Verification of patients’ eligibility and prior authorization is a complicated and recurring process that is executed almost 365 days a year. To take payments for the services delivered, healthcare providers need to validate every patient’s eligibility and advantages before the visit. A few estimations show that as many as 75% of the claims are denied as the patient is not eligible for the services provided by the healthcare provider. Unluckily, it is one of the most ignored procedures in revenue cycle management. Prior Authorization in Medical Billing helps the healthcare organization in the suitable payment collection for the services offered, decreasing denials and follow-up on the same.
This derives when the Insurance eligibility verification process is done. Ineffective eligibility verification and prior authorization processes can cause raised claim denials, overdue payments, extra struggle on revision, postpones in patient interaction to care, reduced patient satisfaction, and non-payment of claims.
The Medicator’s can help you to confirm whether or not a specific medical process is covered as well as get prior authorization from payers when needed. This will make sure reimbursement is appropriate on time. Our qualified insurance verification experts call insurance firms and obtain approvals in a well-organized way. We get official procedures, effort on customer’s software, and collect material to gain prior authorization. The Medicator’s is a leading insurance authorization enterprise that works with all private and government insurance companies. We gather all information about eligibility verification procedures.
We contact financiers and get pre-authorization very fast. Our team will guarantees that payer standards are seen before sending the request and can plan how long it will take to check and approve the pre-authorization. We confirm that requests are submitted with all required documents. It’s essential that you are repaid for the care you deliver. We handle the procedure, you don’t have to worry regarding these matters. We help to drive your billing process rapidly so that you get paid faster and smoothly.
