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:
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.
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.
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.
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.
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.
As your success partner, we are delivering exceptional results for your prior and retro authorization processes.
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:
We give direction to your staff for accurate and complete documentation to support the medical necessity of services.
We ensure streamline workflows by timely submissions and proper follow up with payers. We provide you customized services and procedures as per your requirement.
Our AAPC certified coders ensure your services are coded correctly to maximize your insurance reimbursement.
We implement our strategic approach to ensure proper payments from payers and report any issue promptly to avoid delay.
We address denials by opposing “No Prior-Authorization required”. Also resolve the financial impact of common denial reasons.
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:
Quick approvals and improved cash flow with our prior and retro authorization solutions
Are you facing retro authorization claims? Practice mate helps you to get maximum reimbursement as you deserve.