Prior Authorization Management — Subscription. Approval time ↓ 40%+, cancellations ↓
The Prior Authorization Management service by Remote Practice Managers, Inc. eliminates approval bottlenecks with automated workflows and expert oversight—reducing delays, ensuring compliance, and accelerating patient care.
💲 $7,600.00 per month (per practice location)
- Includes automated workflows, expert authorization support, compliance alignment, and monthly performance dashboards.
- Optional add‑on: $1,900.00 per month for advanced payer trend analytics, AI‑driven denial prediction, and quarterly patient access optimization workshops.
Prior Authorization Management
Engagement: Subscription | Delivery Time: 2-3 weeks | Tier: Growth
Project Summary: Centralized PA hub accelerating approvals and reducing care delays.
Deliverables
- Criteria lookup
- Submission packaging
- Status tracking
- P2P coordination
ROI Impact: Approval time ↓ 40%+, cancellations ↓
Great For: Imaging, cardiology, pain, ortho
Prior authorizations are one of the most frustrating barriers in healthcare—delaying care, straining staff, and creating revenue risk. Manual processes, payer variability, and compliance requirements make it difficult for practices to keep up. The Prior Authorization Management service delivers a structured, technology‑enabled framework that ensures authorizations are accurate, timely, and compliant—so patients receive care faster and providers get paid without unnecessary denials.
What’s Included:
-
Automated Authorization Workflows
- Real‑time eligibility checks and payer‑specific rules.
- Automated routing of requests to reduce manual workload.
-
Expert Authorization Support
- Dedicated specialists manage submissions, follow‑ups, and appeals.
- Escalation support for urgent or high‑value cases.
-
Patient Access Acceleration
- Faster approvals reduce delays in care delivery.
- Improved patient satisfaction with proactive communication.
-
Compliance & Accuracy
- Alignment with payer policies and regulatory requirements.
- Documentation and audit trails for every authorization.
-
Staff Training & Workflow Optimization
- Standardized scripts and processes for consistent handling.
- Education on payer trends and best practices.
-
Performance Monitoring
- Dashboards tracking approval timelines, denial rates, and revenue impact.
- Monthly executive reports linking authorization efficiency to patient access and financial performance.
Why It Matters
Every delayed or denied authorization represents both a patient access issue and a revenue risk. With Prior Authorization Management, your practice gains a scalable, compliant, and proactive system that reduces delays, prevents denials, and protects revenue. Instead of prior authorizations being a bottleneck, they become a streamlined process that supports both patient care and financial health.
🏥 Before & After Patient Access Snapshot
| Before (Manual Prior Authorizations) | After (With Prior Authorization Management) |
|---|---|
| Patients wait days or weeks for approvals, delaying care | Faster, automated workflows accelerate approvals and reduce patient wait times |
| Staff overwhelmed by phone calls, faxes, and payer portals | Dedicated specialists and automation handle submissions, follow‑ups, and escalations |
| High denial rates from incomplete or inaccurate requests | Standardized workflows and payer‑specific rules ensure accuracy and compliance |
| Providers frustrated by administrative bottlenecks | Streamlined processes free providers to focus on patient care |
| Leadership lacks visibility into authorization delays and denial trends | Dashboards track approval timelines, denial rates, and revenue impact |
| Patient satisfaction suffers due to uncertainty and delays | Proactive communication improves patient confidence and access to care |
| Prior authorizations seen as a barrier | Prior authorizations become a strategic advantage that protects revenue and enhances patient experience |
🏥 Value Proposition: Prior Authorization Management
Why Choose Prior Authorization Management? Because every delayed authorization is lost revenue and delayed care for your patients.
✅ Accelerate Patient Access – Automated workflows and expert oversight reduce approval delays, ensuring patients receive care faster. ✅ Reduce Denials & Rework – Payer‑specific rules and standardized processes prevent costly errors and repeat submissions. ✅ Protect Revenue & Compliance – Timely, accurate authorizations safeguard reimbursements and align with payer requirements.
Result: A proactive authorization solution that transforms prior approvals from a frustrating bottleneck into a strategic advantage—improving patient satisfaction, protecting revenue, and streamlining operations.