Overview

Lack of prior authorization is consistently a top driver of denials in many healthcare organizations, as approximately half of all denials can be traced back to prior authorization and other front-end revenue cycle issues. This can jeopardize the financial health of a healthcare organization and negatively impact the patient’s financial experience by limiting transparency and delaying access to care.

AGS Health specializes in implementing streamlined workflows and managing standardized prior authorization processes with government and commercial payers, such as Medicaid, Medicare, managed care plans, and third-party insurance. Let us help you minimize denials and maximize your revenue.

Prior Authorization Overview
Prior Authorization Services Provided

SERVICES PROVIDED

  • Validate the necessity of authorization.
  • Initiate submission of referral/authorization.
  • Monitor and manage the process and timely follow-up through to completion.
  • Proactive outreach with physician offices and patients to resolve issues and reduce errors.

BENEFITS