21 +
Years of Experience
2.5M+
Verifications & Authorizations Completed
500+
Satisfied Clients
Prior Authorization for Radiology Procedures Made Simple
Prior authorization is crucial for interventional radiologists. As an experienced interventional radiology authorization company, we have in-depth knowledge of the unique aspects of radiology insurance verification and radiology authorization for hospitals and other outpatient practices.
With more than 20 years of experience, our specialists are trained to gather this information online or by phone from insurance companies.
Comprehensive Radiology Authorization and Verification Services
Insurance Verification
Payers may deny claims, if the patient’s coverage information is inaccurate. Before consultation, we accurately verify all patient details, including:
- Demographic details
- Coverage plans
- Co-payments
- Deductibles
- Co-insurances
- Payable benefits
- Plan exclusions
- Health insurance caps
- Out of network benefits
Prior Authorization
Our service involves requesting authorizations, submitting related clinical documentation & monitoring the status of existing requests. We provide pre-authorization services for advanced outpatient imaging procedures such as –
- CT scans
- MRIs
- MRAs
- PET scans
- MRA scans
- Nuclear medicine studies
- Nuclear cardiology
- SPECT scans
Our insurance verification process is designed to collect payments from patients proactively and prevent delays in claim reimbursement. Our team also verifies coverage of benefits with the patient’s primary and secondary payers.
Benefits of Expert Radiology Authorization and Verification Services
Errors in prior authorization mainly arise from mistakes made while filling out the request form, not following the latest guidelines, or missing out on providing all the supporting documents that are required. Our insurance verification services bring the following benefits.
- Accuracy in navigating insurance rules
- Reduced denials and delays
- Improved cash flow for healthcare providers
- Updated processes for patients
- Early identification of coverage limitations
- Compliance with regulations for insurance companies
- Enhanced efficiency and customer satisfaction
Why Us?
Pre-authorization Expertise
Our seasoned billing professionals have a deep understanding of the intricate processes involved. They are up-to-date with the CPT codes to be added to the Radiology notification prior authorization list. Our staff also stays current with the standard Radiology medical billing and coding guidelines.
Live callers
We provide the service of live callers to deliver personalized and efficient support. They have the expertise to address inquiries promptly, navigate complex insurance requirements, and advocate for the timely approval of radiology procedures.
Effective communication
We focus on effective communication, to ensure smooth coordination and clarity throughout the process. We prioritize open and transparent dialogue with healthcare providers, patients, and insurance companies to facilitate timely and accurate authorization approvals.
Get authorization and verification support from one of the leading radiology authorization companies. With our services, you can also benefit from –
- HIPAA-compliance
- Faster turnaround time
- Timely verification and authorization
- Proven track record
- Round-the-clock client support
- QA for all departments
- 30% to 40% cost reduction
Our commitment to excellence, combined with a results-driven approach, ensures that providers experience improved efficiency and reduced administrative stress, while patients receive timely access to the radiology services they need.
We serve all 50 states
Our Radiology Authorization Process
Our team ensures that requests are submitted along with all necessary documentation including a letter of medical necessity, payer-specific prior authorization form (if available), patient medical records with appropriate chart notes, history of past therapies, results and other information required by the payer.
1
Initial assessment
Authorization submission
4
2
Documentation review
Follow up
5
3
Insurance verification
Resolution
6
1
Initial assessment
2
Documentation review
3
Insurance verification
4
Authorization submission
5
Follow up
6
Resolution
Affordable & Flexible Pricing Plans
With our transparent pricing and customizable packages, you can optimize your pre-authorization and verification process without breaking the bank.
Full-Time Equivalent
In this model, services are billed based on the equivalent cost of a full-time employee (FTE) for a specified duration, usually monthly or annually.
Per Verification Billing
Like an FTE model, a person is dedicated to your practice. Perfect for a practice that is busy. They work as an extension to your business.
FTE/Per Verification Billing
This option is ideal for a practice that is unsure about their work requirements. This can have per request pricing for eligibility and other functions.
AR is only FTE
In this model, you will be charged a fixed monthly or annual fee based on the number of full-time equivalent staff required to manage your practice’s AR follow-up activities. We are also considering a blended model for AR.
FAQs
How long does the authorization process take?
The timeframe varies depending on the insurance company and the specific procedure. However, our team works attentively to accelerate the process and obtain timely approvals whenever possible.
What happens if the authorization request is denied?
In the event of a denial, our team will promptly investigate the reason and work with the healthcare provider to appeal the decision. We strive to ensure our clients receive the necessary authorization for their services.
How can I track the status of my request?
We provide real-time updates on the status of authorization requests, so that you can monitor the progress and stay informed throughout the process.
Are there any hidden fees or additional charges?
Transparency is paramount to us. We offer straightforward pricing with no hidden fees or surprises, ensuring our clients know exactly what to expect.