Prior Authorization and Retro Authorization Services

Practice Mate Prior and Retro Authorization for Quick Approval

At Practice Mate, a leading billing company based in Texas with over 20 years of experience, we specialize in delivering top-tier prior and retro authorization services tailored for healthcare providers, hospitals, and medical practices across the USA. Our mission is to alleviate the stress and complexity of documentation, communication, and follow-up with insurance companies, so you can concentrate on what truly matters—providing exceptional patient care.

Outsourcing our prior and retro authorization services means you can get:

Our Prior and Retro Authorization Services Streamlines your Practice

It’s difficult to understand the complexities of prior and retro authorization. We offer all inclusive prior and retro authorization services to maximize insurance benefits for you. We are here to assist you in getting necessary approvals.

Pre-authorization Request submission

We collect all medical records and supporting documentation to liaise with you for accurate diagnosis and coding procedures. We submit a request to the insurance company and track the status of your request throughout the process.

Retro Authorization Assistance

We assist you in receiving retro authorization for services already rendered due to some unpredicted circumstances. We follow up your claim with the insurance company by completing the submission of retro authorization appeal.

Appeals and Denial Management

We analyze denial notices and identify root causes for denials. We are your negotiator with insurance representatives. Our experienced team manages multiple appeals where it’s necessary.  We help you to avoid unnecessary out of pocket expenses.

Data Analysis and Reporting

We help you to provide valuable insight into prior and retro authorization to optimize your workflow and increase your insurance reimbursement. We track KPIs like turnaround time, denial rates and approval rates for your practice.

Measurable Results in Prior and Retro Authorization

As your success partner, we are delivering exceptional results for your prior and retro authorization processes.

Benefits of Outsourcing Prior and Retro Authorization to us?

We are dedicated to rapidly improving your prior authorization procedures and capturing additional revenue. We do all for you from the patient's documentation to proper payment and denials resolution. Our strategic approach focused on five key areas:

  • Enhanced Documentation

    We give direction to your staff for accurate and complete documentation to support the medical necessity of services.

  • Streamline Prior authorization Process

    We ensure streamline workflows by timely submissions and proper follow up with payers. We provide you customized services and procedures as per your requirement.

  • Accurate and Precise Coding

    Our AAPC certified coders ensure your services are coded correctly to maximize your insurance reimbursement.

  • Proper Payment Assurance

    We implement our strategic approach to ensure proper payments from payers and report any issue promptly to avoid delay.

  • Denial Resolution

    We address denials by opposing “No Prior-Authorization required”. Also resolve the financial impact of common denial reasons.

Why Choose us for Prior and Retro Authorization Processes

Exhausted of waiting weeks or months for prior and retro authorization along with facing complexities?

Practice mate eliminates all frustration associated with prior and retro authorization procedures by saving you valuable time and maximizing revenue.

You can choose us because we can speed up things by:

  • Real time eligibility verification
  • Integrated appeals and denial management
  • Pre-built templates and Auto fill features
  • Automated prior authorization requests
  • Automated notification and reminders

Quick approvals and improved cash flow with our prior and retro authorization solutions

Don’t Let Retro Denials Impact your Revenue

Are you facing retro authorization claims? Practice mate helps you to get maximum reimbursement as you deserve.

  • Proven strategies for claim resolution
  • Expert in retro authorization appeals
  • Stay complaint with updated regulations
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