Eligibility Verification and prior Authorization
Streamline Your Revenue Cycle with Seamless Eligibility & Prior Authorization
At RcmTree, we ensure claim approval and prevent denials with our expert eligibility verification and prior authorization services, designed specifically for medical billing companies.
Why Choose RcmTree's Eligibility & Prior Authorization Services?
Maximize Reimbursements & Minimize Denials with RcmTree
Partner with RcmTree to navigate the complexities of patient eligibility and prior authorizations, ensuring a smooth and profitable revenue cycle for your practice.
Our meticulous eligibility verification process at RcmTree identifies potential issues before claims are submitted, significantly reducing the risk of denials due to inactive coverage, benefit limitations, or missing authorizations.
By confirming patient eligibility and securing necessary authorizations upfront, RcmTree accelerates the billing process, ensuring quicker claim submissions and faster reimbursements for your practice.
Free up your valuable staff from time-consuming verification and authorization calls. RcmTree's dedicated team handles all the legwork, allowing your practice to focus on patient care.
Transparent communication regarding coverage and authorization requirements, facilitated by RcmTree, helps manage patient expectations and prevents unexpected bills, leading to a more positive patient experience.
RcmTree stays up-to-date with constantly evolving payer rules and regulations for eligibility and prior authorization, ensuring your practice remains compliant and avoids costly penalties.
Comprehensive Eligibility Verification and Prior Authorization by RcmTree
At RcmTree, our comprehensive eligibility verification and prior authorization services are designed to prevent delays and optimize your revenue. We thoroughly verify benefits and expertly manage the entire prior authorization process, ensuring all necessary details are obtained for seamless financial performance.
Key Benefits of RcmTree's Eligibility & Prior Authorization Services
RcmTree’s dedicated services transform potential bottlenecks into seamless processes, driving significant improvements across your billing operations.
Real-time Eligibility Checks
RcmTree provides instant patient insurance and benefit verification at the point of service, reducing front-office errors.
Proactive Prior Authorization Management
Our team identifies, submits, and relentlessly follows up on prior authorizations, securing approvals before services.
Reduced Denial Rates
By confirming eligibility and securing authorizations upfront, RcmTree drastically minimizes claim denials, protecting your revenue.
Frequently Asked Questions
Find quick answers to common questions about RcmTree’s Eligibility Verification and Prior Authorization services.
It's confirming a patient's active insurance coverage and financial responsibilities before services, a crucial step RcmTree performs to prevent denials.
Required by some payers, prior authorization ensures services are covered and reimbursed. RcmTree meticulously handles this to secure approvals.
RcmTree prevents denials by accurately verifying eligibility and obtaining prior authorizations before service, ensuring claims are "clean."
Eligibility is often real-time or hours. PA times vary (days to weeks) by payer; RcmTree actively tracks and expedites it.