Prior Authorization Services That Speed Approvals and Reduce Delays
MeDco RCM requests, tracks and follows up on prior authorizations so treatments are approved before the visit and claims are not denied for missing authorization.
End-to-End Authorization Management
We handle authorizations for procedures, imaging, medications and referrals across commercial and government payers.
Requirement Checks
We confirm whether each service needs authorization based on the patient’s plan.
Request Submission
Complete requests with supporting clinical documentation are submitted via portal, fax or phone.
Status Tracking
Every pending request is tracked and followed up until a decision is received.
Appeals & Peer-to-Peer
Denied authorizations are appealed and peer-to-peer reviews are coordinated.
Expiration Monitoring
Approved authorizations are tracked for visit limits and expiration dates.
Provider Updates
Your team is notified the moment an authorization is approved or needs attention.
Fewer Delays for Patients and Providers
Waiting on authorizations stalls care and frustrates patients. By starting requests early and following up consistently, we help your practice keep treatment plans on schedule.
Protect Revenue Before the Claim Is Sent
Missing or expired authorizations are among the most common reasons claims are denied. With MeDco RCM managing approvals up front, those denials are prevented, not fixed later.
Our Medical Billing Process
Patient Registration
We capture complete, accurate patient demographics and insurance details at intake, so every claim starts with clean data.
We confirm coverage, benefits, and eligibility before the visit to prevent avoidable denials and surprise patient balances.
Insurance Verification
Appointment Scheduling
We manage scheduling and secure any required prior authorizations so each service meets payer requirements.
Certified coders assign accurate ICD-10, CPT, and HCPCS codes that keep claims compliant and fully reimbursable.
Medical Coding
Charge Entry
Charges and coded services are entered into your billing system carefully, reducing errors and claim rejections.
Clean claims are scrubbed and submitted electronically to payers for faster processing and payment.
Claim Submission
Claim Adjudication
We track every claim through payer review and act quickly on any request or issue that could delay payment.
Insurance and patient payments are posted and reconciled accurately, giving you a clear, up-to-date financial picture.
Payment Posting
Denial Management
Denied or rejected claims are analyzed, corrected, and resubmitted promptly to recover the revenue you have earned.
We send clear, easy-to-read patient statements that help patients understand their balance and pay on time.
Patient Billing
Financial Reporting
Regular reports show collections, denials, A/R, and other key metrics so you can make confident business decisions.
Specialties We Support
Cardiology
Dental Billing
Gastroenterology
Neurology
Gynecology
Immunology
Internal Medicine
Ophthalmology
Orthopedics
Pain Management
Pathology
Pediatrics
Psychiatry
Podiatry
Urgent Care
Radiology
Boost Your Practice Revenue –
Contact Us Today
Simplify your medical billing and get paid faster with MeDco RCM. Reach out today and let our specialists handle your prior authorizations so you can stay focused on patient care.
