Sunknowledge Advantage with StandAlone Radiology Prior Authorization

With the arrival of ICD 10, the probability of making errors in claim submission has increased. Therefore, one witnesses too many cases of authorization denials these days, resulting primarily from coding errors or incorrect information. The main focus of a well-managed radiology billing operation is to submit claims for services punctually and in the proper, required format, and receive reimbursement as fast as possible. And this is the main impetus behind the growing drive to hire third party experts for radiology Prior Authorization.

CT (computerized axial tomography), MRI (magnetic resonance imaging), MRA (magnetic resonance angiography), PET (positron emission tomography), cardiac nuclear medicine studies (e.g. nuclear cardiac stress test) are the segments that require a pre-approval from the ordering physician.

How Can We Help?

Transform your Revenue Cycle with our legendary support at just $7/hr.* (all inclusive) guaranteed locked-in rate till 2026!

sunknowledge advantageIn majority cases, these are highly time-sensitive procedures and most often than not, need to be completed within a specified time in order to initiate the necessary treatment plan. Errors made while requesting prior authorization never help.

They cause delays that could have been avoided, and only prolong the waiting period for the approval to arrive from the insurance company. And when it stretches for too long, out-of-pocket expenses become inevitable, not to mention the agony that the waiting period has already caused to the patient.

Errors in prior authorization for radiology stem mainly from mistakes made while filling in the request form (which is usually done in a prescribed, pre-determined format), ignoring the latest guidelines, or missing out on providing all the supporting documents that are required.

The real problem is, such slips are not easy to avoid, because they stem from a simple lack of skill, time or knowledge. Regular in-house billing staff, employed by prior authorization for radiology practices, often falls short in meeting the desired standards in these areas.

Prior Authorization for RadiologyThe better alternative, naturally, turns out to be outsourcing the task to a dedicated prior authorization for radiology expert, or an entire team of such professionals as dictated by the volume of work. Insurance companies have a very low threshold for tolerance in matters involving the kind of errors that plague the billing and claim submission scenario today.

So why take chances and lose time, and money, in getting requests denied, sending and re-sending them many times over till the desired approval is obtained? Radiology practices are well-advised to seek out dedicated, specialized assistance in such matters, and not just cut denials and improve overall collection from their business, but also free their administrative staff for more important things to take care of.

Are You Looking for streamlined medical billing assistance?


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.

    Input this code: captcha