Tips to Improve Your DME Prior authorization Process

In a DME billing process, prior authorization plays a vital role as it not only affects the seamless billing process but has an impact on the health of the patients as well. As studies have shown that the lack of adherence in the authorization process alone has resulted in 125,000 deaths every year.

This is why today most of the healthcare providers find outsourcing their DME prior authorization process as a better solution

Why so?

Outsourcing organization handling prior authorizations are not only aware of the coverage and preauthorization guidelines but are always up to date with recent industry mandates, which many in-house billers find struggling with due to the heavy work pressure and billing responsibilities. Meeting all of the payer’s criteria before submitting a prior authorization request, there are outsourcing organizations that put special attention in maintaining an accuracy rate of 99.9 percent which in-house billers often lack.

Other benefits of outsourcing your DME prior authorization process:

Cost-effective solution- one of the major reasons why healthcare providers today are more into outsourcing their DME prior authorization process is for its cost-effective solution. Having a team of in-house billers handling the authorization process can be quite an expensive affair while choosing an operational system can save a lot of money and also provides better reimbursement.

Ensure experience with Skilled resources –without being worried about biller's training process or its cost, outsourcing your DME prior authorization process has the benefit of skilled billers and certified coders at all times.

Offers faster reimbursement with the highest Collection rate: it is often seen that in-house staffs due to heavy work pressure and juggling in between administrative work and billing processes are too slow in the collection. Missing out on follow-up in-house billers often seen delaying the whole process. Whereas outsourcing organization is specialized for all such services. With a dedicated team catering specifically for your DME prior authorization process and collection, the outsourcing organization offers a far better collection rate and faster reimbursement.