Auth delays harm patients and cost revenue. Proactive management achieves 98% approval rates with tracking and emergency services.
Services rendered without proper authorization result in automatic denials, leaving practices unable to collect payment for care already provided.
Manual authorization requests take 7-14 days on average, causing treatment delays and potential patient dissatisfaction or abandonment.
Incomplete or incorrect authorization requests result in denials, requiring resubmission and further delaying patient care and reimbursement.
Without systematic tracking, authorization expiration dates are missed, resulting in denied claims for services performed after expiration.
Administrative staff spends hours on hold with payers, pulling them away from other critical tasks and creating bottlenecks.
Emergency and urgent cases requiring expedited authorization face delays when standard processes are followed, compromising patient care.
Comprehensive system monitors all authorization requirements by payer and procedure, ensuring requests are submitted well before service dates.
Experienced authorization specialists prepare complete, accurate requests with all required documentation to maximize first-time approval.
Continuous tracking of all pending authorizations with proactive follow-up and escalation ensures nothing falls through the cracks.
Direct payer contacts and relationships enable faster processing, expedited urgent requests, and higher approval rates.
Complete preparation and submission of all authorization requests with comprehensive supporting documentation.
Continuous monitoring of all pending authorizations with proactive follow-up to ensure timely approvals.
Systematic tracking of authorization expiration dates with alerts and renewal management to prevent service disruption.
Expert management of authorization denials including peer-to-peer reviews and appeal submission.
Specialized services to recover revenue from emergency and services provided without prior authorization.
Before Medtransic, our staff spent 15+ hours per week on prior authorizations, and we still had a 35% denial rate. Now, they handle everything with a 98% approval rate, and our staff can focus on patient care. We've eliminated over $400,000 in annual authorization-related denials.
Contact Medtransic today for expert prior authorization services. Call 888-777-0860 or visit https://medtransic.com/contact for a free consultation.