Prior authorization has always been confusing and complicated part of the healthcare industry for ages now. Prior authorization is mainly intended to provide patients with better and right care at the right time in the most effective setting that helps them with an adequate healthcare journey. However, today with the advancement of medical science and technology along with complex medical policy guidelines and standards to navigate complex pre authorization not only makes the process burdensome but equally time consuming and costly for many.
As it is no secret that the burden of PAs is considered as high or extremely high, more than half of the physicians, nurses, and clinical staff seek to avoid falling into the pit of prior authorization.
According to a recent study by Medical Economics, more than 93% of physicians have expressed being disheartened due to the long time consuming process that the staff has to deal with during the authorization process by interacting with health plans and more. Furthermore, the need for prescriptions for authorization additionally ends up taking a lot of time for the physicians as well. In fact, 90% of physicians complained of having to delay patient access to the necessary care whereas 44 % often complained of holding the treatment and care for the patient for more than three business days on average.
Although PA has been an issue among healthcare providers for many years, many practices lack the financial resources and skilled experts to bring in someone to do prior auth exclusively. And thus practices end up looking for help from operational extensions for prior authorization support.
Dr. Dipak Nandi, M.D, a New York based renowned neuro-psychiatrist and a pioneer in the healthcare industry in fact expressed, that outsourcing your prior authorization today is the most convenient and cost-effective solution to the complex nature of prior authorization. With the right supporting hand, it can be quite easy to not only understand the pre authorization and medical policy requirements which is often confusing for many providers but also to obtain a seamless and faster authorization solution that can help in better patient care management and treatment solution.