Outsource Prior Authorization
By MedPrecision Editorial Team · Published
Prior authorization is one of the most time-consuming administrative tasks in healthcare, with practices spending an average of 13 hours per week on prior auth activities. Outsourcing this burden to specialists reduces delays, prevents denials, and lets your clinical staff focus on patient care.
The Prior Authorization Burden
Prior authorization requirements have grown significantly, with most payers now requiring pre-approval for an expanding list of services, medications, and procedures. The average practice submits dozens of prior auth requests weekly, each requiring clinical documentation, payer-specific forms, and follow-up calls. This administrative burden pulls clinical staff away from patient care and contributes to provider burnout.
How Outsourced Prior Authorization Works
When you outsource prior authorization, a dedicated team handles the entire process from initiation to approval. This includes identifying services that require authorization, gathering clinical documentation from the medical record, submitting requests through payer portals or by phone, tracking request status and following up on pending items, and communicating approvals to your scheduling and clinical teams.
Benefits of Outsourcing Prior Auth
Practices that outsource prior authorization typically see faster approval turnaround times, fewer authorization-related claim denials, reduced staff overtime and burnout, higher patient satisfaction due to fewer appointment delays, and more consistent compliance with payer requirements. The cost of outsourcing is typically offset by the reduction in denials and the increased productivity of clinical staff.
Choosing the Right Prior Auth Partner
An effective prior authorization partner should have experience with your specialty's common procedures, established relationships with major payers, a technology platform for tracking and reporting, and a proven track record of high approval rates. MedPrecision maintains approval rates above 95% by combining clinical knowledge with efficient processes.
Common Questions
Common questions about outsource prior authorization.
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Get a Free Billing Audit arrow_forwardHow quickly can MedPrecision process a prior authorization request?
Most standard prior authorization requests are submitted within 24 hours of receiving the clinical documentation. Urgent requests are prioritized and submitted the same day. Our average turnaround from submission to approval is 2-5 business days depending on the payer.
Does outsourcing prior auth really reduce claim denials?
Yes, authorization-related denials are one of the top denial categories. By ensuring authorizations are obtained correctly and on time, outsourcing can reduce these denials by 80% or more.
How does MedPrecision communicate prior auth status to our practice?
We provide real-time status updates through our secure portal and notify your team immediately when authorizations are approved or require additional information. You always know the status of every pending request.
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