Coverage for a Radiology service or procedure more than likely requires comprehensive verification of benefits, and sometimes radiology authorization for the service. Imaging services especially those that are higher in cost, require pre-authorization from these insurers, prior to rendering services to patients. At Outsource Strategies International (OSI), we are experienced in providing radiology insurance verification and radiology authorization services for radiology centers, hospitals and other outpatient practices.
Errors in prior authorization stem mainly from mistakes made while filling in the request form (which is usually done in a prescribed, pre-determined format), ignoring the latest guidelines, or missing out on providing all the supporting documents that are required.
Prior authorizations for imaging centers are complex. At our radiology authorization company, we provide the services of pre-authorization specialists, who are experts in obtaining timely approvals for imaging procedures. This in turn ensures quick and convenient patient scheduling.
To benefit from our radiology authorization outsourcing solutions for any imaging procedures, call (800) 670-2809!
Radiology Prior Authorization Services for Imaging Procedures
We provide prior authorization service for all advanced imaging procedures such as –
- Computerized Tomography (CT) scan
- Magnetic Resonance Imaging (MRI)
- Magnetic Resonance Angiography (MRA)
- Positron-Emission Tomography (PET) scan
- Nuclear Medicine and Nuclear Cardiology studies
- Bone Mineral Density exams
- Stress Echocardiograms
- Nuclear medicine
- Nuclear cardiology
Our dedicated team is well-trained in all major insurance carrier guidelines, and can obtain pre-authorization for your patients. Our skilled team also understands the complexities involved in coding, billing, and AR follow-up.
We understand that advanced imaging procedures done for Emergency room visits, Observation unit, Urgent care, and Inpatient stay do not require notification/prior authorization.
Our expertise in prior-authorization will help you to get paid promptly and accurately. No long-term yearly contracts!
Radiology Authorization Process
Our pre-authorization process involves
Radiology Insurance Verification
Payers may deny reimbursement claims for services, if the information about the patient’s eligibility for coverage is inaccurate.
Before consultation, we can accurately verify all patient details including
- Demographic details
- DOB
- Coverage plans
- Co-payments
- Deductibles
- Co-insurances
- Payable benefits
- Plan exclusions
- Health insurance caps
- Out of network benefits
Our insurance verification process is designed to collect payments from patients proactively and prevent delays in claim reimbursement. Our team also verifies coverage of benefits with the patient’s primary and secondary payers.
Along with performing patient eligibility verification and initiating prior authorization requests and obtaining approval for the treatment, we also provide other outsourcing services for practices including
Get authorization and verification support from one of the leading radiology authorization companies in the U.S.
Talk to us on how we can help you implement our solutions and optimize your patient access, referrals and revenue cycle management. We expect to save you 30% to 40% reduction in operational costs! For more details about our radiology insurance verification and prior authorization services and a free trial, just call us at (800) 670-2809.