Optimizing The Prior Authorization Process Across The Spectrum Of Care
An Integrated Approach To Prior Authorization
Pre-authorizations aka Prior authorizations are never fun for Ancillary providers, but assembling as much information as possible before it’s needed can expedite the process and help reduce bundling denials related to authorizations.
This not only ensures timely patient care but also keeps your office focused onthe care they provide.
WWS Approaches Prior Authorization From The Perspective Of Utilization Management, Specifically Prospective Utilization Review, In Which Insurance Payers Consider A Number Of Factors Such As Medical Necessity, Prior Treatment, Clinical Indications, And Total Cost To Determine Whether The Savings Justify The Provision Of Services. In Addition, WWS Has A Robust System In Place To Determine Whether Authorizations Are Eligible For Approval In The First Place.
Additionally, WWS Works Closely With Your Office And Physician’s Office To Expedite The Authorization Process, From The Initiation Of The Insurance Preauthorization Request Through The Appeal Of A Denial, We Will Handle All The Details.
The Time It Takes To Get Your Prior Authorizations Up To Speed Can Be Greatly Reduced With Our Pre-Certification Services
Avoid Preventable Financial Losses with the Leading Provider of Prior Authorization Services.
An increase in approvals simply translates into an increase in revenue.
For both providers and patients, it's important to have a smooth journey from the first encounter with a provider through all stages of care. Prior authorization is a key component of that continuity of care.
As a provider, you’re acutely aware of how manual insurance authorizations can negatively impact your time and revenue. In fact, according to a recent survey by the Medical Billing and Coding Educators of America (MB&C), over 80% of respondents said that poor or inaccurate coding, as well as poor patient experiences, are significant contributors to revenue loss for their companies. It’s vital for organizations to optimize the authorization process across the spectrum of care in order to deliver a seamless experience for patients.
Be In Control With WWS - Let's Set Up A Time To Discuss Your Practice Goals