Pre-authorization Services

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Medical & Dental Clinics, Practices and Hospitals

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Pre-authorization Services

Certain medical treatments need to be approved or precertified prior to being performed in order to have them covered by the insurance company. Managing precertification is a tedious and time-consuming task for busy practices. An experienced pre-authorization company, Outsource Strategies International (OSI) offers effective pre-authorization services for the precertification process.

Our pre-authorization services help hospitals, outpatient facilities, and physician practices to:

  • Get insurance authorization for procedures and services that require prior approval
  • Save valuable time and minimize the hassles of dealing with payers
  • Free up staff to focus on core responsibilities
  • Claim maximum reimbursement

Have Your Precertification Process managed by Experts

Some managed care programs, point of service plans, and Medicare and Medicaid require precertifications for procedures such as hospital admissions, surgeries, and some outpatient procedures. Failure to obtain preauthorization for procedures mandated by the payer can result in huge financial losses to the provider.

As your prior-authorization company, you can rest assured that all the procedures involved in the precert process will be managed efficiently. Our dedicated prior-authorization specialists will work with your office to ensure that:

  • Your claims for treatments or services that require preauthorization are submitted promptly
  • You have met all of the payer’s criteria before submitting a prior authorization request

We will ensure that precerts are submitted with the following:

  • The patient’s insurance and demographic details
  • A verbal or written order from the referring physician
  • Referral from the primary care physician to the physician ordering the exam, if needed
  • Detailed diagnosis, detailed clinical indications, past medical history, and the reason for the requested exam
  • Number of sessions or days of inpatient status expected for hospital stays and extended care facility stays
  • ICD-10 and CPT codes for diagnostic procedures and planned treatments

Our support will allow you to focus on providing timely patient care as you receive the reimbursement you deserve in quick turnaround time.

Benefits of Our Pre Certification Services

  • Secure web-based portal for carrying through the process
  • Reports on pre-certs completed and/or status updates
  • Reduced paperwork and errors
  • Reduced insurance write-offs and denials
  • Precertification in fast turnaround time
  • More time to focus on patient care
  • 30% to 40% reduction in operational costs
  • No long-term yearly contracts

To learn more about our prior authorization services, call (800) 670-2809.

Outsourcing your medical billing to OSI can save you up to 40% on your operational costs.

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Tamara Hernandez
Tamara Hernandez
2020-09-17
The Insurance Verification and Prior Authorization service is a God send in our busy Cardiology Practice. The team is always professional, kind and attentive. I would definitely recommend OSI to anyone!
Eldon Peters
Eldon Peters
2020-09-15
Top notch service. Easy to work with. Fast, reliable, excellent from top to bottom. Strongest recommendation possible!
Dr. Millicent Brown
Dr. Millicent Brown
2020-06-26
I've had a very good experience with the insurance verification service. I am planning to use other offered services because they are easy to work with and provide great communication.
Andrew Brian
Andrew Brian
2013-09-21
An Exceptional Medical Billing Company I am an orthopedic surgeon and was looking forward to outsourcing the billing task to a trusted orthopedic medical billing company. I chose OSI taking into account its good track record. I would rate it as an exceptional medical billing company. The staff is knowledgeable, well-mannered, and has always been prompt in addressing my concerns. My practice revenue has improved considerably since my tie-up with this company. I would gladly recommend OSI to anyone looking to outsource medical billing. Andrew Paul
Joshua Samuel
Joshua Samuel
2013-09-21
The Best Business Decision I Ever Made!!! I was really frustrated trying to balance patient care and medical billing responsibility. One of my friends who had a good experience with OSI suggested medical billing outsourcing which was not even in my thoughts. I entrusted the medical billing job to OSI and it is the best business decision I have ever made in my career. Joshua Samuel

OSI Featured Experts

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