The pre-authorization process is essential for confirming that a patient’s insurance covers a
procedure, but it often comes with significant delays. Many healthcare providers and administrative staff experience reduced productivity and longer turnaround times due to the
lengthy pre-authorization process. Certain medical procedures require approval or precertification before they can be performed to qualify for insurance coverage.
Handling pre-authorization can be a labor-intensive and complex task for busy practices.
Partnering with a company like Next Level Medical Billing allows you to streamline insurance
authorization services without demanding additional time or resources. Our skilled team delivers
efficient pre-authorization solutions to help your practice thrive.
Why Outsource Prior Authorization Services?
Managing prior authorizations is one of the most challenging responsibilities for a medical practice. The process is time-consuming, complex, and costly, often draining valuable resources from your office. As a result, many healthcare organizations and hospitals choose to delegate this task to a proficient medical billing company.
Outsourcing prior authorizations to specialists in this area can significantly save both time and money. It also ensures that patients receive the necessary treatments or diagnostic services as quickly as possible, improving the overall efficiency and effectiveness of your practice.
Advantages of Outsourcing Insurance Prior Authorization Services
An outsourcing company will handle responsibilities such as:
- Save time and avoid the inconveniences of dealing with payers.
- Allow employees to concentrate on their primary responsibilities.
- Maximum reimbursement.
Benefits of Outsourcing Your Pre-Authorization Process to Next Level Medical Billing
- If a pre-authorization request requires additional information, we will diligently follow up with the relevant physician to gather the necessary details.
- Should a pre-authorization request be denied, we will pursue an appeal whenever feasible.
- Our secure and HIPAA-compliant platform provides regular updates on the status of requests.
- Our pre-authorization team receives ongoing training to ensure compliance with the latest regulations.
- Having a dedicated pre-authorization staff results in fewer errors and a more efficient billing system, ultimately benefiting your practice.
Our Prior Authorization Services
Our pre authorization services assist hospitals, outpatient institutions, and physician practices in the following ways:
- The entire pre-authorization procedure
- Obtain authorization from your insurance company for procedures and services that require prior approval.
- Any monitoring, for example, if further information is required for pre-certification from the physician.
- Requests for refusals if relevant.
We highly recommend you to use quality control procedures, take prior authorizations and structured billing processes to ensure error-free billing.