Authorizations are often required after insurance verification in order to render specific services or procedures for patients. Once it’s determined that they do have benefits with a specific insurance company, authorizations are the second step to approving services and moving forward with treatment and care. Not every patient has to have the authorization process completed — it depends on the insurance payers. That’s why it’s important to work with a knowledgeable medical billing company that is familiar with the complex insurance requirements and processes.
Fortunately, the Revenetix team is skilled in this area and understands what authorizations are needed for certain CPT codes or specialty services. We review patient demographics in conjunction with the scheduled procedures and determine whether prior authorization is required. If prior authorization is required, we submit the requests for the necessary code(s) and follow up on any pending requests. Additionally, we review insurance policies and remain up-to-date on the insurance specific authorization guidelines and requirements.
Authorizations are just one component within the bigger insurance picture. 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.
“Revenetix has helped us implement policies inside our clinic that help us collect as much of our payments as possible. Each month, we receive reports that tell us exactly how we are doing and our collection time has improved dramatically.” – Byron Geddes, Chief Operating Officer
At Revenetix, 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, Revenetix empowers you to focus on helping your patients and growing your business. 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 Revenetix team member, you can contact us online today.