SERVICES

Prior authorization Services


Prior Authorisation (PA) has been in talks since the healthcare industry had first undergone significant changes in terms of an increase in specialization of services. Prior Authorization is an important process in the revenue cycle management that requires the healthcare providers to determine their patients’ coverage and obtain approval from the insurance companies before going ahead with any treatment or service.

The health insurance company must verify whether the patient is eligible for insurance for a certain medication or procedure. It is a common practice for the healthcare provider to parallelly check for authorization from the insurance carriers. The main intent of this process is to ensure safety and cost-savings by eliminating unnecessary and complex denials, which result in bad-debts for the healthcare provider.

Although prior authorization is an integral process, it is often time-consuming, cumbersome, and complex. In an event where the preauthorization is not granted to the patient, the medical provider may be held accountable or responsible to switch to a new treatment or medication. This results in treatment delays and providing optimum patient care. In some events where few medical procedures, treatments, or medications are already given, the healthcare provider may not get paid for the same, resulting in revenue loss.


Many hospitals and healthcare providers often struggle with financial losses or the massive burden of administrative duties which hinders their primary motive of patient care. It is high time to consider outsourcing the prior authorization services to professional RCM players who will better manage the services and contain the costs for the providers.

Kaiser is a leading provider of RCM services in the healthcare industry in the US and abroad. We ensure reliable, scalable, and accountable revenue management services that give you accurate claim submission and prompt reimbursements at competitive rates. Accuastrategies’ first-class outsourcing services not only simplifies the RCM process but provides various benefits to the clients:

Our services offer several benefits :


Determine prior authorization requirements : Kaiser employs proven, accurate procedures to efficiently determine the prior authorization requirements. Our dedicated specialists work closely with your team to ensure the payer’s pre-authorization criteria are submitted promptly.





Best-in-class services : The experienced team of specialists provides end-to-end services that include maintenance of patient records, verification of payers’ benefits to claim submission so that you can rest assured that your priorities are taken care of.





More time to focus on patient care : The mundane yet complex and necessary pre-authorization services that take up a lot of time of the medical practitioners are efficiently handled by our highly trained and diligent team, reducing your paperwork and errors. We ensure you have more time to focus on your core and noble objective of patient care.





Reduced claim denials : A healthcare firm may never fully recover the claims unless they employ the right procedures. Kaiser guarantees the right guidance and automation to obtain pre-authorization to reduce the risk of financial losses to the client.





Strict adherence to protocols : The ever-changing industry protocols make the healthcare industry more dynamic and complex. Kaiser employs all procedures and solutions that are 100% HIPAA compliant and strictly follow the industry regulations.

In the wake of the fast-changing healthcare industry, it is important to partner with a specialist that provides multi-faceted solutions that guarantee your success. Kaiser customized services will allow you to receive the reimbursement in record time, ensuring your financial success and stability.