Improving Your Orthotics and Prosthetics Prior Authorization Status

Improving Your Orthotics and Prosthetics Prior Authorization Status

According to CAQH, in the United States, the administrative prior authorization process has been estimated to contribute as much as $25 billion annually. Controlling the healthcare spending the process of prior authorization is used as a tool to ensure the best and high-quality care for the betterment of patients.

Furthermore, it is only estimated that with increasing prior authorization complexities, there will be a struggle in finding the perfect orthotics and prosthetics prior authorization solution that perfectly fits into every healthcare requirement lists.

In fact, people are finding a perfect solution to ease the prior authorization complexity for years now.

lately supported by various prestigious organization and institution including Medical Group Management Association (MGMA), American Hospital Association (AHA), American Medical Association (AMA) and American Pharmacists Association (APA) along with provider’s organization and payers like Blue Cross Blue Shield Association (BCBSA) and American’s Health Insurance Plans (AHIP) and many others have concluded with few statement, that can ease the long complex process of prior authorization along with a streamlined approach including:

  • Applying selective Prior authorization requirement by distinguishing the application categories of the prior authorization based on the provider’s performance, best medical practices, or any sort of contractual obligation to make the process easy.
  • Reviewing all the treatments that are subjected to prior authorization as well as checking and been regularly updated with all authorization regulations. This will help to remove invalid prior authorization treatment reducing the cause of prior authorization delay or denial.
  • The key to all successful faster prior authorization is its communication process. Effective and constant communication among all the providers, patients and insurers person should be maintained for a faster prior authorization process. This will not only reduce potential authorization delay but also have proper operational transparency about the workflow.
  • Continuity of the patient's treatment process should be followed and maintained, given importance when the patients s already undergoing the treatment. This not only helps in reducing the physical and mental stress of the patient but also faster authorization.
  • Electronic prior authorization portal should be encouraged and used more often. It gives a complete transparency in the workflow and also an updated report to everyone.

Though measurements are been taken, you still need a cost-effective operational extension that can help you with authorization complexity with complete operational transparency.

PriorAuth Online: The Perfect Operational Extension Prior Authorization Destination:

Intending to provide high-quality prior authorization services and closing all the authorization gaps faster and effectively, our experts take the extra initiative in reducing the time-consuming in the administrative work. Helping healthcare provider’s focus more on other vital areas like patient care, our Prior authorization for orthotics and prosthetics process of prior authorization ensures:

  • Gather vital information on medical procedure, patient, and provider
  • Verify and validate prior auth request with effective payer side communication
  • Checking the patient’s eligibility
  • Initiate the auth request based on the payer mandates
  • Checking the auth status
  • Collating relevant documents from the ordering physicians/follow up
  • Providing additional information if any
  • Update the auth income in the PM/ Billing system

With a 100% prior authorization submission on the same day and 99.9% accuracy rate, PriorAuth Online also offers the benefit of robust reporting. Immediately increase your collection by 80% within the first 30 days by getting your prior authorization accurately approved by us, we are the only operational extension with the highest productivity metric. Offering a standalone service charge as low as $7 per hour, we have the facilities of no binding contract too.

Hence to experience a seamless orthotics and prosthetics prior authorization process and a financial upliftment, get in touch with PriorAuth Online experts over a 'no commitment call'.

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