secure timely approvals, reduce claim denials, and
improve the patient care experience.
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+1 (602) 563 5281
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MedSole RCM obtains pre-authorizations from insurance providers before services. We track approvals, communicate with payers, and document everything clearly. Timely authorization helps reduce claim denials and improves billing timelines.
A Pre-Authorization process in Medical Billing requires approval of services from a patient's insurance panel by healthcare providers, to check whether the insurance company will cover the cost of required service or not. Before providing treatment to patients, it is necessary. This process helps faster claims processing and increase operational efficiency. The purpose of Pre-Authorization is to prevent unnecessary cost by confirming that the required treatment is covered by the insurance panel. At MedSole RCM you will be having a team of experts for every step of the Medical Billing process.
We are HIPAA compliant and follow all HIPAA regulations, including superior documentation,
well-defined processes, and regular audits.It needs to be checked for some specialized treatments, surgeries, diagnostic tests like CT scan or MRI that require prior authorization from the insurance company or not
The accurate request is being submitted to the insurance company via call, fax or online.
The health insurance panels verify that the treatment and prescription is covered by the patient's plan
After reviewing all the details and requirements, the health insurance companies may approve or deny the request. If approved then authorization number is provided
There are numerous challenges in the authorization process that can impact healthcare providers, insurers, and patients. Below are some common challenges:
Below are some best practices for efficient authorization management:
The Professionals you can rely on We understand the challenges healthcare providers face when it comes to the Claims submission Process. Our goal is to support healthcare providers by delivering exceptional services. Let’s work together to transform your medical billing, minimize claim denials, and maximize reimbursements for better financial outcomes. Partner with us today and experience the difference:
Stay focused on patients care, leave the rest to us
There are numerous challenges in the authorization process that can impact healthcare providers, insurers and patients. We understand all those challenges. Our goal is to assist our clients by providing exceptional services. Partner with MedSole RCM today and experience the difference
Our Experts help physicians to eliminate revenue leakages and streamline cash flow. Improving your Practice’s performance.
Credentialing & Contracting - Medical Billing
- Revenue Cycle Management
- Patient Registration
- Claims Submission
- Verification of Benefits
- Pre-Authorization
OTHER
Get in touch Phone
+1 (602) 563 5281
info@medsolercm.com
Location
MedSole RCM, LLC 5050 E University Drive Ste 105 PMB 1047 Mesa, AZ 85205
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