Deliver Superior Customer Service Experience – Outsource Prior Authorization Services

Have you thought about authorization before outsourcing? Outsourcing the pre-approval process will be very profitable for your business! Outsourcing prior authorization services are essential for the profitability of any business. A critical step to success is to identify benefits for the patient and consider specific medical procedures before performing the service. Reimbursement for many emergency…

MEDICAL BILLING AND DENIALS

Denial of medical claims has been the biggest concern for physicians, doctors & other healthcare professionals. Recurring denials or increase in denials lead to operational losses which are difficult and sometimes impossible to recover. Denials fall into two big buckets: hard and soft. Hard denials cannot be reversed or corrected, and result in lost or…

Prior Authorizations Services

What is Prior Authorization? Prior authorization is an important element of medical billing and RCM. It is basically a health plan cost-control process requiring providers to obtain approval before performing a service to qualify for payment. Health insurers frequently require prior authorization for pharmaceuticals, durable medical equipment and medical services.  It is one of the…