3 Tips for seamless ambulatory prior authorization

It is no secret that the prior authorization process often stresses out many people due to disputes and long authorization processes.  According to a recent survey, more than 46% of people end up suffering due to failure to obtain secure prior authorization.

Don’t let this happen to you.

If you are looking to maximize your paid claims and ensure an effective ambulatory prior authorization process in place, then here are a few tips that can help you with better ambulatory authorization operations:

  • Proper documentation – for an ironclad prior authorization process you need to start by ensuring proper and accurate documentation.  With efficient and standardized communication you not only obtain a faster prior authorization initiation but also a better approval ratio. Working on accurate demographics and insurance information from the patient, procedure and diagnosis codes and in narrative format, physician’s order, if necessary and even authorization outcome including, number, date or timeframe to complete service; in fact, helps with the faster authorization process. 
  • Experienced resources taking care of all your ambulatory prior authorization complications – experienced resources not only follow the right guidelines to shape your process but also keep the track of every changing ambulatory pre authorization rules and guidelines in place.  In fact, by maintaining a checklist of all regulations and ensuring all have been attempted, experienced authorization specialists help you avoid unnecessary spending of money as well.
  • Avoiding outdated technology to avoid the authorization burden – staffs are always recommended to use the latest technology and software for better billing and authorization outcome. It not only helps in the automation of the process whenever necessary but also assures a more rapid solution and a real-time status.

Sunknowledge helps you better ambulatory authorization:

With the present day staffing shortage and rising healthcare costs, Sunknowledge today is the only RCM destination offering a comprehensive prior auth solution at $7 an hour, without compromising on the standard and productivity metrics. Ensuring a seamless prior authorization solution while protecting the bottom lines, Sunknowledge with constant effort and efficient communications put on the measure on the workflow so that it can go through upon the first submission.

Ensures 100% ambulatory prior authorization submission on the same day and a faster claims submission and reimbursement rate, with Sunknowledge you further experience an operational cost reduction of 80%.

 

providing impressive business support along with excellent industry references across the industry, Sunknowledge today is recognized being the leading RCM destination to streamline your authorization process and improve your bottom line in no time.

To know more about the other benefits and efficiencies that we can bring to your practice, contact us today over a no commitment call.