Company description
In revenue cycle management (RCM), prior authorization is essential as payers need to confirm whether a particular pharmaceutical or procedure is approved. Suppose the insurance company does not support some treatments or medical devices. In that case, healthcare providers should wait until approval is obtained, or they should contact insurers for permission and then take the required steps.
A pulmonary expert, for example, may recommend the chest CT scan for a patient, but a heart specialist for the same patient may have already prescribed the same scan before two weeks. Why do you have to wait until your treatments have been approved? Since non-approval after treatment leads to enormous costs for either the patient or the provider of medical services. That not only disturbs RCM function but affects patient care because of the omission of the PA process.
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