medical insurance Archives

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Medical Prior Authorization Services

Ensuring that patients receive necessary healthcare services and medications while managing costs for insurance providers is crucial in today’s healthcare system. Medical Prior Authorization Services—also referred to as pre-authorization, precertification, or prior approval—help determine whether a treatment, test, or prescription is covered under a patient’s insurance plan before it is administered. This process prevents unnecessary procedures, reduces claim denials, and ensures that patients receive the most appropriate and cost-effective care. For hospitals and medical practices, managing prior authorizations can be

Sophia Wilson

Prior-Authorization

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