician submits elaborate documentation describing the medical necessity for the service and the drug choice. In addition, prior authorization policies are different for every other insurance company.

To prevent rejections, there are a number of steps that a physician can take

Familiar with prior auth guidelines of payers: The surgeons have to be aware of the pre auth guidelines and the coverage and provide a specific diagnosis code in the reports. The codes tell the insurance why the service has to be performed and support the medical necessity.

Steps against denials: Providers need relevant information about medical procedures they perform routinely, enter into the contracting process with information. They must have the evidence for proving the medical necessity of the particular procedure as well as have the reliable sources on the coverage for a certain diagnosis.

Recommended treatment guidelines: Before a high-cost procedure for the patient, physicians should be making sure they follow the recommended guidelines for the treatments.

 A key study couple of years ago illustrated the challenges with prior authorization and medical necessity related to rejections being responsible for more than 11 % of all the denied claims. It usually occurs due to failure of securing an authorization in advance.

Sunknowledge Services Inc has the perfect answer to all your prior authorization challenges. We define your revenue by working as an extension of your operational arm. Our team will be providing you all the assistance and has the competence across all practice management/ billing systems. We are a one-stop destination for all prior authorization pains. Leverage the Sunknowledge opportunity and transform your cash flow!

Just Fill the DME Prior Authorization Form to Get Relieved of All Worries

Prior Authorization (PA) has been the exclusive area of practice and perfection since more than a decade for PriorAuth Online, the prior auth service providing organization based in the United States of America. Our experience and expertise of prior auth service have won us an array of USA’s premiere medical service providers like DME, Orthotics and Prosthetics, Radiology, Dermatology, Pharmacy, Nursing Homes etc. Our clients have been consistently happy and optimally served by our practice which means 100% client satisfaction and zero attrition rate over the decades. DME has been one of our most important prior auth profiles allowing us to serve almost all the noted names of the DME domain in the states. We follow a threefold path for DME prior authorization which is as follows.

The Process of DME Prior Authorization

Authorization Initiation

Calling and coordinating with the payer company to know the process of submitting the DME prior authorization form, the turnaround time, documentation requirement etc. Submitting the form along with the needed documents and tracking the receipt of the same.

Authorizations Follow UP

Calling and checking up the status of the request thus submitted from time to time in order to know the pre auth position for clarity. It also requires the practice to submit some additional papers as needed by the payer.

Auth Updation

Updating the provider’s system with the final status of the auth request of denial or approval along with some service information like start and end date of the account etc.

The USPs of Our DME Prior Authorization

A high point of our pre auth service is our seamless incorporation of electronic functionality which gives amazing swiftness and accuracy to executing our prior auth clerical duties. Our account managers are adept at using various industry acknowledged prior auth software which makes accessing, filling and submission of the DME prior authorization form easy and essentially error-free. EPA or Electronic Prior Authorization is the increasing order of the day being quickly brought in to vogue by various states in the US as a part of the RCM industry with over 70% of the offices almost shifting to EPA from traditional manual practices leading to a paperless practice.

The other specialties of our DME prior auth services are as follows

• Complete range of prior auth services
• 100% HIPAA and HITECH compliance
• Turnaround time less than 48 hours
• Low service fees with no hidden cost
• Zero locks up service contract with clients
• Line of excellent client references
• Real-time audit and custom reporting
• Excellent visibility and proven expertise

DME Medical Billing Services – The Assurance

The growing presence of professional DME medical billing services is for a reason. DME billing is quite distinct from other clinical systems. However, even a major part of the healthcare industry doesn’t have much clarity in that. Durable Medical Equipment (DME) often referred as Home Medical Equipment plays an underlying role in clinical services, sometimes quite important under specific conditions. The disturbing fact is that DME medical billing faces a few unfortunate hiccups:

• Some DMEs do not feature in the list of authorized equipment by Medicare, Medicaid, and/or private health insurance plans.
• DMEs are considered as therapeutic services in most cases.
• The industry suffers from the lack of enough numbers of Healthcare Common Procedure Coding System (HCPCS) codes. HCPCS is the level II codes mostly assigned for DME gear and supplies.
• DMEs are often not considered within the permissible reimbursement limits under the patient’s policy.

These reasons drive the pharmacies and other healthcare practices to rest their cases on the professional DME billing services. They look out for the best medical billing company to save them from the complexities that cannot be properly handled by their in-house staff. The main reason is their inexperience and lack of exposure to DME billing. Their case has been made worse by the effects of different regulatory changes, mainly the introduction of the Final Rules. The latest Final Rule by the CMS makes prior authorization mandatory for some DMEs, prosthetics, orthotics, and supplies (DMEPOS). Such changes have added to the complexity around the process demanding additional documentation. The pharmacists and the providers can attempt to face the challenge by staying updated with information on coverage policies, supplier manuals, Medicare laws, etc. referring the DMEMAC websites or by using a specific software or service to handle the DME billing and subsequent documentation. However, unfortunately, it’s not enough. Thus, opting for professional DME billing services is becoming a basic measure to handle the situation.

However, appointing a DME medical billing services won’t serve the purpose. It has to meet your need and budget. You also need to see how much extra the company is providing you that makes it your choice over the other companies.  We can refer to a leading medical billing company like Sunknowledge Services Inc. to cite an example.  Sunknowledge, powered by a team of dedicated account managers and expert HCPCS coders offers you the following benefits:

• Accurate checks and balances with 99% overall accuracy
• Dedicated managers with an experienced team for fastest service
• Instant reduction in operational cost by 80%
• No hidden cost
• HISCOX insurance of up to $1 million to cover any error of omission & commission
• Daily/Weekly/Monthly customized reports
• Clients’ legal issues handled by Nixon Peabody
• No hidden cost100% HIPAA compliance
• Experience to serve more than 100 clients
• Low fee standalone services starting from $5
• Free Telemedicine platform
• 100% client retention

Add to it the 100s of excellent client references that Sunknowledge can provide you to bolster your business. So, chose wisely and help your practice.

 

The Potential of Medical Billing Services in the Current Scenario (2018 Updated)

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With the estimation that the medical billing outsourcing market will reach the $17 million mark by 2024, there is not an iota of doubt on the great importance the medical billing services have in the current healthcare industry. The fact that medical billing outsourcing was just valued at $6.3 Billion in 2015 proves how fast professional medical billing services have made themselves indispensable to the healthcare providers around the country.

An integral part of the modern medical and healthcare industry, medical insurance has also grown in importance due to the ever-increasing cost of healthcare services. The Affordable Care Act provided a periodic respite to a large population but the withdrawal exposed millions to the risk of having to spend from out-of-pocket. Thus medical billing became more complex for healthcare providers at this juncture as insurance companies started making reimbursements more stringent with more and more regulatory requirements and handling so many specifications became tougher for the in-house billing departments. Add to it the introduction of Electronic Health Records (EHR) and Electronic Medical Records (EMR) taking medical billing rapidly towards total automation.  The steady growth of using online prior authorization platforms and the importance of International Classification of Diseases-10th revision (ICD-10) coding, etc, has further made things tougher for in-house billing processes. However, the transformation cannot be so uniform and smooth and that’s the reason why numerous medical facilitates, image center, labs, hospitals, healthcare centers etc. around the country are still hugely under-prepared for the desired IT infrastructure, arrangement of updated training for the staff, resulting in a gap between the need and deed.

Standing at this point of insecurity, the presence of the professional medical billing services has helped to stabilize things to a great extent. According to surveys, almost 95% of physicians have acknowledged the decision to outsource their revenue management has been greatly beneficial to them.  In fact, a 2015 market-study revealed how the perception about outsourcing is changing. Some of the finds are:

• The U.S. is going through rapid changes in health care structure as a part of EMR and EHR requirements. The changing regulations and rising healthcare costs proved to be the major growth drivers.
• Multispecialty medical groups are opting for Revenue Cycle Management (RCM) support by medical billing services in their EHR integration and network building activities.
• Leading healthcare providers and big insurance houses have turned the key players in this industry.

The medical billing services through seamless healthcare management solutions, cutting edge services, and expertise claim settlements mechanisms score highly over the conventional in-house billing handling process. The fantastic account receivables and denial management programs that these medical billing companies conduct are unmatched compared to the internal billing strategies of the providers. Proper guidance to use futuristic solutions like Telemedicine is another great advantage. Above all, the prices that these companies offer in most cases are much lesser than what the providers would spend on training their staff and on infrastructure building. So, through – expertise + cost + accuracy + experience + effectiveness, outsourcing seems a much better solution.

The Best Prior Authorization Help for Your Apply

As a part of the medical and aid trade, as a facility, you’re frantically longing for correct previous authorization help. To bail out your apply from the typical weekly hours spent on previous auths alone, PriorAuth on-line has the proper accumulation of previous authorization solutions.

It has been seen that close to ninety four of practice managers think about previous authorization as time overwhelming. we all know you’re one in all them and your employees is combating the ever ever-changing laws and technicalities. additionally to it reconciliation patient care and previous authorizations become very strenuous forcing errors that may have an effect on the approval chance. of these have an effect on your revenue front in quite negative manner.

Our previous auth help program addresses this drawback and recovers the revenue. Riding on the newest on-line previous auth platform, EMR, HER, CD-10 cryptography experience, and strategic follow-ups, PriorAuth on-line sets your sail to higher revenue returns.

PriorAuth on-line forms AN integral a part of the worldwide leader within the aid Revenue Cycle Management in medical trade, Sun data and has been aimed to produce previous auth help to its existing purchasers beside the new ones. PriorAuth on-line offers you the subsequent advantages:

♦ Low priced standalone services ranging from $5.00 per auth
♦ ninety nine accuracy
♦ No binding contracts
♦ totally supported by Hiscox Insurance
♦ 100% consumer retention
♦ Daily/Weekly/Monthly bespoken reports
♦ Clients’ legal problems handled by Chief Executive Elizabeth Palmer Peabody
♦ 100s of purchasers with wonderful references
♦ 100% HIPAA Compliance
♦ Boost total range of approvals by 2x
♦ unexcelled speed
♦ Free Telemedicine platform

Apart from providing prior authorization help in astonishing low fees and different edges, we have a tendency to lend our support for numerous medical request services like Revenue Cycle Management, apply Management, etc. PriorAuth on-line has won many awards for its service excellence. the newest being the best Job Creator of the Year, 2017 award by STPI and Best leader complete Awards 2017 by the globe HRD Congress.