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A healthcare administrator reviewing prior authorization documents with an outsourcing partner.

How One Practice Reduced Denials by 40% with Prior Authorization Outsourcing

Prior authorizations (PAs) are an essential but often time-consuming part of the healthcare process. The complexity of insurer requirements, combined with the administrative burden of submitting and tracking authorizations, can lead to increased denials and delayed patient care. In this case study, we explore how outsourcing prior authorizations helped one healthcare practice reduce denials by 40%. By partnering with Staffingly, Inc., a provider of outsourcing solutions for healthcare practices, the practice was able to streamline its PA process, ensuring faster

Monica Michael

A step-by-step guide explaining how a Prior Authorization Specialist at Staffingly Inc. helped secure prior authorization for Insulin Lispro for a patient covered under Simply Healthcare Medicare.

Outsourcing Prior Authorization

How to Obtain Insurance Prior Authorization for Insulin Lispro with Simply Healthcare Medicare?

Insurance Company Overview: Simply Healthcare Medicare Let’s start with a bit about Simply Healthcare Medicare. They’re part of the broader Medicare network and offer specialized Medicare Advantage plans. Simply Healthcare focuses on quality care for senior members while balancing cost control for high-cost medications. They, like many other Medicare providers, have stringent prior authorization (PA) policies to manage costs while ensuring members get necessary treatments. If you’re working with expensive treatments like Insulin Lispro, Simply Healthcare often asks for prior