Authorization Management Services

A revenue integrity service for providers who want to increase reimbursement and help reduce denials by managing authorization requirements across the care spectrum.

Leverage Our Medical Authorization Expertise

Stay up to date on complex, evolving guidelines and payer-specific requirements by leveraging dedicated staff that has both clinical and revenue cycle expertise

Accelerate payer response by using centralized technology and processes that are efficient and repeatable

Help reduce authorization-related denials by reviewing denied admissions, days, and services, and completing all necessary steps for reconsideration and appeal requests

Review each medical record with a specific focus on payer requirements to obtain the right authorization for all services scheduled and rendered

Obtain detailed performance reporting that includes a month-over-month view of account activity, including current status, completion percentages, and approval percentages 

Help prevent unnecessary delays in care and ensure accurate reimbursement for services provided

Optimize Pre-Authorization in Medical Billing

Dedicated, Expert Resources Make a Difference

  • Our team members average more than 10 years of clinical and authorization experience, and our clinicians (nurses or allied health, depending on client need) have specialized education in authorization requirements and commercial screening tools.
  • We manage pre-certification and authorization needs for inpatient and outpatient diagnostic and therapeutic services and provide comprehensive concurrent or retrospective inpatient authorizations after admission. 
  • Our team is dedicated to helping ensure that no part of your authorization request slips through the cracks.

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