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
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.
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.
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.