Proactive Prior Authorization Services
Embrace our technology-driven approach to make your prior authorization process more efficient, transparent, and patient-centered.
The time-consuming nature of manual data entry and the tedious chores of tracking authorization requests while staying updated with changing policies can detract you from focusing on patient care. Moreover, the lack of transparency and long waiting periods associated with traditional methods can cause significant delays in treatment, leading to potential worsening of a patient's condition. To alleviate these issues, we have implemented advanced technology in our prior authorization services to ensure process automation and streamlined operations.
Our software solutions are designed to automate and simplify the submission, tracking, and management of prior authorization requests. We've incorporated features such as automated form-filling and real-time tracking to significantly reduce administrative burdens. This allows healthcare providers to focus on what they do best - providing quality care to their patients. By providing insights into authorization request trends and instant updates on decisions, we empower providers with valuable information to optimize their strategies further. Leverage our technology-driven approach to transform the prior authorization process into a more efficient, transparent, and patient-centric experience.
Client Success Stories
Proactive Medical Billing Support to Improve Claims Processing
We optimized 100+ medical billing accounts for a US firm. Our experts helped reduce denied claims to enhance timely verifications and promote business growth.
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End-to-end ICD-10 Transition for a Medical Billing Company
A Florida-based medical billing company transitioned smoothly to ICD-10 coding after tailored training. Our services contributed to improved accuracy and a 40% revenue increase in 6 months.
Read More
Optimize Medical Biling with Our Prior Authorization Services
Streamline your medical billing process, ensuring swift and accurate authorization from health insurance companies before medical services are provided. Our services help reduce claim denials, improve cash flow, and ultimately optimize your overall medical billing operations.
Pre-authorization Approval
Our prior authorization services aim to simplify the complex pre-authorization approval process, saving healthcare providers valuable time and resources. We handle the paperwork, mitigating potential delays and denials. Levera ensures a smooth, efficient approval process.
Verification of Medical Necessity
We verify the medical necessity of procedures and treatments, reducing the risk of claim denials. This process ensures that only necessary, cost-effective services are provided, enhancing the efficiency of your practice. Our healthcare prior authorization services prioritize patient care and cost-effectiveness.
Insurance Coverage Checking
Our insurance coverage checking service confirms a patient's coverage details, preventing surprise bills and claim denials. We navigate the complexities of insurance plans, ensuring accurate billing and patient satisfaction. Trust our insurance authorization company to manage your coverage checking needs.
Patient Eligibility Verification
We verify patient eligibility for services, eliminating confusion and potential delays in the billing process. This service ensures that patients' insurance plans will cover the proposed services, improving the efficiency of your practice. Outsource your eligibility verification to our prior authorization service providing company.
Formulary Exceptions
We handle formulary exceptions efficiently, ensuring that patients receive the necessary medication even when not initially covered by their plan. Our team navigates the process, advocating for the patient's needs. Our prior authorization solutions prioritize patient health and medication access.
Appeals and Follow-ups
Our team manages the appeals process for denied claims, improving your reimbursement rates. We handle the follow-ups, advocating for every claim. Our medical insurance prior authorization services strive for maximum reimbursement.
Documentation and Reporting
We maintain thorough documentation and reporting of all transactions, providing transparency and easy access to information. This service ensures compliance and supports decision-making. Trust our prior authorization services with your documentation and reporting needs.
ICD-10 Coding
Our team ensures accurate and efficient ICD-10 coding, reducing the risk of coding-related claim denials. We stay updated with the latest coding changes, ensuring compliance. Outsource your ICD-10 coding to our experienced team.
Tracking Services
We provide real-time tracking of claims, ensuring transparency throughout the process. Our tracking services help identify bottlenecks and improve efficiency. Trust our prior authorization in medical billing for your tracking needs.
Why Choose Us as Your Prior Authorization Company?
Outsourcing your prior authorization services can significantly alleviate problems like increased overheads and workflow disruptions. By outsourcing to us, you can save your valuable time and resources while we handle end-to-end processes, follow-ups, and appeals against denials.
Improved Cash Flow
By ensuring quick and accurate authorizations, we help expedite payments from insurers, improving the cash flow and financial health of your institution.
Patient Satisfaction
Our efficient handling of prior authorizations reduces wait times for treatments, enhancing patient satisfaction and the overall patient experience.
Scalability
Our services can easily be scaled up or down according to your needs, providing flexibility and ensuring efficient handling of workload during peak times.
Data Security
We use advanced security measures to protect patient data, ensuring compliance with HIPAA and other data protection regulations, giving you peace of mind.
Cost Savings
By outsourcing prior authorization tasks to us, you can save on operational costs associated with hiring and training in-house staff for the same.
Analytics and Reporting
We provide regular reports and analytics, giving you valuable insights into the authorization process, helping you identify trends, and make informed decisions to further optimize your operations.
Software We Use
Categories of Clients We Serve
From hospitals to specialty clinics, our clients reap significant benefits from our Prior Authorization Services. By taking over the complex task of obtaining approvals from health insurance companies, we help these institutions reduce claim denials, streamline their medical billing process, and allow their medical staff to focus more on patient care rather than administrative tasks.
Healthcare Providers
Health Insurance Companies
Law Firms and Legal Services
Life Sciences and Pharmaceutical Companies
Government Healthcare Agencies
Independent Medical Review Organizations (IMROs)
Research Institutions and Universities
Telehealth and Remote Healthcare Providers
Occupational Health Services
Medico-Legal Services
Third-Party Administrators (TPAs)
Pharmacy Benefit Managers (PBMs)
Additional Services We Offer
We solve the challenge of maintaining accurate patient records by converting voice reports into text, ensuring documentation precision and efficiency.
We address the complexity of billing processes, reducing errors, and enhancing claim acceptance through expert coding and sophisticated software.
We tackle inefficiencies in financial processes, utilizing analytics to streamline billing and collections, optimizing the healthcare revenue cycle.
We simplify the claims process, using advanced software for fast, accurate evaluation, ensuring compliance and policyholder satisfaction.
Outsource Prior Authorization Services to Us
Managing prior authorizations can be a time-consuming and complex process. However, by outsourcing this crucial task to us, you can ensure the process is handled with utmost accuracy and efficiency. We use cutting-edge technology and a team of experienced professionals to simplify the process, reducing the burden on your administrative staff and allowing them to focus on patient care.
Furthermore, our services are not limited to just prior authorizations. We offer a suite of healthcare support services designed to enhance your operations and improve patient satisfaction. From managing patient calls and handling after-hours care to providing expert healthcare advice, we ensure a holistic approach to your healthcare administration needs. Our commitment to innovation enables us to introduce automation in processes, reducing turnaround times and enhancing accuracy. The result is a streamlined revenue cycle management, improved cash flow, and reduced claim denials.
Partner with us today; choose a service provider who understands your unique challenges and is equipped to provide solutions that drive growth and excellence.
FAQs
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Key Differentiators
AHIMA Healthcare Convention 2016
USA
Flatworld Solutions
116 Village Blvd, Suite 200, Princeton, NJ 08540
PHILIPPINES
Aeon Towers, J.P. Laurel Avenue, Bajada, Davao 8000
KSS Building, Buhangin Road Cor Olive Street, Davao City 8000