Accelerate Approvals,
Eliminate Headaches
Fast, hassle-free prior authorizations for your practice – save time, prevent revenue loss, and focus on patient care.
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Prior Authorizations Are Draining Your Practice — We Fix That.
Delayed treatments. Frustrated staff. Endless paperwork. It’s no wonder 94% of physicians say prior authorizations hurt patient care, and most practices waste over 12 hours a week chasing approvals. At Paramount RCM, we eliminate that burden. Our expert team handles the entire process, so you get faster approvals, fewer denials, and more time to focus on patients, not paperwork.
Key Benefits
Faster Turnaround
Reduce authorization processing time with automated submissions
Higher Approval Rate
95% first-pass approval rate through optimized submissions
Reduced Staff Burden
Free up 20+ staff hours weekly with smarter workflows
Our Prior Authorization Process
We combine automation, expertise, and precision to ensure faster approvals and fewer delays. Here’s how we streamline your authorization workflow:
/01
Patient & Procedure Verification
We collect and verify all necessary patient and procedure details, ensuring complete and accurate information from the start.
/02
Real-Time Payer Checks
Our system checks payer requirements in real time to determine if prior authorization is needed and what documentation is required.
/03
Automated Submission
We submit requests electronically with all supporting documents, reducing errors and speeding up processing.
/04
Follow-Up & Status Tracking
Our team monitors each request, follows up with payers, and ensures no approvals fall through the cracks.
Our Simple & Transparent Process
We combine automation, expertise, and precision to ensure faster approvals and fewer delays. Need prior auths for procedures like injections, imaging, or specialty meds? We handle all categories and specialties.
Here’s how we streamline your authorization workflow:
Verify Requirements
We verify the patient’s insurance coverage and determine any medical necessity criteria or documentation needed before treatment. This ensures all prerequisites (coverage, referrals, criteria) are met in advance.
Gather Documentation
Our team compiles all required clinical documents and information from your EHR and records. We use an automated checklist and integrate with your systems to make sure nothing is missing (e.g., physician notes, test results).
Submit & Track
We submit the authorization request electronically to the insurance payer and track the response in real-time. Our system automatically follows up on any delays, so approvals don’t get stuck in a backlog.
Manage Outcome
When approval is obtained, we notify your team immediately. If any request is denied, we swiftly initiate an appeal, leveraging a template appeal letter and additional info as needed. We persist until we get you an answer, and then provide detailed reports on the outcomes.
