Prior and Retro Authorization Services

Streamline Your Authorization Process with Urgent RCM

Expert Solutions for Retro and Prior Authorizations

At Urgent RCM, we understand the challenges healthcare providers face when dealing with retro and prior authorizations. Our team of experts is dedicated to providing seamless and efficient solutions to ensure timely and accurate processing of these critical authorizations. We leverage advanced technology and industry expertise to streamline your authorization process, reducing delays and improving cash flow.
Our comprehensive approach includes:

  • Retro Authorization: We handle retro authorizations with precision, ensuring that all necessary documentation is gathered and submitted to the payers in a timely manner.
  • Prior Authorization: Our team expertly navigates the complex prior authorization process, ensuring that all necessary information is gathered and submitted to the payers to secure timely approvals.
FEATURES

Streamline Your Prior Authorization and Retroactive Approvals with Our Specialized Services

Our retro and prior authorization solutions have consistently delivered impressive results:

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Authorization Rate
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Client Satisfaction Rate
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First-Time Pass Rate
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Active Providers

Our Prior Authorization Solutions

At our organization, we specialize in providing comprehensive Prior Authorization solutions to simplify and expedite the process of obtaining approval for medical services. We specialize in understanding the specific requirements of healthcare providers, guaranteeing streamlined and successful authorization procedures.

Our Prior Authorization Solutions include the following steps:

1. Assessment and Documentation: We start by carefully evaluating the medical necessity of the proposed services and thoroughly recording all the necessary information needed for authorization.

2. Verification and Submission: Our team is highly experienced in handling insurance coverage verification, checking for any specific plan requirements, and efficiently submitting the required documentation to the insurance provider for approval.

3. Follow-Up and Communication: We are diligent in our follow-up and communication with the insurance company, ensuring that we stay on top of the authorization request, fulfill any additional requirements, and secure timely approval.

4. Compliance and Reporting: Throughout the process, we strictly follow industry regulations and compliance standards, ensuring that our records are accurate and providing comprehensive reports on authorization status.

5. Efficiency and Accuracy: With our expertise in the Prior Authorization process, we focus on maximizing efficiency and accuracy. By utilizing advanced technology and efficient workflows, we minimize delays and optimize revenue cycle management.

Our specialized Prior Authorization Solutions enable healthcare providers to effortlessly navigate the authorization process, alleviating administrative burdens and allowing them to prioritize delivering exceptional patient care, free from the complexities of authorization.

FAQs

Frequently asked questions.

Retro authorization is the process of obtaining approval for medical services that have already been provided but not yet billed.

Prior authorization is the process of obtaining approval for medical services before they are provided.

Our services streamline your authorization process, reducing delays and improving cash flow by ensuring timely and accurate processing of authorizations.

Yes, our team is experienced in handling both retro and prior authorizations, providing comprehensive solutions for your healthcare practice.

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Testimonials

Some Feedbacks From Honorable Clients

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Whether you are a small practice looking to streamline your billing processes or a large hospital seeking to optimize your revenue cycle

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Address / Location

40 W 37th St, New York, NY 10018
200 N lllinois St, indianapolis, IN 46204
70 Southpark Dr Winnipeg, MB R3T 2M1, Canada

Call Us

+1 (978)-709 1991

Email Us

info@urgentrcm.com

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