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Proving Payer Preauthorization



Preauthorizations conveyed by phone and fax are racking up denials and hurting revenue. Here's one provider's solution for tracking and archiving those communications so that insurance companies could no longer hold their own disorganization against the hospital.



1 comments on "Proving Payer Preauthorization"
Jill R (10/26/2010 at 11:35 AM)

What a bunch of baloney and total waste of money. Before coming to the Insurance side I worked 30+ yrs on the Provider side and NEVER have I encountered such an issue. Common sense dictates and the 1st rule of thumb tells us that "if it's not on paper, it never happened". The fact that your prior auth staff never bothered to get written confirmation is your bad; a sign of poor internal processes and mismanaged workflows. Now you are spending additional $$ on a product to trace phone calls/activity? Ludicrous. Email me if you want some FREE advice on how to run an effective Revenue Cycle Program. For the record, I have not switched sides, I'm still very PRO Hospital but it seems to me that the so-called "disorganization" is on your part, not the Payer's.