Google Business Profile Checklist for Dentists and Physical Therapists
A section-by-section checklist for optimizing a Google Business Profile for dental and physical therapy practices in Florida, beyond just claiming the listing.
Prior Authorization Services
Outsource prior authorization services to a team that submits, tracks and follows up every request, so patients get care on time and claims are not denied for missing approvals. We handle prior authorizations for procedures, imaging, therapy and medications across commercial, Medicare Advantage and Medicaid plans.
The Problem
Physicians and staff spend many hours every week on prior authorization requests, phone calls and fax follow-ups. Delays push back treatment, frustrate patients and sometimes lead them to abandon care.
When an authorization is missed or expires, the claim is denied, and that revenue is often impossible to recover.
Each payer has a different portal, form and process.
Slow approvals push back procedures and therapy.
Services performed without valid authorization are denied.
Visit counts and date ranges run out without anyone noticing.
What We Do
We identify which services need prior authorization for each payer.
Requests submitted through portals, electronic PA and fax with clinical documentation.
We chase pending requests until approved or denied.
We schedule peer-to-peer reviews and prepare documentation for providers.
Denied authorizations appealed with supporting records.
Visit counts and end dates tracked with renewals filed on time.
Prior authorizations for specialty and high-cost medications.
Turnaround times, approval rates and pending requests reported.
The Process
We map your current authorization process and volumes.
EHR and payer portal access configured securely.
New orders checked for authorization requirements.
Requests submitted with complete documentation.
Pending requests chased until a decision.
Weekly status and monthly performance reports.
FAQ
Prior authorization services handle the process of getting approval from a health plan before a service, procedure or medication is provided, including checking requirements, submitting documentation, following up and appealing denials.
Standard requests often take 2 to 15 business days depending on the payer and service; urgent requests are usually decided within 72 hours. Complete documentation shortens the process.
The terms are usually used interchangeably. Some payers use pre-certification or pre-authorization for inpatient stays and procedures and prior authorization for medications, but all mean approval before the service.
Partly. Electronic prior authorization and payer rules engines can check requirements and submit some requests, but documentation review and follow-up still need people.
Pricing is usually per authorization or a monthly fee based on volume.
Yes, including specialty and high-cost medications.
Healthcare prior authorization services save staff hours and prevent denials. Compare prior authorization services providers on turnaround time and approval rates.
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Book a call and we will estimate how much staff time and revenue prior authorizations are costing your practice.
A dental marketing company for Florida practices, with an AI front desk and dental and medical billing under one team. We measure booked, paid patients, not impressions.
