Ensuring Best Practices in Prior Authorization for Dermatology

Every year, dermatology practices generate hundreds of thousands of prescriptions requiring Prior Authorization. Obtaining it is a challenge, especially among patients who are hoping to secure newer or stronger medications. It is no less so for the dermatologist who needs to have a complete understanding of prior auth caveats as dictated by various health plans.

The importance of prior authorization for dermatology

The authorization process helps ensure the right selection of drugs is made, unnecessary overspending is avoided and patient safety is ensured.

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sunknowledge advantageThere are certain guidelines to be followed that help dermatologists find the best alternatives for people living with complex skin conditions. For instance, although someone suffering from dark spots and hyperpigmentation might be able to undergo revolutionary treatments like light therapy, there are some fantastic skincare products out there nowadays that dermatologists can recommend to patients as less invasive alternatives.

In case you were not already aware, skin pigment-reducing products, also known as bleaching creams, whiteners, skin brighteners, and fading creams, work by reducing a pigment in the skin called melanin. Most people who use pigment-reducing products use them to treat skin problems such as age spots, acne scars, and even discoloration linked to hormones. Some people also use these products to lighten naturally dark skin.

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Prior Authorization for DermatologySo what does all of this mean for products and treatments that do require prior authorization? Well, there are changes happening all the time that an in-house dermatology team must be aware of. Also, any medical billing team, both in-house and off-shore, needs to stay abreast of all amendments that impact practice management.

Either way, reducing TATs and errors in first-time PA requests can optimize revenue cycle management methods of any healthcare practice. Dermatology service providers must therefore look for effective processes and a competent team that will improve their financial credibility and simultaneously remove doubts from the patient’s mind about the prescribed form of treatment.

In essence, a comprehensive back-end team equipped with disruptive technology that upgrades the processing of PA requests is the way forward for all.

While looking for a partner, your first prerogative should therefore be to look for a vendor that understands the practice administration process.

Credentialing and adjudication requirements are different from business to business and therefore a good revenue cycle management company will ensure required checks are made and that all accounts balance. Prior authorization for dermatology services has more to do with prescription and drug coverage benefits checks.

Reducing timelines with cost-effective solutions reduces billing costs considerably and so this should shape the strategic outlook for any provider. A competent vendor that is willing to ensure better pre-authorization will give your medical claims department a roadmap. They will reduce your AR days and also help you to achieve business excellence.

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