Due to the ever-rising burden, prior authorization faces the AMA (American Medical Association) and a combination of 16 other organizations including physicians, health care centers, hospitals, Medical groups, Pharmacists and even patients formed a comprehensive set of 21 rules in order to change and ease the way prior authorization process work. The 21 sets of rules make sure of continuity of care, transparency, validity, alternatives and exemptions and fairness along with timely access and administrative efficiency. Along with the above reason the rules were also made in order to drastically ease out prior authorization process and seeking industry-wide standardization of prior authorization process through electronic PA. The reason for the formation of the rules does not end here it is also for eliminating repeated prior authorization for patients already using medication for a chronic condition with few other.
JAMA dermatology on a recent study stated that in 26 patients from 4 dermatology practices, the major obstacle to the treatment is the cost. 65% of the patient’s survey was unable to access medication due to lack of insurance coverage and high-end price.
As far as dermatology prior authorization is concern dermatologists are under a lot of pressure, to prove the value and usefulness of dermatology with the new improved technology and changing health care industry. They also find it difficult prescribing medicine due to the high pricing which makes the process of prior authorization more difficult. This is why finding the right operational extension for outsourcing is very important.
It is really frustrating facing prior authorization issues with additional dermatology problems. This is why healthcare providers are looking for outsourcing to ease and have effective prior authorization process. Outsourcing organization Sunknowledge Service Inc perfectly fit for such outsourcing services. It has a specialized prior authorization section ‘PriorAuth Online’ which helps to reduce errors, duplicity and provide operational transparency. With decades of understanding the prior authorization business, Sun knowledge guarantees 100% prior authorization submission on the same day as well as an increase in the current rate of prior authorization process by 1.5-2x.
The dermatology service we offer:
- Verification eligibility,
- Initiating authorization,
- Follow up on the request,
- Obtaining an authorization request
- Scheduling the delivery of the drugs.
Sun knowledge service inc not only serve prior authorization but also cater to the entry of Rx order, patient’s information details, demographic and insurance, Dx entry, eligibility verification, collection of complete Rx, a complete collection of documents for authorization approval, as well as submission, rejection/denial management, and AR follow up.
So get in touch for seamless cash flow and ease prior authorization process with a no-cost dedicated manager serving 24*7 for all your prior authorization problems.