Understanding The Cure to The Prior Authorization Headache

Outdated processes with prior authorization results in major delays in patient care. An AMA survey reveals that nearly one in three have had delays with adverse affects on a patient. It is one of the major reasons for revenue leakage for healthcare providers with almost 30% increase in write offs which can be prevented.

In a practice, nearly two out of five have to focus only on prior authorization in medical billing. Electronic prior authorization (EPA) can be a cure to the manual process and the administrative hassles. It costs $767 million annually which was $627 million in 2019.

The Council for Affordable Quality Healthcare (CAQH) shared a study on the accrued expenses of manual pre authorization which costs providers $10.26 per transaction in 2019 as compared to $3.64 per EPA transaction while it is $7.07 with partial electronic prior authorization transaction. Artificial intelligence and its potential use have a lot of benefits with:

  • Streamlined and organized process in prior authorization

  • Increase in the number of prior authorization without any additional staff

  • Decrease in denials

  • Lowers administrative costs

  • Reducing staff time


The Sunknowledge assurance

We are a one stop destination for all your practice management demands. At present, some of the largest DMEPOS, Radiology, Dermatology, cardiology, laboratories, physical therapy providers and anymore are working with us with excellent references.

Our team also understands how to upgrade your payments with us working as your ideal urgent care billing destination. At just $7 per hour, we make sure that 100% PA submissions are done on the same day itself.

Also, we promise to reduce your overhead expenses by almost 80% within the first month itself. Also, our team will be reducing denials with an excellent understanding of the existing prior authorization demands. Get to know what makes us unique in the world of pre cert or prior authorization services.

We know what it takes to define your practice management standards and help you focus on what you know best, patient care. Partner with us and eliminate any pains like never before in your prior authorization process.