The process of obtaining prior authorization is complex and time consuming. Our Prior Authorization support saves hospital case managers valuable time. Our centralized team of skilled clinicians, registered nurse auditors and certified coders conduct medical necessity reviews concurrently to coordinate authorizations. Our team conducts retrospective reviews to appeal denied days or secure authorizations on newly covered recipients.
Our Prior Authorization support saves hospital case managers valuable time.
Prior Authorization services:
- Apply proven and vast clinical expertise ensuring authorization for medically necessary care
- Helps providers offer cost effective delivery-of-care by documenting the level of care right the first time, assuring that the patient is in the right setting for the right amount of days, which results in quicker access to cash and a decrease in denials
- Offer a unique perspective from our team of more than 200 clinicians, specialized nurses and physicians, who provide clinical evidence and reasoning for medical authorization of care that withstands challenge