The surge in prescribed Allergy and Immunology procedures covered under Medicare/Medicaid has burdened practices with an increasingly cumbersome prior authorization (PA) process. Recognizing this challenge, dedicated allergy and immunology prior authorization services have emerged as strategic partners for practices drowning in paperwork. As trusted partners to leading health systems and suppliers, we seek to liberate your practice from the shackles of administrative complexities, enabling you to focus on what truly matters – value added care. But before we look at our prior authorization support for Allergy and Immunology practices, let us explore the challenges facing these practices. Pre-approval Challenges: A Wake-Up Call for A&I Practices Medication-Specific Challenges: Procedure-Specific Challenges: Systemic Challenges: The PA process, however, is even more burdensome than this list would suggest. Many of the components in the PA process like Doctor’s office follow-up, re-authorization, managing faxed documents and dealing with Insurance help desks are too tedious for the in-house staff to handle. This has led many allergy and immunology practices to outsource their prior authorization requirements. Outsourcing prior authorization for immunology helps practices focus on their core competencies and improves turnaround time and reduces costs. Outsource Prior Authorization Services for Allergy and Immunology: Here’s Why Allergy and Immunology Prior Authorization companies have increasingly come to the forefront due to their positive impact on practices. With cutting-edge tools, automation, and a vast pool of trained specialists, our services effectively clear out backlogs and denied requests. A well-optimized insurance approval process significantly reduces trouble with follow-ups and prevents claim denials. Outsourcing accelerates the prior authorization process, leading to faster approvals and improved patient outcomes. This streamlined approach allows practices and laboratories to handle a heavier workload, increasing their turnover. As a leader in the healthcare lifecycle management industry, we have successfully mitigated the prior-approval burden for our partners. Comprehensive support in prior authorization for Allergy and Immunology practices Authorization Initiation: Authorization follow up – Communicating with the payer to check the status of the authorization as per the turnaround time protocol of the payer. It also involves sharing additional notes as per payers’ requirement Acknowledgement of Authorization approval – Updating approved authorization in the providers’ practice management system with the start and end date for the Authorization approval, service information and provider information We provide complete RCM (Revenue Cycle Management) support, from administrative services like claims administration and credentialing to analytics including drug utilization analysis and payment reconciliation. Our specialized practice management services like scheduling, eligibility verification, prior auth. and customer support helps revamp and optimize the entire insurance approval process. In fact, we are the only Revenue Cycle Management company specializing in pre-certification. We assure: Our experience in adjudicating claims for large Payers is among the reasons for our success. Besides immunologists and allergy medicine specialists, we also provide services to: Providers – Hospitals, Nursing Homes, Skilled Nursing Facilities, Physicians, Home Health Care, Ancillary Providers and Pharmacies Payers – Commercial Plans, MA (Medicare Advantage) Plans, Medicaid HMOs, MAPD/PDPs, IPAs, MSOs and TPAs Complete Prior Authorization Support for Allergy and Immunology Practices This is how we achieve industry leading prior authorization approval figures for our partners: From insurance approval to compliance assistance, we help navigate the entire Pre-Authorization process. Why Choose Sunknowledge Services for Allergy & Immunology Practices Choose from a whole suite of RCM services from billing and coding to A/R and denial management for Allergy and Immunology. Our tailored services and processes suit the specific needs of your practice. Learn more about how we eliminate prior authorization hurdles for Allergy and Immunology practices by scheduling an obligation-free call with our experts today.
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