Prior Authorization
An easy, seamless and quick way of authorisations to avoid last minute denials!
Prior authorization is a requirement from health insurance companies to ensure costly procedures are medically necessary. Before commencing a number of treatments, examinations, medical devices, and prescription drugs, doctors or other medical professionals must get a prior authorization. Medical billing without adequate pre-authorization runs the risk of denial, follow-up requirements, or partial payment.
Medical Practitioners can better support the health of their patients by managing their revenue cycle health with the help of MedAR Resolve. By integrating prior authorization technologies with their practice management system, practices can offer their patients faster, more dependable, and more accurate support. The best method to guarantee that prior authorization demands, eligibility requirements, and insurance coverage criteria have been verified in the practice management system before a patient visit is by performing it in this way.
To guarantee a seamless process, some of the best practices for prior-authorization services in medical billing are outlined below:
- Carrying out a complete verification process to determine the services covered in order to acquire authorization
- Keeping accurate records of all relevant information and thorough documentation
- Upholding cordial relationships with insurance companies
- Being aware of the contract terms and procedures for various insurance providers and following them to prevent delays and denials
- Using standardized templates to avoid documentation and mistakes made by individuals
- Providing team members with the necessary training for all required processes
How MedAR Resolve Can Help with Healthcare Revenue Cycle Management?
The NextGen consultants, developers, and trainers on our highly qualified and experienced team at MedAR Resolve can support the prior authorization process in medical billing. We provide the resources you need to support and enhance your financial future, ranging from dashboards and revenue cycle consulting to automation and workflow redesign.