Prior authorization is one of the most exhausting and difficult components in the entire revenue cycle. It can interrupt workflows, tie down in-house resources, and cause severe disruptions to the medical billing process. It is also a time-consuming process that can take away precious hours from your schedules. Prior authorization issues are associated with 92 percent of care delays and may also contribute to patient safety concerns as well as administrative inefficiencies.
Considering the current scenario, Prior authorization is overused and the existing processes are too difficult. Due to its widespread usage and the significant administrative and clinical concerns, it can present, prior authorization is a challenge that needs to be addressed through a multifaceted approach to reduce burdens on physicians and patients.
The inefficiency and lack of transparency associated with prior authorization cost physician practices time and money. The lengthy processes may also have negative consequences for patient outcomes when treatment is delayed. In the current managed care environment, an increasing number of prescriptions are being denied by plans, requiring prescribers to complete prior authorizations. This process is highly disruptive, time consuming, and often leads to denial without any relevant clinical review.
Viaante's Numbers Speak
Healthcare transactions annually
Million+
Annual Provider Credentialing
+
Provider Specialties
+
AR collections
$
Million+
Charge Entries
+
Demo Entries
+
Payment Postings
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Here are some key challenges faced in Prior Authorization
Prior authorization issues are associated with 92 percent of care delays and may also contribute to patient safety concerns as well as administrative inefficiencies
Prior authorization process can be a lengthy administrative nightmare of recurring paperwork, multiple phone calls and bureaucratic battles that can delay or disrupt a patient’s access to vital care
64%of providers reported waiting for at least one business day for a prior authorization request and 30% waited for at least three business days
78%of providers reported that long prior authorization processes are linked to patients abandoning their treatments
Providers take 14.6 hours on an average to complete these requests, which is the equivalent of two business days. 34% percent of providers have staff dedicated exclusively to complete prior authorizations
Services requiring Prior Authorization
Therapy (speech, occupational, and physical)
Plastic Surgery
Durable Medical Equipment (DME)
Inpatient
Home-Based Services
Pharmacy and Medications
Pain Management
Advanced Outpatient Imaging Services
Services Requiring Notifications (All newborn deliveries-Maternity obstetrical services, outpatient care, etc.)
Our Prior Auths Process
Viaante is a HIPAA compliant Healthcare Service Provider offering quality and customized services, which helps the healthcare firms in improving business process efficiencies, deliver superior customer service experience and boost their financial performance. Viaante has years of experience and expertise in delivering accurate, high quality, cost-efficient and streamlined RCM services that boost up the performance of the organization. Viaante is committed to simplify the Prior Authorization process and deliver the results you seek in the shortest possible time.
Benefits of partnering with Viaante
Guaranteed reduction of operational cost by 70%
Prompt Service with a accuracy rate of 99%
Durable Medical Equipment (DME)
Increase your current production rate by 1.5-2.x
We are flexible and are in all spaces of RCM
Prior Authorization Calculator
Use this simple calculator and determine just how much you can save with our Prior Authorization Solution.
Prior Authorizations with Viaante Business Solutions
Platforms Expertise
Viaante value proposition
Get paid, more and faster
Have the most time-consuming, costly medical billing work done for you.
Get full clarity and visibility into your practice to make better decisions.
Benefit from the most up-to-date payer intelligence.
What Our Clients Say
A leading medical billing company in US
We began working with Viaante since 2017 and ever since then they have become a beneficial component, we have developed a strong working relationship.
A Leading Revenue Cycle Management and Billing Company
Love working with Viaante. Great results and great communication. Consistently delivered quality outputs over the years. Look forward to continuing working with you.
A leading provider of Revenue Cycle Management services
Greatly appreciate the way Viaante's team handles the project. We are more than pleased with the way the project has turned out. Looking forward to work on more and more projects together. Thanks for the incredible work you guys have been doing!
Leading radiology and diagnostic center in West coast
We have been working with Viaante Business Solutions and we have been completely satisfied. The team is always there to provide support when needed.
Leading medical facility in US
This team has always been a delight to work with. I couldn’t be happier to work with Viaante. They have always maintained quality and TAT.!
Partner with Viaante
Partner with Viaante for expert medical coding services that maximize your reimbursement and minimize claim rejections. Contact us today to learn more!