Prior Authorization

We offer high quality and high-volume white glove service for your practice or hospital ... from prior authorizations for Oncology, medical and pharmacy benefits to contract negotiations. The importance of staying up to date on payer policy changes and understanding the requirements for authorization types is a critical step for accuracy and reducing delays. We can help you keep track of whether a service or medication requires a prior authorization. Technology and FTEs with focused and optimal results.

Reduce the rising cost of prior authorization
Reduce medical waste (redundancy) and administrative burden
Prioritize authorization to optimize patient outcomes

Per AMA Prior Authorization Physician Survey:

The care delays, abandonment, and denials related to PA can lead to significant negative clinical outcomes for your employees. In fact, nearly one-quarter of physician’s report that PA has led to a serious adverse event, such as hospitalization, disability, or even death, for a patient in their care.

Areas of Authorization Expertise:

Specialty Medicine
Radiation Oncology
Proton Therapy
Infusion
Chemotherapy
Advanced medical imaging

Navigation

We have industry insight as well as end user knowledge that has shaped and developed training on topics from customer engagement, reimbursement 101, manufacturer assistance navigation, and contract implementation for maximized benefit.

Authorizations for radiation oncology and proton therapy require service line expertise, especially with regards to timing and work flow. Our team maintains a near real time databases of codified health policies.

We also work directly with payers building value-based models and educating them on the latest treatment benefits and protocols.

We are committed to treating your patients as well as you do. We offer support with Manufacturer Support Programs. Our expertise and focus is the value of the collaboration and partnership. Optimize your time, resources, and focus to your patient and high value touch points.