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Another greatest contributor to lost revenue is the failure to obtain a referral or authorization before performing a procedure as the most common denial in medical billing reimbursement rates as Pre-Authorization, Prior Authorization, Pre-Certification, and Notification. Not all services and procedures require a referral or pre-authorization, but if a referral or pre-authorization is required and is not obtained, reimbursement for the procedure is put at risk.
Authorization is the process of getting a medical service(s) authorized from the insurance carrier. Providers or Medical billing companies have to contact insurers in advance and obtain a certification number in order to be reimbursed properly. These processes result in an authorization and referral number and provider’s/billing companies must use on claims submitted for payment.
Partner with ADMB for expert Authorization and Referral Management Services. Let us handle the complexities of authorizations and referrals, so you can focus on providing exceptional care and growing your practice. Contact us today to learn more about how our services can benefit your organization.
Efficiently Manage Authorizations and Referrals to Enhance Patient Care and Streamline Operations
Authorization and referral management are essential components of the healthcare revenue cycle, ensuring that patients receive the necessary approvals for services and that providers are compensated appropriately. At [Your Company Name], we offer specialized Authorization and Referral Management Services designed to simplify these processes, reduce administrative burdens, and improve the overall efficiency of your practice.