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.
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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.
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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.
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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.
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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
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