PRIOR AUTHORIZATION-AS-A-SERVICE
REDUCE DENIALS, ENHANCE PATIENT ENGAGEMENT.
The coverage of prior-authorizations is increasing year-on-year as per AMA (American Medical Association). Caregivers focus on providing the BEST CARE their patients need at the RIGHT TIME. The cost of care is co-shared with the Payers and it needs to be pre-authorized to ensure the costs of care are covered. It is NECESSARY, a requirement from payers, before the payments are made.
Managing prior/pre-auths and pre-certs are time consuming and sometimes, frustrating. Moreover, the patients may just stop the recommended treatment(s). These patients might also be suffering from pre-existing co-morbidities and other dire conditions that require extensive treatment and expensive medicines. If the caregiver does provide the requisite care, it may be burdened with payment delays, part-payments and denials.
iRapidO offers specialized prior authorization-as-a-service to Physician/Non-physician practices, multi and single specialty clinics and Hospitals.
Our human and AI-powered process for prior authorization not only improves productivity, it leads to improved revenue realization and patient engagement.
Our team works as your extended team.
PRIOR AUTHORIZATION
We offer prior authorizations as a standalone service that take away tedious and time-consuming effort off your staff. We make this process smarter with our human and AI centered capabilities
Dedicated staff that is trained in managing the Pre-certifications and Pre-authorizations
Proper documentation and coding that ensures that the denials are minimal and exceptions-related. Our AR team is well trained and experienced in dealing with complete healthcare Accounts Receivables process and follow-ups.
Intelligent process to identify cases for Pre-Authorization well within the authorization time frame and trends for obtaining approvals in similar cases.
Diligent follow-ups with the concerned physicians for any additional information required
Tracking each Pre-authorization request with the Payer team
WHY HEALTHCARE PROVIDERS ARE OUTSOURCING SERVICES TO iRapidO?
At iRapidO, we do more than just support healthcare back-office tasks—we become a vital part of your healthcare operations. With strong healthcare domain knowledge, an experienced team, and strict compliance standards, we help healthcare providers improve efficiency, lower costs, and deliver outstanding patient care.
Healthcare Domain
Expertise
Expertise
Deep understanding of healthcare industry standards and practices.
24x7x365 operations
Continuous support to keep your operations running smoothly.
Lower Cost of Operations
Reduce expenses without compromising on quality.
Experienced, trained and certified team
Skilled doctors, clinicians, and certified coding professionals ensuring accuracy.
Flexible Engagement
Models
Models
Choose service models that fit your business best.
Rapid scale up
Accelerating growth with rapid scale-up strategies for maximum impact.
Process Automation
Save time and reduce errors with automated workflows.
Continuous Training and Skills Upgrade
Keep your team up-to-date with regular trainings.
Stringent Data Security
Protect sensitive information with robust security protocols.
HIPAA and HITRUST Compliance
Strict adherence to healthcare privacy and security standards.
Consult with our Healthcare Domain Expert
Get personalized insights tailored to your business needs. Our experts are here to guide you every step of the way.