Prior Authorization (PA) has always been a crucial component of healthcare systems for years. It refers to the process where healthcare providers must acquire approval from insurance companies before rendering specific services or getting the prescribed medications. However, prior auth has its own share of complications, which can be challenging for healthcare providers.  

 

Challenges faced in Prior Authorization: 

 

Administrative burden:  According to the American Medical Association, 86% of physicians reported that PA-related administrative burden has increased over the past five years, with an average of 14.9 hours spent on these tasks per week causing more frequent burnout and stress. 

PA is time-consuming and resource-intensive task that takes up a lot of time and effort of resources. In fact, hours wasted, delayed treatments, and frustrated staffs are common in the authorization process. 

 

Delays in patient care: The time-consuming nature of PA can lead to significant delays in patient care and treatment solution. According to a recent survey, 92% of physicians reported treatment of PA taking time, resulting in the delay of treatment. Whereas 78% of them confirmed these delays could potentially lead to serious harm. In fact, instances are also seen where patients may suffer from deteriorating health conditions and compromised quality of care. 

Inconsistency in PA requirements: Different insurance companies have varying PA criteria, leading to inconsistencies in the process and confusion. With the specific requirements of each payer not only create additional administrative tasks but also potential errors for many. 

Lack of transparency: The PA process often lacks transparency, making it difficult for healthcare providers to anticipate and navigate requirements and proceed furthermore leading to frustration. 

This is why today professional handling your pre authorization is the best for all. 

 

 

 Reducing the administrative burden and improving efficiency, Sunknowledge for the last 15 + years is known for streamlining the submission and authorization approval process, enabling quicker responses and better communication between providers and payers.  Reducing the average time that you often end up spending on PA requests by 70%, Sunknowledge expert gives you extra duration to focus on other important jobs. In fact, minimizing the inconsistencies that providers face and simplifying the process, the experts further reduce your chances of errors resulting in faster authorization approvals. 

 

With a team of professional authorization specialists who are well-equipped to navigate the complexities of PA and minimize the risk, the experts further ensure - 

  • 100 % authorization submission on the same day 
  • Faster approval ratio 
  • Reduction in unnecessary expenditure/ outlay by 80 % 
  • Highest productivity metrics without compromising on standard and productivity metrics 
  • Customized reports catering to your needs 

 

So what are you waiting for?  Stop your worries and partner with Sunknowledge for better prior authorization transactions now!