How a Multi-Specialty Practice Reduced Denials by 40% with Streamlined Prior Authorization Services

  • A Texas multispecialty practice struggled with high PA-related claim denials (40%), administrative overload, and delayed reimbursements.
  • Partnering with Practolytics enabled real-time insurance checks, automated PA submissions, and continuous staff training.
  • Streamlined PA workflows led to a 40% reduction in claim denials within six months.
  • Improved verification boosted upfront collections by $160,000.
  • Patient satisfaction rose by 30% due to shorter wait times and clearer insurance communication.
  • Billing rework dropped by 50%, allowing staff to focus on revenue-generating tasks.
  • The case highlights industry insights: heavy manual PA workload, rising costs, and new CMS rules pushing for simplified authorization.

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      • A Texas multispecialty practice struggled with high PA-related claim denials (40%), administrative overload, and delayed reimbursements.
      • Partnering with Practolytics enabled real-time insurance checks, automated PA submissions, and continuous staff training.
      • Streamlined PA workflows led to a 40% reduction in claim denials within six months.
      • Improved verification boosted upfront collections by $160,000.
      • Patient satisfaction rose by 30% due to shorter wait times and clearer insurance communication.
      • Billing rework dropped by 50%, allowing staff to focus on revenue-generating tasks.
      • The case highlights industry insights: heavy manual PA workload, rising costs, and new CMS rules pushing for simplified authorization.