Prior and Retro Authorization Services

The pre-authorization process can be useful in ensuring that a procedure is covered by a patient’s insurance; however, it can often take an unreasonably long time. Many physicians and administrative staff find that this lengthy process reduces their productivity and delays turnaround times. Certain medical procedures must receive prior approval or certification before they are performed for insurance coverage to apply.

Managing pre-authorization is a time-intensive and complex task for busy practices. A company like Go Medical Billing can handle insurance authorization services efficiently, saving your team valuable time and resources. Our skilled staff delivers reliable pre-authorization services.

Why Should You Outsource Prior Authorization Services?

Prior authorizations are among the most challenging tasks for any medical practice. The process is laborious, difficult, and costly because it consumes a large portion of your office’s time and energy. This is why many healthcare systems and hospitals opt to outsource to a professional medical billing company.

Partnering with a company experienced in prior authorizations can be a great way to save both time and money. It also helps ensure patients receive timely treatments or diagnostic services.

Benefits of Outsourcing Insurance Prior Authorization Services

An outsourcing partner will take care of responsibilities such as:

  • Saving time and avoiding the hassle of dealing with payers

  • Letting your staff focus on their main roles

  • Ensuring maximum reimbursement

Advantages of Outsourcing Your Pre-Authorization Process to Go Medical Billing

Outsourcing offers numerous benefits: it saves time and money, reduces the burden on your administrative team, and lowers the risk of revenue disruption due to medical record audits.

If you’re considering outsourcing prior authorizations to a company with experienced professionals, we invite you to learn more about how Go Medical Billing can help you reach your goals.

We manage the entire prior authorization process from start to finish:

  • If more details are needed, we contact the referring physician

  • If a pre-authorization is denied, we submit an appeal whenever possible

  • Our secure, HIPAA-compliant platform offers regular updates

  • Our team stays current with compliance and regulatory training

  • With a dedicated authorization team, there are fewer errors and a more efficient billing system—making your practice more effective

Prior Authorization Services We Offer

Our services support hospitals, outpatient centers, and physician practices by:

  • Handling the full prior authorization workflow

  • Securing approvals from insurance providers for services that require prior consent

  • Monitoring and requesting additional information from physicians if needed

  • Submitting denial appeals where applicable

We strongly recommend implementing proper quality control measures, using structured billing procedures, and ensuring timely prior authorizations to maintain accurate and efficient billing.

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