Develop a Powerful Roadmap in Prior Authorization for Allergy Services
- March 30, 2017
- Posted by: Thomas Anderson
- Category: Prior Authorization
It is a proven fact that every year medical practices are losing a huge amount of money due to lack of quality measures in prior authorization services. While dealing in prior authorization for allergy services, the common challenge area is to identify the insurance requirements with repeat therapy that is applicable within a three-year span. The policy with reimbursement is confined to a maximum of 60 tests in a time period of three years.
FDA coverage of benefits and approval needs a composite prior authorization process. Oral desensitization and the member’s benefits with pharmacy can also be cited as a prominent instance. The use of extra units that are exceeding a maximum of 80 units will be requiring a comprehensive eligibility verification and authorization practice.
A profound strategy in practice management
It clearly illustrates that a synchronized practice management will be the need of the hour for allergy specialties. Hiring a competent medical billing partner that provides considerable exposure in securing prior authorization for allergy services will be providing an excellent momentum.
- It is well understood that for a better denial management, you will need consistency in the prior authorization that will synchronize the entire process. Laying down the right checks and balances in allergy services billing is only possible with a stand out prior approval process that is 100% HIPAA compliant in all attributes.
- The mandate forward will be finding a competent partner that understands your operational facilities in place and work as a perfect extension. A partner that can assist you with an end to end revenue cycle management support will be providing the right value.
Also, it will be pertinent to find someone that provides a ready action plan on how they will reduce your pain areas in account management. But reducing your billing costs in-house and giving relevant strategic recommendations on how you can evolve your financial credibility with streamlined medical billing in place should be the idea ahead.
Make your medical billing strong with consistent prior authorization services
As an allergy services provider, it will be indispensable today keeping in mind the complexities revolving the federal decisions. Transparency of provider service prices is a significant factor that is compelling providers to improve on their prior authorization and speed up the entire process with first time PA requests and approval.
Finding well groomed medical billers, understanding modern payer prerequisites and ultimately robust processes will be the key fundamentals to choose the appropriate medical billing company specialized in providing timely prior authorization services.