Radiology Authorization Company

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Radiology Authorization Company
Obtaining prior authorization is a crucial task for radiology and imaging centers. Benefit from the dedicated support of a professional radiology authorization company in the U.S.

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.

Providers require approval to complete the radiology scan. Performing services for many major medical insurances and other insurances without first obtaining the payer’s authorization can lead to claim denials and delays. With more than 15 years of experience, our team of specialists is trained to gather this information online or by phone from insurance companies. We can customize this depending on your requirement and get the required information to keep you ahead of your patient schedules. Comprehensive and accurate verification and pre-authorization process with our radiology authorization company is designed to ensure that prior-approvals are initiated and completed for all imaging services.

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

Facility and private practice authorizations
Patient eligibility verifications
Contacting patients for more details (if necessary)
Obtaining authorizations from insurance companies
Scheduling appointments (if required)
Our team ensures that requests are submitted along with all necessary documentation including letter of medical necessity, payer-specific prior authorization form (if available), patient medical records with appropriate chart notes, history of past therapies, results and other information required by the payer.

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

Patient Scheduling
Radiology billing and coding
AR follow-up, and
Denial management

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.