Communication between healthcare providers and insurance companies is essential.
Pre-authorization for healthcare services can be simple and efficient with the right partner.
Dealing with the paperwork involved with medical prior authorization can be a headache, especially when your medical professionals are focused on providing tangible care service. Billing processing and medical precertification take time and resources. Rushing through can place your cash flow at incredible risk.
Horizon Healthcare RCM is an affordable and scalable alternative to handling healthcare prior authorization alone. Our experienced billers and coders step in and manage the entire medical precertification process for you, allowing you to set down the documentation and get back to what you do best—delivering high-quality health services to patients. Our coders are certified, and our medical billing processes are streamlined to enhance your revenue cycle management strategy and find a straight path through the busywork standing in the way of care.
Horizon Healthcare RCM’s financial specialists are with you to the end. We lead you through prior authorization processing step-by-step, from initiation to approval. If you ever need more information before medical precertification can be approved, we track down the data and provide you with regular updates. We have a deep knowledge of many insurance plans and apply our education to improve your health system.
The medical precertification process involves collecting a large amount of sensitive information from patients. Our SOC II Type 2 and HIPAA-compliant cybersecurity tools deliver everyone peace of mind. We ensure the integrity of your information through and through.
Managing pre-authorization for medical services is a cumbersome and time-consuming activity. When your practice is at capacity and you have no time to waste between appointments and procedures, the last thing you want to do is have to deal with incomplete or inaccurate patient information that prevents you from receiving medical precertification from an insurance company.
The Horizon Healthcare RCM team is certified in all matters of revenue cycle management. We cut out the fluff and simplify health system processes to increase your flexibility and optimize your cash flow. As an experienced medical prior authorization company, we handle all medical precertifications for hospital admissions, outpatient procedures, surgeries, and more.
Our medical prior authorization specialists help your organization:
Failure to secure medical prior authorization can delay the timeline for patient care and lead to substantial financial consequences. We ensure all claims for treatments and services are submitted correctly and on time and verify you meet all the criteria for reimbursement before sending a healthcare prior authorization request.
Certified Billers and Coders
Revenue-Enhancing Solutions Implemented
Medical prior authorization can be an expensive endeavor. Without the right resources and expertise, a single mistake can avalanche into a series of errors that postpone health treatments and frustrate your revenue stream. Horizon Healthcare RCM has the advanced technology and knowledge base to handle prior authorization and fortify your health system.
We apply our tools and experience to collect all relevant demographic information, test results, and diagnosis codes to present to the payer and secure your reimbursement as quickly as possible. All patient information is openly available and highly organized for your records.