Healthcare Resource Group (HRG) knows that the prior authorization process can be laborious and expensive. With the required volume increasing each day, let HRG take the pressure off your team by providing you customized prior authorization services.
Prior authorizations are one of the leading causes of denied claims. They cause large amounts of lost revenue, delayed patient care and operational waste.
HRG’s proprietary technology, Helix AI™, utilizes data from your HIS system to better track, prioritize and disposition accounts. Accounts are categorized by payer, service type and pending actions to ensure maximum resolution and increased cash collections. Our robust reporting will also identify authorization requests that are not needed so your system can be updated and avoid wasteful touches. Helix AI™ integrates seamlessly with all health information systems and can be implemented with any size facility.
HRG's OutPartnering™ Center and payer experts are U.S. based and highly skilled at addressing your prior authorization needs. Our team will quickly adapt to continuous changes in payer requirements and ensure accuracy to get claims paid fast. HRG delivers results efficiently and expedites the collection of accounts requiring prior authorizations.
Comprehensive Solutions
Deep AR data analysis with proprietary software (Helix AI™)
Continuous in-depth reporting available to identify trends and summarize detailed actions taken
Daily uploads of account notations
Health Information Systems (HIS) and Electronic Data Interchange (EDI) systems knowledge
Dedicated quality assurance (QA) team increasing speed of account resolution
Benefits
Improves cash flow
Allows your team to focus more on patients, less on paperwork
Optimizes work flow process
Reduces denials
Lowers AR days
Ensures compliance
Offers flexible pricing - Hourly or Per Completed Authorization pricing
The HRG Quality Difference
HRG's team of AAHAM certified professionals are nationwide payer experts with the ability to analyze and streamline your billing and collections process while skillfully managing your prior authorizations.