AUTHORIZATION

Often times insurance payors require your patients to have insurance authorizations prior to any services or procedures are performed. With Medsoft Billing’s full suite of RCM services, we ensure that your patients are getting the prior auth that may be needed for their appointment at your practice. We review patient demographics in conjunction with scheduled procedures and determine if prior authorization is required. If the authorization is required, we request it directly from the payors so you don’t have to. Additionally, we review the insurance policies and remain up-to-date on the insurance specific authorization guidelines and requirements.

Our team at Medsoft Billing is skilled in understanding the different CPT codes or services that require special authorization. We review patient demographics in conjunction with the scheduled procedures and determine whether prior authorization is required.Authorizations are just one component within the full suite of RCM services. But, they play a critical role in ensuring that patients receive the right care and that you receive the correct payments. We take pride in offering top-notch verification and authorization services and we strive to help you improve your cashflow across your practice.

At Medsoft Billing, it’s our goal to streamline your processes and increase the cashflow of your practice by collecting a minimum of 80 percent of the money owed within 90 days of the filed claim. Medical billing efficiency is a major component of that strategy. That means we work to accurately forecast patient payment responsibility and insurance reimbursements, as well as minimize denials by implementing insurance company regulations and reduce A/R by resolving unpaid, denied, or rejected claims in a timely manner.

By removing the insurance and billing burdens from your practice, Medsoft Billing empowers you to focus on managing your practice. We’ve been in the healthcare and medical billing industry for more than 20 years, and we are experts in creating a healthier cashflow process. Along with handling verifications and authorizations, we can also take care of contracting, credentialing, billing and coding, payment posting, A/R cleanup, and much more.

If you have any questions or would like to like to speak with a Medsoft Billing team member, you can contact us online today.