Prior Authorization Services

Pre-approval of medical services began as a benefit to patients to ensure their procedure would be covered. This is important because, especially in the case of optional procedures, this would determine if the patient actually wants to undergo a procedure. In the past, patients would have a medical treatment done and then be hit with a huge medical bill because their insurance didn’t pay. This resulted in financial hardships for many and for some even bankruptcy.

Revivify Revenue Cycle, one of the top medical billing companies, understands the importance of obtaining prior authorization before undertaking medical treatments. We also understand that while this service is beneficial to the patient, it’s time-consuming on the practitioner’s part. Valuable time is spent on the phone and writing up documentation that could be spent on immediate patient care. Hence, we offer prior authorization services to help healthcare practitioners.

Prior authorization services is not just for medical procedures; it’s also heavily utilized in the prescription drug realm as well. This process especially is lengthy. If your doctor prescribes a drug that requires prior authorization. The physician will have to work with the patient’s insurance company to provide rationale for the medication. This does not guarantee that the insurance company will approve the physician’s request. If this is the case, usually a generic drug will be issued instead.

Prior authorization services by Revivify Revenue Cycle are about keeping healthcare costs in check. This allows for those who truly need an expensive prescription drug or medical procedure to obtain it, while those who don’t can pay for it out-of-pocket. This keeps everyone’s health care costs down. Revivify Revenue Cycle is proud to handle this time-consuming process for healthcare practitioners. We’ll work with both the patient and the practice to get answers in a timely fashion from the insurance company. We follow up, and stay on task so you’re not left in the lurch forgetting steps along the way. Contact us today for medical billing and prior authorization services!

As a medical practitioner, you want all medical services pre-approved before they’re rendered. Otherwise, you’ll waste a lot of time, money, and energy tracking down payments. There’s no need for this when you have the expert backup from RRCC.

Stay Ahead of the Curve

It’s impossible to provide effective medical care when you’re constantly trying to get reimbursed. On the other hand, receiving prior payment and having all your boxes checked means you can provide a consistent, reassuring experience for stressed patients. It’s a lot of work, so don’t do it alone. Instead, let our medical billing team keep your processes efficient and compliant. Your patients will have better experiences, and you won’t have to deal with the stress of feeling behind the ball.

Set Your Practice Apart

Patients remember when care providers go the extra mile for them. However, it’s impossible for you to go the extra mile when you’re just trying to catch up. RRCC is here to make sure that doesn’t happen. Let us clear the way for your care providers and patients, keep money coming in, and ensure your practice has a bright future. Learn more about our services in your free consultation!