VMO Tech > Authorizations

VMO Tech can help streamline your workflow by handling your authorization

Pre-authorization, prior approval, or pre-certification—all refer to gaining approval from an insurance provider before a doctor administers services to a patient. This confirmation from the payer regarding the medical necessity of a procedure, treatment plan, medical equipment, or prescription results in an authorization number necessary for claim submission.

These steps within revenue cycle management hold critical importance. Obtaining pre-authorizations delivers several advantages, including:

  • Accountability and cost containment
  • Decreased denials and improved collections
  • Lessened write-offs
  • Increased revenue

The process of obtaining prior authorizations and referrals involves various methods such as:

  • Phone calls
  • Online forms
  • Sending faxes through EMR

Each method demands time and adds administrative burdens to your staff. These tasks consume valuable time that could be dedicated to enhancing and ensuring the quality of patient care. Moreover, staying updated on the diverse guidelines of different payers, which frequently evolve, requires substantial effort, further contributing to the administrative workload.


Outsourcing Prior-Authorization is the Best Option

At VMO Tech, our Authorization & Referral service offers doctors the resources needed to secure essential pre-authorizations and ensure claims contain all necessary information for each payer. This optimized workflow aims to save both time and money.

With our authorization service, you can anticipate:

  • Virtual support for prior authorizations
  • Request submission within 12-24 hours
  • Detailed tracking of completed authorization and referral steps
  • Alerts in case of a peer-to-peer review request
  • Integration with Practice Management Systems
  • Ongoing communication with staff regarding authorization and referral approvals or denials

Custom Software Solutions

Tailored software development to meet your unique business needs.

Efficient Back Office Operations

Streamlining and optimizing back office processes for enhanced productivity.

Comprehensive FTE Support

Full-Time Equivalent (FTE) support services to bolster your team's capabilities.

Decade of Expertise

With a decade of experience in the industry, we have honed our skills and gained profound insights into the dynamic needs of US hospitals and healthcare providers.

Innovative Approaches

We take pride in introducing different ways of fully harnessing available technologies, ensuring that our solutions are not just efficient but also at the forefront of industry innovation.

Cost-Effective Excellence

Our focus on cost-effective solutions does not compromise the quality of our work. We believe in delivering excellence that adds tangible value to the practices we serve.