An efficient claims process starts with appropriate authorization. Radiation Business Solutions work seamlessly within your system, ensuring insurance eligibility and prior authorizations are correct and in place before treatment begins.
Why prior authorization?
Prior authorizations are integral to your practice’s overall financial success. Improper or missing authorizations lead to unnecessary denials and loss of revenue.
What do we do?
- Reduce financial stress to patients by obtaining authorizations before patients’ scheduled visits.
- Remove the burden of staffing costs for this department and move to a single monthly invoice.
- Work directly from the client’s system as an extension of the provider’s in-office staff. We will obtain all necessary insurance eligibility and prior authorization information and enter it into the client system.
- Communicate cases that will not auto-approve or do not meet payer guidelines with the provider before submission. This allows the provider to provide the necessary information or amend the case, which avoids delays while the case is in medical review.
Why RBS?
- Radiation Oncology and Medical Oncology subject matter experts who understand payer Pre-Authorization requirements.
- Experienced and knowledgeable staff are cross-trained, so there is always complete coverage and never downtime.
- Our staff stays up-to-date on all payer policy authorization requirements and medical necessity guidelines.
From understanding our needs on a case-by-case basis to providing excellent education to our provider on clear documentation for straightforward insurance approvals the first time, the RBS authorization team is the gold standard to support any center's prior authorization process.