Focusing on medical necessity and controlling the rise in its premium costs, the focus of prior authorization has always been the betterment of patient health. However, the administrative expenditure of providers and the potential delays in care for patients often overshadow the intent of prior authorizations.
The rules of prior authorization are always changing. As reported on the 1st February 2022, United Healthcare will require you to obtain prior authorization for PT, OT, and ST services delivered at multi-disciplinary offices and outpatient hospital settings, especially for patients new to therapy and those who are currently receiving therapy. For a patient not obtaining prior authorization online before performing a PT, OT or ST procedure, claims can further result in denied and the patient won’t be billed for the services. Prior authorization is a confusing state of affairs and requires expert managing it.
Sunknowledge – the expert prior authorization solution:
With a complete understanding of the prior authorization rules and different requirements of providers, Sunknowledge offers seamless authorization solutions to many. Taking care of all the prior authorization needs, starting from relevant information and supporting documentation etc, we take care of it all. Our experts further work on 100% authorization submission on the same day. We are the best in our work and guarantee 90% authorization approval guaranteed.
We further ensure a 99.9% accuracy rate while reducing the operational expenses by 80 percent. We are an RCM solution that guarantees the highest productivity metrics and the highest first pass collection rate as well.
We offer complete authorization work at $7 per hour, taking care of the complex work of authorization initiation, authorization approval and follow up which no other RCM offers.
So what are you waiting for? If you are struggling with the complex requirement of authorization or finding staff addressing your prior authorization challenges is a struggle? Then get in touch with our experts over a no-commitment call. Our experts will show you how partnering with us for your prior authorization complication can change your operation and improve your ROI in no time.
