The reason for prior authorization was to provide a cost-effective and the right medication for the patient’s benefit. AMA (American Medical Association) in its recent study has found that the process of prior authorization for imaging centers, Genomic lab, specialties pharmacies etc are increasing day by day costing US physician billion of dollars every year and the cost incurred by the insurer are comparatively high. This makes difficult for the patients in the long run as every claim denied or been delayed becomes a liability for the health insurers.
Setback in the prior authorization process not only cause delay in the treatment but also affects the patient’s clinical and mental health too. As far as imaging center is a concern it mostly deals with serious health issues which required a fast treatment.
Reasons for Increasing Denial Rate in Prior Authorization:
- Incomplete information
- Lack of trained resources
- Irregular follow up
- Usage of outdated software or methods
This is why outsourcing has been the best opting for fast efficient prior authorization process. Outsourcing organization Sunknowledge Service Inc with its decades of experience perfectly fit for the prior authorization process. In fact, it has a specialized prior authorization section ‘PriorAuth Online’, catering full authorization services starting from authorization request, approval and follow up. With decades of understanding, we ensure 100% prior authorization for imaging center, genomic labs, orthotics and prosthetics etc. We also boost your current rate of prior authorization rate 1.5-2x.
Other Benefits of Sunknowledge:
- Guarantee 99.9% accuracy with a 97% collection rate
- Customized reporting Daily/Weekly/ accordingly to clients requirements.
- 100% HIPAA Compliant with no binding contracts
- No cost dedicated account manager
Sunknowledge also Provides:
- The entry of Rx order
- The entry of patient’s demographics and insurance
- Dx Entry
- Eligibility verification
- Collection of complete Rx
- A complete collection of documents for Authorization approval
- Submission
- Rejection/denial management
- AR Follow up
So leverage Sunknowlede benefit and get a streamline operation for profitable revenue generation. For more information about prior authorization for imaging centers speak to our expert over a no commitment call. We are just a call away!
Sunknowledge Services Inc. – an ISO 27001:2022 certified, American-owned & operated company, headquartered in New York City – is a leading global provider of Business and Knowledge Process Outsourcing services in the US healthcare domain.
