Radiology is the special medical process of using energy rays for curing ailments. Examples of the different curative rays that are used are X Rays, Radiography, Ultrasound, Computed Tomography etc. These treatment techniques being extremely expensive, the role of prior authorization cannot be over emphasized here. The best way to ensure that the cost incurred on radiology practice is recovered early and exhaustively is to entrust the prior authorization to a reputed and experienced agency and best choice for radiology prior authorization is The reasons for the same are as follows.

  • Guaranteed reduction of operated cost by 70%
  • Prompt service with a consistent accuracy rate of 99.9%
  • Experience of serving major health care organizations in prior authorization
  • Increase in current rate of completed request by 1.5x to 2x
  • Certified expertise in pre-certification
  • Experience in adjudicating claims for large clients
  • A comprehensive range of services including request, follow up and approval
  • 100% HIPAA and HITECH compliance
  • Turnaround time less than 48 hours
  • Low service fees with no hidden cost
  • Zero lock up service contract that can be cancelled at any time
  • Array of excellent references by existing clients
  • Real time audits and custom reporting
  • Excellent visibility and proven expertise

The process that is followed in radiology prior authorization is as follows

  • Calling up the insurance payer for the request filing protocol, turn round time and documentation requirement
  • Collecting prior authorization form and the relevant documents as asked for by the payer from the provider
  • Submitting the filled up from and tracking the receipt of the same
  • Following up with the payer company to know the prior auth status and also furnishing the additional documents as asked for by the payer
  • Updating the information of acceptance of the request or denial in the provider’s system along with service information like start and end date of the accounts bucket

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