A serious concern for healthcare providers for a long time is finding a balance and getting the right priorities in place with their everyday efforts with prior authorization. Almost two business days and a substantial amount of your resources' time gets spent doing the documentation and getting all the details in place according to the latest claims adjudication mandates of the payers.  

• The most crucial aspect of getting things done with consistency ultimately boils down to the choice of a mode of operation which will be responsible for upgrading all your demands, assisting you in complementing your efforts with care management and collecting more.  
• Keeping a close track of all the details will be something that has to be understood properly, and only then should you be able to define the process with a keen understanding of the latest insurance guidelines.  
• Implementing the checks will be the key and will be setting the benchmark for recovering more and spending less. In fact, that is where all the difference gets made and a top-class prior authorization company will be allowing you to do the same.  

However, the question that is always asked is whether such a company has the knowledge and the correct process in place to deliver you exceptional service. The ideal vendor will be able to generate consistency and lower all operational expenses in the best possible manner. 

In fact, that will be something which will be optimizing growth and giving you a focus to maintain on patient health than on reimbursement for the services rendered and the denials involved. In reality, it is something that can give you an edge and help you climb up the ladder in the competition with conviction.  

Staff Shortages – A Key Concern for All Providers

With the existing turnover in the healthcare space, finding a stable and dependable staff is a huge pain for healthcare specialties. On all accounts, it is pertinent that you have an understanding of the latest practices. Resources which have the will and confidence to document all the details with care and create immaculate claims by accurately reflecting the details of the patient-physician encounter, will be something that can elevate your processing standards and assist you in lowering denials and gaining impetus in the entire competitive landscape.  

It is of extreme importance that you know early on what is causing your delays with everyday prior authorization? In a typical scenario, providers have to complete more than 40 PA’s in a week and as such it is critical that you realize the importance of choosing a vendor who can help you grow and balance your collections with speedy and accurate support.  

To make matters worse, PA requests are far more time consuming than other RCM tasks. Hence, with the existing staff shortage, it can be a challenge to stop the streams of denials or understanding how you will be correcting the flaws in the front-end. It is going to be important that you select someone who will be helping you to combat the details and give you the much needed transparency on all accounts. In reality, it is expected that you create a strategy on how to manage your efforts and upgrade collections in the ideal proportions. Hence, it is imperative that you select a vendor who will be helping you in managing your daily prior authorization troubles properly.  

Rising cumulative physician wait times and with 90% of physicians blaming prior auth delays a major concern for prescription abandonment, things are quickly going downhill with PA. Almost 57% of health systems have to fill more than 100 positions, according to an AKASA report lately.

Thus, it is quite clear that working out an action plan that can quicken growth and help you reduce your process delays will be something that can only be managed effectively with a dedicated guide with extensive knowledge of the latest guidelines and priorities. 

But the ultimate catch is in selecting the right partner who can decipher proven gaps and help you rise above all concerns with complete consistency. It is going to be hugely vital to know at the onset who will be the prior authorization company that can dig deep and engage better with both physicians and payers and remove any abnormalities with patient communication. Managing the right setup with daily prior authorization will be something that can get things in place.  

SunKnowledge Inc. – Your Trusted Arm at All Times

For more than the past fifteen years, we have been setting the benchmark and defining growth for some of the largest healthcare providers in the country. Our versatility and confidence to make things work out for you are unmatched, and you can rest assured that all your demands with everyday prior auth will be delivered by us with full efficiency.

Moreover, we have a highly skilled team of experts who has the knowledge and expertise to work across specialties and prior authorization mandates with different payers. Speak to our team and discover why we are masters in the world of prior authorization services. We ensure 100% PA submissions on the same day itself and will be bringing about the much needed transformation your practice needs within days.  

We have 100's of client references and can give you a genuine competitive presence like none other. In addition, we have the competence to work across any PM system and EMR and that's what separates us from the rest.  

Combining AI and human intelligence, we are best-suited to handle all practice management requirements as a next-gen prior authorization company. At just $7 per hour, we make it happen for you and will be bringing about a complete mastery over prior authorizations like you had never thought possible.