Prior Authorization
According to a 2018 survey done by the American Medical Association:
• 86% of practices see pre-authorization as a burden
• On average, physicians complete 31 PAs per week
• Staff or providers spend two business days per week on PAs
ONC RCM will provide medically trained staff to obtain prior authorization for your practice or hospital. This will allow the healthcare provider to focus on care and revenue generation rather than spending valuable days working with insurers.
Initiate Prior Authorization
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ONC RCM receives the request for prior authorization from the provider
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ONC RCM then initiates the authorization with the insurer
Documentation
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Our staff then works with the provider to obtain accurate and thorough documentation
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Our staff then provides any additional coding as necessary for the provider to include in the authorization request
Request Submission
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Our trained staff then submits the request
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Staff then follows up with the insurer until authorization is provided
Reporting
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Our staff generates a list of approvals including expirations
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