Prior authorization (PA) is a critical step in the revenue cycle, yet it’s also one of the biggest sources of payment delays, denials, and lost revenue for healthcare providers. At e-care India, we’ve seen firsthand how small missteps in the PA process can lead to big financial consequences. In this article, we’ll highlight the most common prior authorization mistakes that impact reimbursements, and how you can avoid them with the right systems, staff, and support. 1. Submitting Incomplete or Inaccurate Information One of the top reasons prior authorizations are denied or delayed is missing or incorrect patient or clinical information . Common errors include: Wrong CPT or diagnosis codes Missing medical documentation Incorrect patient demographics Incomplete justification for medical necessity How to avoid it: ...
We help physicians, medical specialties, and billing groups increase revenue with accurate coding, faster reimbursement, and fewer denials.