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Prior Authorization

Prior authorization is a critical process in the healthcare industry, and at RCM Gravité, we specialize in facilitating smooth, timely authorization approvals.

Comprehensive Medical Billing & Coding Solutions

Outsourcing prior authorization can simplify the complex process of securing insurance approvals for medical procedures and medications. At RCM Gravité, we ensure your practice is free from delays by handling all aspects of prior authorization, enabling you to focus on providing the best patient care.

What We Do

Handling prior authorization internally requires significant administrative resources and time. By outsourcing to RCM Gravité, you streamline this process, allowing your team to focus on more critical tasks like patient care.

Properly obtained prior authorization helps reduce claim denials, ensuring smoother reimbursements and fewer financial setbacks.

Our team is well-versed in the complex regulatory standards, ensuring full compliance with industry requirements, reducing compliance risks.

Tailored Solutions for Every Medical Specialty

At RCM Gravité, we offer specialized Prior Authorization services for a variety of healthcare sectors. Our team is trained to handle the unique challenges faced by different medical specialties, ensuring a smooth and efficient prior authorization process that improves reimbursements.

Our Expertise Covers

Cardiology Prior Authorization
Neurology Prior Authorization
Oncology Prior Authorization
Orthopedic Prior Authorization
Dermatology Prior Authorization
Urology Prior Authorization
Mental Health Prior Authorization
Internal Medicine Prior Authorization

Our Prior Authorization Services

At RCM Gravité, we understand how critical timely and accurate prior authorization is for healthcare providers. That’s why we ensure that all your authorization requests are handled quickly and efficiently, reducing delays and maximizing reimbursement. With our services, your practice can focus on providing excellent patient care while we manage the complexities of prior authorization.

  • Timely Prior Authorization
  • Reduced Claim Denials
  • HIPAA-Compliant & Secure
Why Choose Outsourcing Prior Authorization?

Outsourcing your medical billing and coding brings several benefits that directly impact your practice’s financial health and overall efficiency. Prior Authorization is a critical aspect of the medical billing process, ensuring that treatments are covered by insurance providers before they are administered. Outsourcing this process to RCM Gravité can help streamline the workflow, reduce administrative burdens, and improve the overall patient experience.

Why Outsource Prior Authorization?

In-house Prior Authorization: Managing prior authorization in-house can be overwhelming, requiring significant time and resources, which could otherwise be spent on patient care. By outsourcing to RCM Gravité, we streamline the process, ensuring smoother workflows and allowing your team to focus on what matters most—your patients.

How Prior Authorization Helps Healthcare Providers?

Accurate and timely prior authorization is key to a doctor’s financial success. By outsourcing this to RCM Gravité, healthcare providers can reduce delays, improve billing accuracy, and ensure timely reimbursements. This leads to better financial performance by reducing denials and speeding up payment cycles.
Handling prior authorization internally can distract from patient care. Our team ensures that the process is managed efficiently, freeing up resources for clinical tasks and allowing staff to focus on what matters most.

When to Consider Outsourcing Prior Authorization?

High Volume of Authorization Requests: If your practice is overwhelmed with prior authorization requests, outsourcing can help manage the load efficiently and allow your team to focus on patient care.
Desire to Streamline Operations: Outsourcing can help streamline your entire billing and authorization process, improving overall efficiency.
Focus on Patient Care: Free your practice from time-consuming administrative duties so that you can focus more on delivering quality healthcare.

Our Comprehensive Services Include

Ensuring precise and up-to-date medical coding to meet healthcare standards and avoid claim denials.

Streamlined posting of payments and accurate generation of patient statements to improve the billing process.

Efficiently handling denials and submitting appeals to maximize reimbursement and reduce claim rejections.

Timely submission of claims and persistent follow-up to guarantee faster processing and approval from insurance providers.

We handle the essential task of insurance verification and prior authorization, ensuring all treatments are covered before they are provided.

We organize and maintain medical records with the utmost accuracy, ensuring compliance with healthcare standards and improving claim accuracy.

How Our Prior Authorization Process Works?

1
Eligibility Verification
We verify patient eligibility for specific treatments, ensuring all necessary authorizations are in place before proceeding.
2
Documentation Collection
We collect all relevant medical records and documentation required to submit for prior authorization, ensuring completeness and accuracy.
3
Submission of Authorization Requests
We submit all necessary prior authorization requests to insurance providers, providing all required documentation for approval.
4
Follow-Up & Appeals
We actively follow up on pending prior authorization requests and handle any necessary appeals if the request is denied.
5
Final Authorization & Approval
We ensure that all approvals are received in a timely manner, so that healthcare services can proceed without delay.