PRIOR AUTHORIZATION

Prior Authorization (PA), sometimes referred as “pre-authorization,” is a requirement from your health insurance company that the doctor should obtain approval from your plan before it will cover the cost of a specific medicine, medical device and/or procedure.

Medical billing prior authorization involves payors covering prescribed services before they are rendered, providing protection for healthcare providers and patients. AT Healthcare pre-authorization representatives are well trained with the most up-to-date payor requirements so that the process is more efficient and prompter.

Prior Authorization services in healthcare is a step in the revenue cycle management process. This comes after Insurance eligibility verification process. The output from benefit verification process forms the base for prior authorization process. Prior Authorization in Medical Billing helps the healthcare organization in an appropriate payment collection for the services rendered, reducing denials and follow-up on the same.