Prior Authorization Management

02 Oct Prior Authorization Management

Eliminate Delays, Boost Patient Access, and Recover Lost Revenue

---

---

Why Prior Authorization Management Matters

Prior authorizations (PAs) are one of the biggest bottlenecks in modern healthcare. A staggering 88% of providers report care delays due to PA requirements, according to the AMA. Every delay means dissatisfied patients, lost revenue, and staff burnout. Without a structured, technology-driven solution, practices drown in paperwork, faxed forms, phone calls, and payer rejections.

Remote Practice Managers’ Prior Authorization Management Service streamlines this process end-to-end — reducing administrative burden, accelerating approvals, and ensuring patients receive timely care.

---

The Financial Impact of Poor PA Management

• Revenue Leakage – Delays often lead to claim denials or patient cancellations.
• Staff Inefficiency – Hours spent on hold with payers translate into wasted payroll dollars.
• Lost Patients – A patient who experiences delay or denial is far less likely to return.
• Cash Flow Issues – Rejected or delayed authorizations choke billing cycles.

According to MGMA, practices spend an average of 16 hours per physician per week on prior authorizations. That is time and money wasted.

---

How Our PA Management Works

We leverage automation tools, payer portals, and trained specialists to handle the heavy lifting:

1. Eligibility & Benefits Check – Validate requirements before service delivery.
2. Automated Form Submission – Reduce errors by digitizing payer-specific forms.
3. Real-Time Status Tracking – No more “lost faxes” or unknowns.
4. Appeals Support – Address denied PAs quickly and effectively.
5. Audit Readiness – Full documentation trail for compliance.

---

Key Benefits of Adopting PA Management

• Faster Approvals – Improve turnaround times from weeks to days.
• Higher Revenue Capture – Reduced denials and cancellations.
• Improved Patient Experience – Care delivered on time builds loyalty.
• Lower Staff Burnout – Free up front office and billing staff for higher-value tasks.
• Data-Driven Insights – Track payer trends to forecast and prevent denials.

---

Project Requirements & Process

This service is structured as a Project:

• Project Requirement: Provider must grant access to EMR and payer portals.
• Step-by-Step Process: Setup → Eligibility Check → Automated Workflow → Tracking → Appeals if needed.
• Timeline: Initial setup within 2 weeks; ongoing monitoring continuous.
• Expected Result: 40–60% reduction in PA turnaround time, higher clean claims.
• Potential Setup Fee: Yes (one-time automation setup).
• Duration: Ongoing service.
• Requires Access to Provider’s EMR? Yes.
• Deliverables? Yes (status reports, workflow logs).
• Requires Ongoing Subscription? Yes.

---

What Happens After You Sign Up?

1. Project is created automatically in our system.
2. Assigned to a Project Manager (Account Specialist) who oversees the implementation.
3. Client Portal is created for transparency, real-time tracking, and progress updates.
4. Introductory/Discovery Call is scheduled to align goals, timelines, and integration needs.

---

Call to Action

Are prior authorizations slowing your practice down? Don’t let approvals block your revenue cycle.
👉 Sign up below for Prior Authorization Management

---