Unlocking The Secrets To Successful Prior Authorization For SNF

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Unlocking The Secrets To Successful Prior
Authorization For SNF 

• Did you know?
• As per Americas Health Insurance Plans (AHIP),
  prior authorizations are required to make sure
  that the patient receives a safe, medically
  necessary, and suitable treatment.
• Health insurance companies have the distinct
  advantage of observing how patients use their
  coverage and what treatments they have already
  availed. The prior authorization process helps
  avoid duplication and unnecessary tests and
  treatments while ensuring that the patient
  receives the best care possible for their
  condition. Though prior authorizations are
  required in healthcare, they can be costly for
  practices and facilities such as skilled nursing
  (SNF).

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Lets unlock the secrets to successful prior
authorization for SNF

• Educate on Documentation Requirements
• It is critical that physicians understand the
  patients prior authorization process. They
  should be aware of the patients insurance
  coverage and whom to notify if the process
  changes in the middle of the procedure. However,
  they should also be trained on the entire
  procedure as their documentation is so vital to
  the process.
• Collect Accurate Information
• Patient intake is frequently the root cause of
  missing prior authorization, so be sure all the
  information you collect for prior authorization
  is correct. Make sure you use the same exact
  spelling for the patients name and address on
  the prior authorization as you do in your
  systems.

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• Work on your Denials
• Denials are inconvenient, but they can be turned
  into a learning opportunity. Working through your
  denials will assist you in avoiding them in the
  future. To determine why the denial occurred in
  the first place, your practice management system
  should include denial reports.
• Look for patterns in these reports to figure out
  what happened. Then, collaborate with your
  PMS/EMR vendor to design a system that makes your
  software work for you. Create reports, for
  example, that alert your team to combinations of
  payers and procedures that require prior
  authorization.

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Outsourcing Prior Authorization to Speed Up the
Process!

• Undoubtedly, most patients are waiting for prior
  authorization, affecting their care. Thats why
  its vital to grant patients prior authorizations
  as soon as possible so you will be paid, and
  your patients can obtain the care they require.
• The good news is that you can lessen your prior
  authorization burden by organizing your workflow,
  emphasizing developing relationships, enhancing
  accuracy, and keeping diligent. All this is
  possible by outsourcing SNF prior
  authorization tasks to the company, like 24/7
  Medical Billing Services. In fact, outsourcing is
  an excellent approach to connecting with
  professionals and experts who may have solutions
  you have yet to try.

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About 24/7 Medical Billing Services
24/7 Medical Billing Services is the nations
leading medical billing service provider catering
services to more than 43 specialties across the
entire 50 states. You can rely on us for
end-to-end revenue cycle management. We guarantee
up to 10-20 increase in the revenue with cost
reduction of your practice for up to 50.
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Call us Today
Media Contact 24/7 Medical Billing
Services, 28405 Osborn Road, Cleveland, OH,
44140 Tel [phone] Email
info_at_247medicalbillingservices.com Website
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