HIPAA Compliant Service

Prior Authorization

Service Overview

Prior authorization requirements continue expanding rapidly across all payer types. Advanced Revenue Group manages the entire auth process from identifying requirements through submitting requests, following up, and tracking authorizations through care delivery. Our team of certified billing specialists works as a seamless extension of your practice, ensuring every claim is submitted accurately and on time to maximize your reimbursements while minimizing administrative burden on your clinical staff.

With Advanced Revenue Group managing your prior authorization, you gain a dedicated partner committed to your financial health. We leverage advanced billing technology combined with deep payer expertise to consistently deliver above-industry results across all specialties and practice sizes — from solo practitioners to large multi-location groups.

Key Benefits

Pre-service authorization requests for all procedures

Urgent and stat authorization prioritization and handling

Medicare Advantage and commercial payer authorizations

Appeal management for denied authorization requests

Authorization tracking system with expiration alerts

Retroactive authorization requests when applicable

Clinical documentation support for complex requests

Authorization-to-claim matching verification

Our Process

We check authorization requirements for every scheduled procedure against current payer policies. Required auths are requested with complete clinical documentation to maximize first-submission approval rates. We follow up proactively and alert your team to any issues before the scheduled service date.

Throughout every step of the process you have full visibility via real-time dashboards and a dedicated account manager who proactively keeps you informed of performance metrics, opportunities, and any issues that need your attention.

Prior Authorization