Navigating the complexities of healthcare can be challenging, especially when it comes to understanding prior authorization and insurance precertification. AuthNet simplifies these intricacies for hospitals and healthcare providers. While the terms are often used interchangeably, they serve distinct purposes within the healthcare system.

At AuthNet, we understand that navigating the complexities of healthcare precertification can be daunting. Medical precertification is essential for ensuring that the services you need are approved by your insurance provider before they are rendered. Our goal is to guide you through the process, helping you avoid unexpected expenses and delays in your care.

At AuthNet, we understand the challenges that physicians, medical office staff, and other professionals face when it comes to revenue cycle management, healthcare billing, insurance preauthorization, and benefits verification. That's why we are dedicated to providing a seamless and efficient process to ensure our clients can focus on what matters most — providing exceptional patient care! Our approach is guided by our core values, encapsulated in the acronym C.A.R.E.S.

Efficiency is key when it comes to running a successful medical practice. From streamlining patient intake to optimizing insurance authorizations, every aspect of your workflow can impact your overall performance. Here are four tips from AuthNet to help you improve your practice's workflow and enhance productivity.

Prior authorization can be a time-consuming and complex process for healthcare providers, taking away valuable time and resources from patient care. That's where AuthNet comes in – a trusted provider of prior authorization services that allows healthcare professionals to focus on what matters most: their patients. In this blog, we'll explore four industries that can benefit from AuthNet's services.

As a medical professional, you understand the importance of providing timely and efficient care to your patients. However, one of the biggest challenges you may face is the process of precertification. In this blog post, we provide important information about precertification as well as opportunities to learn more about how AuthNet can streamline the process for your medical practice.

In the fast-paced world of healthcare, where every second can make a difference in a patient's life, the last thing medical professionals want to deal with is administrative hurdles. These necessary but time-consuming tasks can often divert precious resources away from patient care.

That's where AuthNet comes in. We collaborate with physicians, hospitals, ambulatory surgical centers, and other healthcare providers to simplify the authorization process. But how do you know when it's time to...

Navigating the world of healthcare procedures can be complex, and one important aspect to consider is precertification. Understanding the precertification process can help patients and providers mitigate potential complications and ensure a smoother healthcare experience. AuthNet is a leading provider of prior authorization processes and services for hospitals, ambulatory practices, and ancillary healthcare service providers across the country. In this blog post, we will shed light on four common medical procedures that require precertification.

It’s no secret that insurance preauthorization can be a complex and confusing process for both healthcare providers and patients. To make matters worse, there are several common misconceptions surrounding insurance preauthorization that can further complicate matters. In today’s blog, we will explore four of these misconceptions and shed light on the role that AuthNet plays in providing streamlined preauthorization services to hospitals and private practices. Read on to learn more!

As a healthcare professional, managing preauthorization can be time-consuming and challenging. Outsourcing preauthorization can free up your time, allowing you to focus on your patient's care while ensuring that you receive faster approvals and increased productivity in your office. Authnet is a nationwide company delivering faster and easier medical prior authorizations, insurance authorizations, and benefits verification.

When it comes to healthcare, insurance preauthorization services are essential for helping healthcare providers get the most out of their claims. AuthNet offers preauthorization and insurance authorization services across the United States, so you can be sure you’re receiving the best possible care. Let’s explore the advantages insurance preauthorization services offer.

When providing medical care to patients, it's essential to prioritize the patient experience. Patients should never be made to feel like a burden or an inconvenience, and that's why understanding their needs is vital to creating a positive atmosphere in your facility. AuthNet is here to talk about the four tips for medical professionals to improve their patient experience. Learn more about our insurance authorization process today!

Medical professionals undergo many time-consuming tasks that take away precious time from patient care. Some of these tasks include eligibility verification and pre-authorization, as insurance companies often make it difficult to establish a smooth process, which you do not want to deal with as a medical professional. AuthNet is a leading provider of prior authorization services and we are here to help your facility overcome the barriers insurance creates throughout the process. Read on to learn why you should partner with us, and visit our website...

When you need prior-authorization services, having a team of professionals at your side is imperative. AuthNet understands that handling insurance pre-certification requests and billing processing is not what you want to do each day, so our team is here to handle it for you! This gives you more time to treat your patients and operate your office each day. Learn more about the top four advantages of AuthNet here and contact us to get started!

Let Authnet Focus On Prior Authorizations So You Don't Have To

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While most people don’t usually plan on getting sick or hurt, everyone will need health care at some point or another. Medical insurance offers valuable financial protection against unforeseen events and can benefit both patients and healthcare providers. However, before a certain medical service can be covered by an insurance policy, it may need to go through a prior authorization process.

For many healthcare service providers, prior authorization can be a daunting task. In fact, medical prior authorization costs so much time and resources that it can offset some of the benefits of...

The processes for prior authorizations continue to grow year after year. And with the need to decrease costs being greater than ever, many health plans are still continuing to increase the number of prior authorizations that are required for both medical and prescription benefits.

Prior authorizations are used by insurance companies to determine whether or not a policyholder is able to receive coverage for healthcare. This is often a complex process that involves several different parties including the patient, healthcare provider, insurance company, and the pharmacy (to learn more...

When it comes to health insurance, it is important to keep in mind that some injuries and other healthcare services are not covered by health insurance. Keeping these in mind is a great way to prevent the nasty surprise of a big medical bill that you thought your health insurance was going to cover. Read on to learn what to watch out for, and if you run a medical facility and are looking for professional pre-authorization services, give us a call at AuthNet today for a free demo of our state-of-the-art solution.

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Healthcare facilities know all too well the struggle that comes with prior authorizations. Not only do they cost physicians practice time and money, but also have a detrimental effect on overall patient care.

Insurance companies may require precertification for outpatient and inpatient hospital services, observation services, physician-ordered medical tests, clinical procedures, invasive procedures, medication, medical devices, and more. This means that they will not pay for the service or medication until the physician has submitted elaborate paperwork that shows the necessity of...

What if we told you that obtaining preauthorization no longer needs to be a time consuming and troublesome process? While many physicians are strongly pushing for complete elimination of preauthorizations, this scenario is unlikely. But fortunately there are a few steps that physicians can take in order to speed up this process and make prior authorizations much less costly and vexatious.

Step #1: Outsource Your Prior Authorizations

Taking into consideration how much time your staff likely spends completing prior authorizations, it doesn’t make sense to put...

Although prior-authorizations are implemented to help with cost-containment, it is also very labor-intensive for health care providers, pharmacists, and patients. They require multiple telephone conversations and letters with supporting documentation, making it expensive and administratively unsustainable for many health care providers. With the number of insurance plans growing and there being more drugs than ever before requiring prior authorizations, it makes it more and more difficult for providers to keep up — and the failure to obtain proper prior authorizations can have a...

With the world currently experiencing an unprecedented healthcare crisis, there is now a sense of chaos and panic that many people have never experienced before. With this widespread panic, healthcare providers are taking a lot of heat from patients who are seeking answers, asking questions, and so forth. Providers must do all that that they can to keep their patients informed, calm, and safe, and in today’s post, we will be providing tips on doing just that. This way, you will be able to connect and communicate well with your patients during this novel COVID-19 pandemic.

If your...

In the face of the current COVID-19 pandemic that has swept the globe, hospitals everywhere are being tremendously impacted. The virus has led to healthcare system disruptions that are necessary for combatting the immediate threat of the virus, according to physicians. But, these disruptions are also forcing many patients who do not have the virus to take on a heavy burden. Individuals who are experiencing chronic conditions are needing to fight harder for the care they need — not only now, but also after the outbreaks come to an end. Hospitals will be left to deal with backlogs from...

Put simply, a prior-authorization is a process used by certain health insurance companies to determine whether or not they will cover a prescribed medication or health services. This restriction is placed in order to help both your doctor and your insurance provider feel comfortable that your medications and/or services are medically appropriate for your care. At Authnet, we know that as a patient, the prior-authorization process can be frustrating. Here is a real-world example of the prior authorization process, what it entails, and how Authnet can help make this process go more smoothly...

As a healthcare provider, you are no stranger to the amount of time that is consumed by pre-authorization tasks. It sucks up a lot of time, to be sure. But it’s more than just a minor annoyance. When you actually look at the numbers, it can feel downright criminal to realize how much time and how many resources are lost to pre-authorization.

You can expect to lose over 14 hours per provider each and every week from pre-authorization tasks. That’s more than 700 hours a year that you are spending on a bureaucratic task. If you have multiple providers, your office might be...

It’s well-established that precertification causes an office to work less efficiently. We’ve discussed how it affects client experience, contributes to the stress of employees, and costs time and money — lots and lots of time and money. In fact, in a previous blog post, we discussed how you can expect an average annual cost of $28,000 per provider to do precertification in-house.

In today’s blog post, we want to take a look at the role that in-house precertification...

AuthNet wants to keep our clients updated on everything that is going on in the world of prior authorization and precertification. As of June 5, 2019, there is talk of a bill on pre-authorization services going to Congress. The bill is expected to be introduced to Congress within the next couple of days. In our blog today, we will take a look at what this bill involves and why it matters to pre-authorization services.

What Is The Bill?

The name of the bill is the “Improving Seniors’ Timely Access to Care Act of 2019.” This bill is specifically addressing issues...

The precertification process can be intensely stressful and time-consuming — not to mention expensive. As an example, for your typical primary care office, it’s estimated that the median amount spent on insurance prior-authorizations is more than $47,000 per full-time physician. When you’re dealing with these kinds of costs, it only makes sense to consider outsourcing. Something has to change, after all. It simply isn’t worth it to spend all that time and money on something that offers no benefit to the function of your office.

Considering this, the next step is to look into various...

As we have talked about before, having efficient precertification practices can greatly improve patient experience. Moreover, the benefits of high-quality patient experience can be inestimable. Fundamentally, after all, this is a service industry with the primary aim of improving people’s lives. It is, in other words, about the patient.

As medical professionals, it is important to remember how far removed the average patient is from...

Operating a standalone medical office can feel like running a small coffee shop across the street from a Starbucks. Whether yours is a rural practice treating myriad different ailments every day or a small office with a single specialty, it can be hard to find the happy balance between caring for your patients and caring for your operational costs. Outsourcing your insurance pre-certification needs to a specialty service like AuthNet is a great way to ensure your patients get the care they need while saving your practice...

Medical care often gets a bad reputation for providing the exact opposite of what patients expect. Instead of being able to get in and out for a routine appointment quickly, busy patients often find themselves using up the entirety of their lunch hour or afternoon off and don’t even make it through to see the doctor. First and foremost, healthcare is about helping people. Don’t let things like office function hinder that primary mission. If you’re looking for ways to provide a better patient experience, try these tips.

Create a Patient-Forward Focus

Given the...

Source: Becker's ASC Review

A troubling trend among insurance companies is threatening orthopedic ASCs across the country: narrowing payable diagnosis codes for osteoarthritis of the knee. Surgeons need to prove patients have a very specific diagnosis of knee osteoarthritis before payers will preauthorize surgery. Several payers will no longer preauthorize surgery based on "knee pain" and look for patients to meet certain criteria before an osteoarthritis diagnosis can be applied.

For example, Aetna considers patients with mild-to-moderate...

Not Your Average PreCertification Services Company

When it comes to precertification services, we know you have several options to choose from, some of which may be geographically closer. However, when it comes to selecting the precertification company that’s right for you, there are other factors to consider beyond just services provided. You want a precertification service that understands the importance of building relationships with their clients and one that understands your objective is providing quality care to your patients by being available to tend to their needs. Enter...

Why PreAuthorization?

You have more than enough to worry about at your medical practice. From caring for patients to keeping up with daily tasks and attending to employee matters, your medical practice is sure to have had the misfortune of dealing with medical backlogs. If this is or is becoming the case for you and your medical practice, let AuthNet’s precertification services take the stress out of the equation so you can get back to your pressing matters. But how does AuthNet deliver unsurpassed preauthorization? Take a look below...

The Ins and Outs of Precertification

Those in the medical profession understand the importance of ensuring that each patient’s needs are met and met within a timeframe that allows for the most beneficial treatment and healing time for them. However, patients’ needs extend well beyond the quality healthcare services they receive from your healthcare center, hospital, or private practice; patients’ insurance and medical billing information is of the utmost importance when it comes to providing optimal healthcare services, whether the patient is in for a routine visit...

Why Choose AuthNet For Your Medical Practice’s Precertification?

There are many reasons medical practices choose AuthNet for their medical prior authorization needs. Least among these reasons is the time saved by outsourcing your medical billing needs. But before we begin, let’s get into the nitty gritty of just what medical prior authorization is. The prior authorization services provided by AuthNet are designed to afford you and your staff more time to continue your practice and medical services, rather than becoming stuck with cumbersome medical billing processes...

How AuthNet Makes Your Job Smoother

The medical field is one of the most demanding, draining, and rewarding professions out there. In a field where anything can happen and there’s rarely a dull moment, ensuring that processes and day-to-day tasks continue smoothing without running aground. And while unforeseen medical emergencies can derail your and your staff’s daily happenings, choosing to outsource your medical billing to AuthNet ensures that, no matter what your patients’ most immediate needs, you medical billing processes are taken care of. This affords you and...

Time is Money

With the ever-increasing breakneck pace of today’s business and medical environments, optimizing your day-to-day activities and responsibilities is of the utmost importance when it comes to timely and accurate turnaround for a variety of processes. Specifically, medical billing can inadvertently take up more of your day than you may have originally planned, completely derailing your timeline for other crucial tasks, engagements, and responsibilities. Consider this: each unique patient has equally unique medical needs, thus necessitating specific actions...

Save Time, Energy, and Money

Efficient time management is an integral part of getting the most out of our days, and better preparing for the days and tasks to come. Accordingly, optimal time management is crucial when performing medical billing tasks. AuthNet understands that there exists a myriad of tasks associated with medical billing and recognizes that many of these tasks hinder professionals’ ability to provide extraordinary patient services. Moreover, when you and/or your staff are free from dedicating hours to medical prior authorizations, you’re then free...

Get Help for Your Prior Authorization & Verification Needs

What’s the biggest challenge facing your medical practice? The majority of practice managers and owners will tell you that it’s the process of pre certifications and verifications with insurance companies. This process can be time-consuming, slowing down the progress within your office and forcing you to focus on paperwork instead of patients. Unfortunately, ignoring this process isn’t an option, either. It can leave your office without the necessary cash flow that you need in order to become a thriving, busy practice....

Save Time, Energy, and Money

Efficient time management is an integral part of getting the most out of our days, and better preparing for the days and tasks to come. Accordingly, optimal time management is crucial when performing medical billing tasks. AuthNet understands that there exists a myriad of tasks associated with medical billing and recognizes that many of these tasks hinder professionals’ ability to provide extraordinary patient services. Moreover, when you and/or your staff are free from dedicating hours to medical prior authorizations, you’re then free...

Get Help for Your Prior Authorization & Verification Needs

What's the biggest challenge facing your medical practice? The majority of practice managers and owners will tell you that it's the process of pre certifications and verifications with insurance companies. This process can be time-consuming, slowing down the progress within your office and forcing you to focus on paperwork instead of patients. Unfortunately, ignoring this process isn't an option, either. It can leave your office without the necessary cash flow that you need in order to become a thriving,...

Medical billing is a huge undertaking for most medical practices. It requires an incredible amount of data entry, follow up, and paperwork in order to get the right pre-certifications, prior authorizations, and insurance verifications that you need. Some medical practices think that this is just part of the business of running a medical practice. While it's true that this sort of insurance paperwork is a necessity, it doesn't necessarily have to be done in your office. In fact, doing it yourself could be negatively impacting your practice.