Pre-Authorization Services

Pre-Authorization Services for Faster and Smoother Approvals

Our pre-authorization services help healthcare providers secure timely approvals from insurance companies, reducing claim denials and ensuring patients get the care they need without delays.

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What is Pre-Authorization for Medical Services?

Pre-authorization, sometimes called prior authorization, is the process of securing approval from a patient’s insurance company before certain treatments, procedures, diagnostic tests, or medications can be provided. Many insurers require this step to confirm that a service is medically necessary and covered under the patient’s plan.

At VMA Services, our pre-authorization team takes this responsibility off your staff’s shoulders by handling the entire process on your behalf. We verify insurance coverage, prepare and submit the required documentation, and follow up directly with payers to secure timely approvals. By managing these administrative hurdles, we free up your staff to focus on what matters most such as delivering quality patient care while also helping your practice reduce claim denials, speed up reimbursements, and maintain smooth operations.

What Do Our Pre-Authorization Services Include?

Our pre-authorization services are designed to simplify the approval process, reduce delays, and minimize errors, allowing providers to focus on patient care instead of paperwork. From reviewing insurance requirements to communicating results, our team manages every step with accuracy and compliance.

Key Responsibilities include:

Reviewing insurance requirements for specific treatments or procedures
Preparing and submitting all necessary documentation to payers
Tracking approval status and following up on pending requests
Communicating authorization outcomes to providers and patients
Ensuring full compliance with payer rules and regulations

Documentation tasks

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Support tasks

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Why Choose us

VMA Why Choose Our Pre-Authorization Services?

Managing prior authorizations can be one of the most time-consuming administrative tasks for healthcare practices, often delaying care and overwhelming staff. At VMA Services, we streamline the entire process, ensuring faster approvals, fewer errors, and smoother communication between providers, payers, and patients. By outsourcing this critical function to our expert team, your practice saves valuable time, reduces claim denials, and enhances patient satisfaction by eliminating unnecessary delays in treatment.

Faster Approvals

We secure authorizations quickly to prevent treatment delays and keep patient care on track.

Reduced Claim Denials

Our accurate submissions minimize errors, lowering the risk of costly rejections from payers.

Seamless Communication

We keep both providers and patients informed with timely updates on authorization status.

Compliance Assurance

Every request is handled in line with payer rules and HIPAA regulations to ensure complete compliance.

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Healthcare Specialties

VMA Pre-Authorization Services for All Healthcare Specialties

Our Pre-Authorization Services support a wide range of medical specialties where timely insurance approvals are essential for patient care. These include surgical and specialty practices that frequently require prior approvals for diagnostic tests, procedures, or medications. By managing the authorization process across diverse fields, we help providers reduce delays, prevent claim denials, and ensure patients receive the care they need without administrative barriers.

Internal Medicine

Document chronic conditions, treatments, follow-ups, and patient histories.

Podiatry

Record foot exams, procedures, treatments, surgeries, and follow-up visits.

Family Medicine

Capture patient histories, preventive care, chronic issues, and screenings.

Pediatrics

Document growth charts, vaccinations, milestones, parent communications, and examinations.

Nephrology

Track dialysis notes, lab results, kidney disease management, and treatments.

Endocrinology

Record diabetes care, thyroid issues, hormone therapies, and lab results.

Physical Therapy

Document exercises, progress notes, rehabilitation sessions, and recovery goals.

Primary Care

Capture general checkups, screenings, chronic conditions, and preventive care.

Cardiology

Record heart tests, treatments, EKG results, symptoms, and patient progress.

Pain Management

Document pain assessments, treatments, medications, and patient improvement.

OB/GYN

Capture prenatal visits, ultrasounds, exams, birth plans, and procedures.

Oncology

Track chemotherapy sessions, lab reports, progress notes, and treatments.

Behavioral Health

Document therapy notes, mental health assessments, and treatment progress.

Dermatology

Record skin exams, biopsy results, treatment plans, and follow-up visits.

Urgent Care

Capture injuries, acute illnesses, treatments, lab tests, and discharges.

Wound Care

Document dressing changes, healing progress, procedures, and patient notes.

Psychiatry

Record mental health evaluations, medications, therapy sessions, and progress.

Dentistry

Document dental exams, treatments, x-rays, procedures, and follow-up care.

Radiology

Record imaging results, diagnostic reports, patient notes, and interpretations.

General Surgery

Capture surgical notes, pre-op evaluations, procedures, and post-op care.

How It Works

VMAHow Our Pre-Authorization Service Works

At VMA Services, we make the prior authorization process smooth, accurate, and hassle-free. Our team manages every step with efficiency and transparency so providers can focus on patient care instead of payer paperwork. From consultation to final approval, we handle the details that ensure faster authorizations and fewer denials.

Consultation

We begin by assessing your pre-authorization needs and payer mix to design a tailored process for your practice.

Documentation Collection

Our team gathers the required patient demographics and clinical records needed for accurate submissions.

Submission

We prepare and send authorization requests directly to insurance providers, ensuring compliance with payer guidelines.

Follow-Up

Every request is tracked closely, with timely follow-ups to resolve issues and prevent unnecessary delays.

Notification

Once approved, we share authorization details promptly with your team and patients for smooth care delivery.

FAQ

Frequently Asked Questions

Will patients and providers be notified of the outcome?

Yes. We promptly communicate approval or denial details to your practice and inform patients as needed, ensuring clarity and transparency.

Why is pre-authorization for medical services important?

It ensures coverage for services, reduces financial risk for patients, and helps providers avoid unpaid claims.

How does your pre-authorization service work?

We verify requirements, gather documentation, submit requests to insurers, follow up on pending cases, and deliver results to your team.

How does this service benefit my practice financially?

By reducing denials and delays, we help your practice secure faster reimbursements, minimize claim rework, and improve overall revenue cycle efficiency.

Can your team handle multiple insurance providers?

Yes. We work with a wide range of payers and adapt to each provider’s rules, ensuring compliance and accuracy across the board.

Testimonials

Customers Reviews

VMA Services was the best choice I made. They has been Very Responsive and our after-hours telephone service for over two years. They provide service to three offices in Montana.

Monty Moni

CEO, Keen IT Solution

Hiring a virtual medical receptionist from VMA Services was the best decision for our clinic. Jessica handles patient calls and scheduling like she’s in the office! We’ve seen a huge improvement in appointment flow.

Mike Hotten

Doctor

Our virtual medical scribe has significantly reduced my documentation workload during telehealth appointments. I can now focus fully on patients while the assistant handles real-time charting.

John Eleska

CEO,

Capitalize on low hanging fruit to identify a ballpark value added activity to beta test. Override the digital divide with additional clickthroughs from DevOps. Nanotechnology immersion along the information highway.