Virtual Prior Authorization Services
If you have ever spent hours chasing a Virtual prior authorization Services or have watched your employees get tied up with medical insurance companies, you know how frustrating and time-consuming the whole process is. It is one of those evils required for modern healthcare: with it, your claims get denied; without it, your whole day just gets interrupted.
In addition to the toll on their mental peace, the burden robs these personnel of the actual time to attend to patient care.
What Does Virtual Prior Authorization Mean?
Prior Authorization is the act of obtaining approval from a health insurance company before a healthcare provider actually provides a particular service, procedure, or medication. This is to ascertain the services are really medically necessary, but the actual practice is so slow and complicated that it is really full of red tape.
Virtual Prior Authorization simply means your office is outsourcing the task to an offsite group of trained specialists who perform all the interactions with insurance companies on your behalf. Instead of your own staff chasing faxes and making endless phone calls, the virtual team would do so promptly and provide you updates in real time.
Practolytics delivers the highest standard of remote Prior Authorization services tailored to your practice’s needs, regardless of specialty or size.
How Does It Operate?
We are very keen on ensuring simplicity and designed for a smooth workflow integration.
You Submit the Request
After your clinical team has decided that a particular service, procedure, or medication requires authorization, they send patient information necessary to us via a secure platform.
Getting Results
Our well-trained prior authorization specialists gather supporting documentation, review payer-specific requirements, and submit the request to the correct insurance company. We make all the calls, handle all the faxes, and keep track of every communication.
We Stay on Top of It
Insurance companies like to delay making decisions or ask for more information. We keep track of all cases, provide follow-ups, and make sure that your practice receives updates promptly.
We Do the Legwork
Approval is sent to you. Any denials are flagged for your consideration, and we provide options with appeal if needed. So you’re involved in the process without getting awfully buried in it.
Why Is It Needed by Healthcare Professionals?
For the pure truth, nobody went into healthcare to get involved with paperwork.
Here is what Virtual Prior Authorization can do for you:
Putting it in simpler terms-we take care of the boring stuff together with the more complicated issues so that when you and your team return back, the clinical care is what comes to the fore.
Key Benefits of Virtual Prior Authorization
Now that we’ve walked you through how it operates, let’s talk about the benefits of this service for your practice.
What Makes Practolytics Different?
What Makes Practolytics Different?
Here’s what sets us apart:
Real-Life Scenario of How It Works
You are a treating physician, who needs to get an MRI for a recurrent headache presentation. In the absence of virtual support, the medical assistant is left to gather notes, fill out forms, and call the insurer for maybe an hour, only to be told that some documentation is missing. Then another 30 minutes of faxing through updated notes for approval, waiting days to hear back on the approval.
Through the virtual channel that Practolytics provides for authorization, the assistant need only submit the case to our team, which then handles everything, freeing up the rest of the clinical staff for patient care. You get your authorization result, rarely exceeding 24 to 48 hours, without any stress.
Who Can Benefit?
Virtual Prior Authorization companies benefits the entire health-care professional community but seems to make a huge difference in the following specialties:
Whether you are a solo provider or part of a large group, healthcare prior authorization continue to be the bane of your existence. We would like to help ease that burden for everyone.
Resources
Enhancing Efficiency & Revenue with Virtual Assistant Service
Learn how Practolytics Virtual Assistant Service transformed an endocrinology practice by reducing admin burdens, minimizing errors, and enhancing revenue & care.
Where It All Began: The Burden Behind the White Coats
Texas family medicine practice improved efficiency and revenue by overcoming admin burden, billing issues, and delayed reimbursements with smart solutions.
The Financial and Administrative Impact of Prior Authorization
Prior Authorization is a process through which healthcare providers attain approval for specific treatments, procedures, or medications before their coverage.
FAQ's on Virtual Medical Assistance
Will I lose control over the process?
Never. You will be updated throughout the process, and your opinion shall always prevail. Consider us your behind-the-scenes team, not in place of you.
How secure is it?
We use secure HIPAA-compliant systems that were configured to protect data. Every employee in the team was also taught about privacy and compliance protocols.
What comes after a denial?
We will let you know immediately after a denial occurs, with the reason behind the denial, as well as help you file an appeal for further consideration if you choose to do so. A denial is never a finale in our interpretation.
Getting started is easy
We understand that switching to different processes may be quite overwhelming, so we kept our onboarding procedure very simple.
- You will be assigned an onboarding specialist.
- The onboarding specialist will train you on the submission process securely.
- Our team will learn your workflow, your main payers, and your clinical preferences.
- Within one week, you will have been using remote medical authorization services full time and saving staff time by the hour!