Prior Authorization Services for Healthcare Practices
RekhaTech’s prior authorization services manage the complete auth workflow for healthcare practices — submission, tracking, and escalation — eliminating delays and preventing auth-related denials before they reach your claims.
Authorization Delays Cost More Than Just Time
Authorization-related denials are among the most preventable revenue losses in healthcare. CMS prior authorization requirements apply across Medicare Advantage and commercial payers — and late or incomplete submissions are the most common cause of auth-related claim denials. Most billing companies submit an authorization request and wait. RekhaTech takes a fundamentally different approach: we hunt for prior authorizations proactively. That means submitting requests early, tracking status actively, and — when an authorization is stalled — calling the referring PCP directly to confirm, expedite, and document approval before it ever becomes a denial.
- Authorization requests submitted early — not the day before the scheduled procedure
- Active status tracking through payer portals — no passive waiting for responses
- Direct PCP outreach when authorizations are delayed or require additional documentation
- Auth-to-claim matching to ensure every authorized procedure has a corresponding clean claim
What’s Included in Prior Authorization Services
Requests submitted to payers with complete clinical documentation — reducing back-and-forth and delays from the start.
When an authorization is delayed or contested, our team calls the referring PCP directly — not just the payer. We coordinate the clinical documentation needed to get approval through, not around, the process.
Every open authorization tracked daily through payer portals — no request sits unmonitored waiting for a status update.
Delayed or denied authorizations escalated immediately — peer-to-peer reviews coordinated when clinical justification is required.
Every completed authorization matched to its corresponding claim before submission — preventing auth-related denials on clean procedures.
Weekly reporting on open, approved, pending, and denied authorizations — full visibility into your authorization pipeline.
Every authorization verified before a claim is filed — eliminating the most common and preventable denial category.
Stalled or denied authorizations escalated the same day — minimizing the scheduling impact on your providers.
RekhaTech calls referring physicians directly when authorizations require clinical support — not just portal submissions.
Fixed Cost Auth Team or Full Cycle Partner?
Prior authorization can be staffed as a dedicated FTE function or managed within a full end-to-end revenue cycle engagement. The Managed Resource (FTE) model gives you a focused auth team at predictable monthly cost — ideal for high-volume practices with clean downstream billing. The Percentage-Based model makes sense when you want a single partner accountable from auth through collections.
Dedicated FTE resources, supervised by RekhaTech, working inside your workflow. Fixed cost, full control.
Full end-to-end ownership. RekhaTech is compensated on collections — our incentives are aligned with your revenue.
Prior authorization has zero tolerance for gaps. A missed submission window or an untracked status update can result in a denied claim on a high-value procedure. RekhaTech’s bench model ensures your authorization queue is never left unmonitored. When your primary auth specialist is unavailable, a backup already trained on your payer requirements and authorization workflows steps in immediately. Every open request is tracked, every deadline is met, and every PCP outreach continues on schedule.
Is Your Practice Losing Revenue to Authorization Delays?
Book a free prior authorization review. We’ll show you where your current process is creating denials — and how proactive auth management changes the outcome.