Prior-Authorization Services

Expert Prior Authorization Management for Maximum Reimbursement

Obtaining prior authorization is an intricate process and incurs considerable time in administrative workflows that greatly contributed to the revenue cycle of a healthcare practice. This process entails getting authorization from insurance payers in advance before certain medical services, treatments, or drugs are administered. Given the dynamics of today’s payer environment and the ever-increasing documentation demands, managing prior authorizations can be highly challenging when conducted in-house.
That is why at Philadelphia Medical Billing Services, we take this stress and make it our responsibility to ensure that all prior authorizations are completed on your behalf. Our focus is on timely submission of claims, clear payer relations, and proper management of appeals so as to increase your claim success and your profitability.

Comprehensive Prior Authorization Services for Healthcare Specialists

At Philadelphia Medical Billing Services, we provide a package of services aimed to optimize prior authorization processes and increase your claim acceptance rates.

Medical Billing Services

Our certified professional medical billers offer end-to-end billing services. Their responsibilities include handling patient check-in and check-outs, charge entries,

Coding Services

Medical coding team of our company uses ICD-10-CM, ICD-10-PCS, CPT, HCPCS coding sets. We follow AAPC and AMA coding guidelines to offer maximum compliance with regulations.

Provider Credentialing Services

Our credentialing specialist helps in unlocking privileges related to in-network enrollment. We assist providers in accelerating reimbursement and increasing revenue and patients at their practice.

Payment Posting Services

Proactive EOB (explanation of benefits) and ERA (electronic remittance advice) results in better collection on insurance claims. Our billing managers perform these difficult tasks nicely without making a single mistake.

Denial Management

Injury claims are costly and unpaid ones result in financial loss or bad debts. To tackle such losses, our team actively engages with payers and patients to keep the ratio of such cases to zero or at least minimum.

Insurance Verification Services

Our dedicated team has gained expertise in ensuring minimum disruption to cash flow to your practice. We automate the entire process of insurance eligibility verifications, providing quick results in claim rejections.

AR Management & Followup

Accounts receivables are a thorn in the flesh for all medical practices in the US. They result in revenue leakages and require a permanent solution rather than a short term.

Compliance with Health Laws

Following federal and state health laws ensures compliance with regulations. Being an industry’s leading medical billing company in Philadelphia, we help healthcare facilities meet these targets.

Reporting & Analytics

Primary care physicians, surgeons and family practice providers dealing with personal injury cases are provided detailed analytic reports by our team.

Prior & Retro Authorization

Billing staff of Philadelphia medical billing company gets prior authorization from insurance companies to avoid delays in treatment leading to better patient retention.

Benefits of Outsourcing Your Prior Authorization Services to Philadelphia Medical Billing Services

Improve prior authorization approval rates up to 25% by accumulating payer information and refining documentation submission.