Prior Authorization for Physical Therapy & Occupational Therapy

Obtaining prior authorization (pre-authorization or pre-certification) for physical therapy services can be a challenging job. As health insurance reimbursement policies keep changing, imposing newer limitations and mandates on prior authorization, the fight between healthcare providers and insurance companies continues to get tougher.

It’s no wonder that one of the main impediments faced by physical therapy and occupational therapy practices today while trying to generate a steady stream of revenue, is getting services prior authorized to the fullest possible extent and that too, in time.

We understand. And we have the perfect set of solutions for you to help you get over all your pre-authorization worries.


prior approval

We act as the perfect facilitator between you & the Payer, eliminating all errors in the process of Pre-certification. Our full suite of Practice Management services includes a comprehensive and highly streamlined prior approval process that includes a) sending out the auth request, b) following up with the Payer, and c) obtaining the approval.

In addition, we also extend our support with fast and accurate patient eligibility verification and benefits verification that help prevent nasty surprises at the time of seeking reimbursement from insurance companies.

Looking for proven expertise in a dedicated niche? That’s us!

As a disciplined vendor, we aim to centralize practices,
streamline them, reduce errors and improve overall efficiency.

Prior Authorization Benefits

Our dedicated personnel are experts in practice management, helping in creating the perfect liaison among insurance companies, healthcare service providers, and patients. We are the preferred vendor for two of the leading medical insurance companies in the country for claims adjudication. This has lent us a unique edge in complying with Payer guidelines better than others and helping our clients drastically reduce claim denials and rejections.

Key Benefits

  • 70% reduction of operational cost… guaranteed!
  •  Increase your current rate of successful authorizations by 1.5 – 2x
  • Full-range Prior Authorization service (Auth Request + Follow-up + Approval)
  • Prompt service with 99.9% accuracy
  • 100% HIPAA compliance
  • Highly competitive prices, with no overhead – no overtime – no hidden costs!
  • 7+ years of experience in claims adjudication for leading Payers
  • Free your in-house team for focusing on care management issues
  • Zero lockup service contracts that you can cancel anytime

WHAT WE COVER

We do prior authorization for DME (Durable Medical Equipment), CPAP Machines,
Orthotics & Prosthetics, Allergy, Oncology, Physician Services, Nursing Homes,
Radiology, Specialty Pharmacy, Home Healthcare, Anesthesiology, Dermatology,
Imaging, Rehab, Cardiology, Physical Therapy, Sleep Medicine, Gastro Enterology,
Pain Medicine, Rheumatology, Clinical Care Management, Podiatry, Neurology,
Pulmonology, Urology, General Surgery, Obstetrics & Gynecology, Ophthalmology,
Orthopedics, Otolaryngology Medical Practice and more!

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GET IN TOUCH

Enough of us! Lets know about your areas of interest! Get connected for a quick discussion on how we can elevate your revenue cycle management experience by working as a seamless operational extension.