The Physicians’ Prior Authorization Woes and the PriorAuth Remedy

Prior Authorization

Prior Authorizations isone of the biggest concerns for physicians and is a bitter reality of the healthcare industry now. Prior Authorization was originally developed as a measure to reduce the costs for various healthcare services, medicines, and medical equipment. The core purposeis also to keep price increases in checkand prevent DME (durable medical equipment) from ending up on the black market.

However, as a consequenceof all the good intentions, prior authorizations have brought a few hurdles too. A recent survey suggests almost 75% of physicians consider prior authorization to be a burden. Almost 60% of surveyed doctors reported that they have to wait 1 to 3 days for prior authorization decisions. Nearly 67% of physicians expressed their frustration that they have to keep one or more employees dedicated to just handling prior authorizations!An overwhelming 90% expressed that prior authorizations are hugely responsible for the delay of care procedures.

The hardship for physicians has been exasperatedby the withdrawal of ACA subsidy and introduction of the Final Rule mandate. The issues are not limited to the delay in the process or the cost of the services and equipment.Physicians are losing patients from the increased prior auth regulatory requirements.

In this current climate, how do physicians combat these prior authorization woes? First, let us outline the specific issues occurring in physician offices:

♦ The absence of an automated prior authorization process and heavy dependence on manual processes
♦ A lack of prior authorization experts in the office
♦ High training costs for existing staff
♦ Technical infrastructure limitations
♦ High cost to hire dedicated and competent prior authorization staff
Expensive prior authorization software and online solutions

Given these issues, PriorAuth Online comes to the rescue and proves its essential role in providing prior authorization support to physicians. The advantage of PriorAuth Online’s service are:

♦ Boost average number of approvals by 1.5 to 2X
♦ No Transaction, training or installation costs
♦ 7 years of payer side experience (insurance claim adjudication)
♦ Fully backed by HISCOX insurance coverage with up to $1 million in protection against errors of omission & commission
♦ Standalone Prior Authorization Services as low as $5 per auth (does not need to be bundled with any other services)
♦ Guaranteed reduction of your operating costs by 80%
♦ Fast and efficient service with 99.9% accuracy
♦ Experience serving more than 28 specialties
♦ 100% client retention
♦ Daily/Weekly/Monthly customized reports

PriorAuth Online, the online prior auth platform of Sunknowledge Services Inc. supports the prior auth requirements of 100s of healthcare providers across the United States. The advantages of working with such an established brand include reliability, a guarantee of top-notch customer service, and excellent references. If you have additional needs, PriorAuth Online also offers comprehensive Revenue Cycle Management and Telemedicine solutions!

Need more info? Call(646) 661-7853 for a free demo or schedule one online at

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