Streamline Prior authorizations can be a real pain, but with a few adjustments, you can make the process smoother and save yourself and your patients some stress.
Here are 5 tips to streamline prior authorizations:
- Know Your Triggers: Become familiar with medications and procedures that frequently require prior authorization. Identify alternative options, like generics, that might bypass the process altogether. Having a list of alternatives on hand can save you time and hassle.
- Assign an Authorization All-Star: Designate a staff member who stays up-to-date on the ever-changing rules of different payers. This dedicated person can handle authorization requests efficiently, preventing wasted time and errors. In larger practices, a small team might be ideal.
- Embrace Electronic Efficiency: Take advantage of electronic authorization systems whenever possible. While some payer portals might exist outside your EHR, explore built-in functionalities within your system. Look for features that can:
- Alert you about potential authorization needs
- Suggest alternative options
- Generate reports outlining payer requirements
- Customize Your EHR: If your EHR offers advanced features, configure it to generate alerts and reports specific to prior authorizations. This saves your staff time by eliminating the need to research payer requirements each time.
- Keep Patients Informed: Delays caused by prior authorizations can be frustrating for patients. Ease their anxiety with a quick call or message through your patient portal. Transparency builds trust and prevents them from placing blame on your practice.
By implementing these strategies, you can transform prior authorizations from a headache into a manageable hurdle. Remember, a little planning goes a long way in keeping the process smooth and efficient.
About Allzone management services:
Established in 2005, our company has built a formidable global presence with locations in both India and the USA. With over 18+ years of experience in the BPO sector, we excel through our efficient offshore and onshore business models. Our state-of-the-art delivery service centers are staffed with over 500 dedicated professionals, enabling us to serve over 70 clients worldwide.
Our management team includes Certified Six Sigma Professionals who each bring over a decade of project management expertise, ensuring that our operations are both efficient and of the highest quality.
How Unique We Are
At Allzone, we pride ourselves on processing an average of 10 million transactions per year, a testament to our reliability and efficiency. Our medical billing services cater to over 5,000 healthcare providers, including surgeons, physicians, nurse practitioners, and physician assistants, demonstrating our broad and adaptable service capabilities.
We possess extensive knowledge in more than 70 medical specialties and are proficient with over 40 billing software systems, ensuring we can meet diverse client needs. Additionally, our hands-on billing experience spans 37 states, and our team includes AAPC Certified coders, underscoring our commitment to accuracy and compliance in medical billing. This unique combination of experience, expertise, and global reach makes us a trusted partner in the BPO industry.