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Know About Prior Authorization For Prescription Drugs.pdf
- 2. Pre-authorization or prior-authorization is a legal requirement to make certain that the insurance payer pays for the treatments and medications specified on the medical claim form. The insurance payer is free to refuse payment of a patient’s medical service as part of the health care insurance plan without authorization. Prior authorization for prescription drugs is intended to ensure that patients have access to safe, effective, and affordable prescription drugs. Companies that provide medical billing services collaborate closely with physicians to ensure a more efficient process for approving prior authorization requests. If a patient is prescribed a medication that necessitates prior approval for medical necessity and such approval is not obtained, the patient may be forced to pay the full cost. HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/ INFO@247MEDICALBILLINGSERVICES.COM
- 3. Prior Authorization Request Submission Process The physician is responsible for obtaining authorization for the prescription drugs. Before performing the procedure, the provider must apply for authorization. Once approved, the payer issues an authorization number to the physician for future reference. Authorization requests can be submitted both manually and electronically by the physician. There are both offline and online forms available for submitting a written authorization request. An electronic authorization request is submitted via fax or mail. Insurance authorization company have different requirements for authorization requests. HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/ INFO@247MEDICALBILLINGSERVICES.COM
- 4. Importance of Pre Authorization Pre authorization is an important step in the medical billing process. It guarantees that the procedure will be covered by the insurance company and that the physician will be reimbursed. Here are some of the main advantages of pre-authorization: Helps to control costs and manages the risk of over prescription. Determines whether the recurring or ongoing service is actually beneficial to the patient’s care. Promotes patient safety. Lower healthcare costs. Aids in the improvement of care quality and the promotion of evidence- based care. Reduces unnecessary procedures and health care costs, for example, health plans require preauthorization for painkillers that are susceptible to misuse and monitor their use. HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/ INFO@247MEDICALBILLINGSERVICES.COM
- 5. Partnering with a medical billing outsourcing company such as 24/7 Medical Billing Services can make the process easier for physicians. We have experts on staff who will collaborate with the provider to submit prior authorization requests as soon as possible. Errors will be reduced by their streamlined, centralized processes. As insurance verification specialists, we have worked with all government and private insurers and can ensure that Prior Authorization for Prescription Drugs requests are submitted in accordance with the needs of various plans. HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/ INFO@247MEDICALBILLINGSERVICES.COM
- 6. HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/ We are a medical billing company that offers ‘24/7 Medical Billing Services’ and support physicians, hospitals, medical institutions and group practices with our end to end medical billing solutions. We help you earn more revenue with our quick and affordable services. Our customized Revenue Cycle Management (RCM) solutions allow physicians to attract additional revenue and reduce administrative burden or losses. INFO@247MEDICALBILLINGSERVICES.COM
- 7. HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/ Media Contact: 24/7 Medical Billing Services Georgia 3001 Greenfield Drive, Marietta GA 30068 Ohio 28405 Osborn Road, Cleveland, OH 44140 Texas 2028 E Ben White Blvd, #240-1030 Austin TX, 78741 Delaware 16192 Coastal Highway, Lewes, Delaware 19958, United States Phone no / Fax : +1 888-502-0537 Email us: info@247medicalbillingservices.com INFO@247MEDICALBILLINGSERVICES.COM