Prior And Retro Authorization Services
Betta Medical Billing manages the prior and retro authorization work your practice cannot afford to fall behind on, so treatment gets approved faster and your staff can stay focused on patients instead of paperwork.
The Pre Authorization Process Deserves A Dedicated Team
Prior authorization exists to confirm that a procedure is actually covered by a patient’s insurance, but the process itself can take a frustratingly long time. Many physicians and administrative staff find that a slow authorization process drags down productivity and turnaround times across the whole practice. Certain procedures simply cannot move forward until they are approved or pre certified by the insurance company. Managing prior authorization well is a genuinely time consuming task for a busy practice. Betta Medical Billing offers insurance authorization services built to take that burden off your team without pulling time and resources away from patient care.
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Why Should You Outsource Prior Authorization Services
Prior authorization is one of the more difficult tasks a medical practice has to take on. It is a slow, demanding, and expensive process that eats up a significant share of a practice’s time and resources, which is exactly why so many healthcare systems and hospitals choose to outsource this work to an experienced medical billing company.
Handing prior authorization over to a team that specializes in it is a genuinely effective way to save both time and money, while also helping patients get to treatment or diagnostics sooner.
Benefits Of Outsourcing Insurance Prior Authorization Services
When you outsource to Betta Medical Billing, our team takes on responsibilities such as:
- Saving your practice time and the hassle of dealing directly with payers
- Freeing your staff to focus on their primary responsibilities
- Working toward the strongest possible reimbursement for your practice
Advantages Of Outsourcing Your Prior Authorization Process To Betta
Outsourcing comes with real advantages. It saves your practice time and money, lifts a significant burden off your administrative team, and reduces the risk of a records review that could otherwise interrupt your revenue stream entirely.
If you are considering outsourcing your prior authorization work to a team with real experience in the field, we encourage you to take a closer look at how Betta Medical Billing can support your practice’s goals.
Suppose you are already thinking about handing this work over to a company with experienced professionals. In that case, it is worth understanding more about how our medical billing and coding services work together to help you get there.
- We manage the entire prior authorization process from start to approval.
- If a request needs more information, we work directly to reach or call the relevant provider.
- If a prior authorization request is denied, we file an appeal whenever it is possible to do so.
- Our secure, HIPAA compliant systems keep you updated on where each request stands.
- Our prior authorization staff stay current with ongoing compliance training.
- A dedicated prior authorization team means fewer gaps and a more streamlined billing process for your practice.
Advantages Of Outsourcing Your Prior Authorization Process To Betta
Our prior authorization services support hospitals, outpatient facilities, and physician practices in the following ways.
- Managing the entire prior authorization procedure from beginning to end
- Obtaining authorization from insurance companies for procedures and services that require prior approval
- Monitoring requests, including reaching out for further information needed for pre certification from the physician
- Filing requests for appeal whenever a denial can reasonably be challenged
We recommend consistent quality control on every prior authorization request and a structured billing process behind it, since that combination is what actually keeps billing error free over time.
What Makes Our Prior Authorization Service Different
Our revenue cycle management service is built to be the partner your practice can rely on for its financial success.
Our dedicated team works requests promptly, so approvals do not sit waiting longer than they need to.
We prepare thorough, accurate submissions the first time, which helps avoid preventable denials.
You stay informed on where every request stands, without having to chase down updates yourself.
Every authorization request is handled through secure, compliant systems from start to finish.
Helping Practices Recover What They Are Owed
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Prior And Retro Authorization FAQs
What is the difference between prior and retro authorization?
Prior authorization is approval obtained before a service is provided. Retro authorization is requested after the service has already taken place, usually when there was not enough time to secure approval beforehand.
How long does prior authorization usually take?
Timelines vary by payer and procedure, but a dedicated team working requests promptly and accurately generally moves them along faster than a practice managing it alongside everything else in house.
What happens if a request is denied?
Whenever a denial can reasonably be challenged, our team files an appeal on your behalf and continues to follow up with the payer until the request is resolved.
Which practices can use this service?
Our prior and retro authorization services support hospitals, outpatient facilities, and physician practices across a wide range of specialties.
Get The Best Medical Billing Audit For Your Practice
Our in-house billing auditors provide comprehensive, specialized support so you can balance your work and your life. Talk to the Betta Medical Billing team today.