For a successful HME prior authorization process, in-house staffs who handle the authorization have to deal with a series of technical prior authorization requirement like updated knowledge of authorization; authorization rules etc. this not only helps in bill accurately but also ensure a faster reimbursement. However, there are plenty of other things that need to be taken care of in an HME prior authorization process.
It is often seen that due to the lack of job specific knowledge, it only leads to improper authorization procedure and delayed and denied claims, which is why outsourcing your HME prior authorization has always been the best option so far. Though some hospitals and medical facilities see outsourcing as unethical, it is still cost effective and profitable option; satisfying and relieving you from all authorization stress.
Benefits of PriorAuth Online as an outsourcing HME prior authorization operational extension:
With the latest information on all the authorization regulations and all the necessary technique needed in an HME prior authorization process, PriorAuth Online is one stop prior authorization destination powered by Sunknowledge Services Inc. helping you with a better revenue generation and positive impact, PriorAuth Online have a clear understanding of authorization process, with the ability of faster reimbursement.
Providing complete operational transparency which is necessary for the authorization process, PriorAuth Online experts have the ability to provide a complete robust report; giving the client total control and knowledge of the process.
Ensuring a successful HME prior authorization our works include:
Authorization initiation- all necessary information is obtained in this first stage, which is required for the treatment process. This then is followed by authorization initiation. The information which is collected includes patient name, DOB, ordering provider’s name, NPI, Tax ID, address, phone no along with insurance information. Even ensuring a proper check on the diagnosis code, units for each service code, if ordering physician is PECOS certifies or not is also done by us.
Requesting authorization - this is the most critical part where documentation is been completed accurately collected through fax, call etc. after which verified and validated the documentation along with the authorization request is done. In this process, it is important to maintain constant oversight over all prior authorization requests that are outstanding
Continuous follow-up is made - our second last steps ensure investigating to resolve whether the patient is eligible based on payer requirements for the HME prior authorization. Once this is done prior authorization is initiating through outbound calls, portal etc as per payers’ protocols/guidelines. Here waiting on the approval or denial of their request for ongoing authorization happen
Updating the authorization process- This concludes with providing additional documents/ data if requested by the payer. This ends up updating all the prior authorization results in the billing system.
In fact, our experts immediately increase your collection by 80% within the first 30 days by getting your prior authorization accurately approved by us. Being the only RCM organization with the highest productivity metric, our PriorAuth Online experts can meet and beat any given price in the market.
If you are looking for a trusted company for a faster and effective HME prior authorization, now you know where to look for. For more information about PriorAuth Online benefits and how our experts can bring change to your business with financial upliftment and streamlined operation, get in touch with us over a ‘no commitment call’.