Prior Authorizations
Complete revenue cycle management from eligibility verification to denial management and patient collections.
OUR SERVICES
Our Services
Need Expert Help?
Contact us today to discuss how we can streamline your medical billing and improve your bottom line.
Comprehensive PRIOR AUTHORIZATIONS Solutions
Comprehensive case management and authorization tracking for all insurance types. Our dedicated experts ensure accuracy, compliance, and efficiency tailored to your healthcare facility's specific needs. We seamlessly integrate into your workflow, letting you focus on patient care while we handle the operational complexities.
Case Management
- Medicare Advantage case management
- Medicaid Managed Insurance Plans (subacute skilled patients)
- Commercial insurance covered patients
- Primary contact/coordination with insurance Heritage case managers
Authorization Tracking
- Real-time authorizations tracking
- Primary coverage for in- and out-of-network benefits
Contract & Outlier Tracking
- Tracking and authorizations for contract carveouts
- Exclusions/outliers management
Denial Management
- Denial tracking
- Denial response preparation
- Appeal submission and follow-up
MLTC Authorizations
- MLTC Authorizations and Tracking
- Primary and secondary coverage for in- and out-of-network benefits
Utilization Review
- Participation in Utilization Review meetings for covered patients
- Remote participation unless otherwise specified
Part B Therapy
- Managed Care Part B Therapy Authorizations
- Tracking and follow-up
Billing Reconciliation
- Monthly Managed Care billing reconciliation
- Ensuring authorization alignment with claims
Why Choose Zeebra for PRIOR AUTHORIZATIONS?
Our highly-trained teams do more than just process data—we optimize your revenue cycle. From comprehensive auditing to rapid turnaround times, we provide transparent reporting every step of the way. We believe in proactive communication, ensuring you never have to guess the status of your accounts.
Reach out to us
Contact us for questions, feedback, or inquiries.