Authorization Services: Improving Patient Access and Reducing Delays

Authorization is the process of obtaining prior approval from insurance companies before a healthcare service is provided. This step ensures that patients can receive timely care while also reducing the chances of claim denials and payment delays. At Total RCM Solutions LLC, we take the guesswork out of the authorization process.

What is Authorization? 

Insurance authorization, or pre-authorization, involves getting approval from a patient’s insurance company before certain medical services, procedures, or prescriptions are covered. It ensures that the services provided are medically necessary and meet the insurer’s criteria. Failing to obtain the appropriate authorizations can lead to claim denials and delayed patient care.

Our Authorization Services Include: 

• Pre-Authorization Submission: We handle the submission of pre-authorization requests for medical procedures, surgeries, diagnostic tests, and prescriptions.
• Appeals & Denial Management: In cases where authorization is denied, we manage the appeals process to ensure that your claims are reconsidered and approved.
• Prior Authorization for Medications and Procedures: We coordinate with insurance companies to secure approvals for medications and treatments, reducing wait times for patients.
• Follow-Up Services: We manage follow-ups with insurance providers to ensure timely approval and resolution of any issues related to authorization requests.