If you're a healthcare provider or private practice manager, chances are you've lost valuable time chasing down a prior authorization. You’re not alone. Prior authorizations (PAs) were designed to control healthcare costs—but somewhere along the way, they started controlling us instead.
At Advanced Healthcare Revenue (AHR), we’ve seen firsthand how PAs disrupt patient care, staff productivity, and overall revenue. Let’s break down why it’s such a common issue, what it’s costing your practice, and how outsourcing this one task can free up hours of your time every week.
Why Prior Authorizations Cause So Many Delays
Prior authorizations are supposed to ensure treatments are medically necessary, but the process is often anything but efficient. From inconsistent payer requirements and outdated submission methods to lack of transparency, it's no wonder so many practices experience:
Long phone holds and fax delays
Denied authorizations due to technical errors
Missed appointments or delayed care
Burned-out staff juggling clinical and admin tasks
It’s not just frustrating—it’s expensive.
The True Cost of Doing It In-House
Let’s talk numbers. According to the AMA, physicians and their staff spend over 13 hours per week on average managing prior authorizations. That’s almost two full workdays—just for paperwork.
Even more concerning? Errors in the PA process often lead to:
Claim denials
Payment delays
Lost revenue
Decreased patient satisfaction and retention
These delays create bottlenecks in the revenue cycle and strain your team’s ability to focus on what really matters—delivering quality care.
How AHR Solves This for You
At AHR, we take the burden of prior authorizations completely off your shoulders.
Here’s what you get when you partner with us:
Fast, accurate PA submissions customized to each payer’s guidelines
Dedicated team to handle all follow-ups, re-submissions, and appeals
Real-time updates so you always know the status of every request
Reduced denials and faster approvals to improve your cash flow
We’re not just a billing company—we’re your partner in building a leaner, more profitable practice.
Who This Works Best For
We support all specialties, but prior authorization services are especially beneficial for:
Primary Care & Internal Medicine
Mental Health Practices
Physical Therapy & Rehab
Dermatology
Cardiology
Pain Management Clinics
If you’re billing insurance, you’re likely dealing with PAs—and that’s where we come in.
Let’s Take This Off Your Plate
Should You Outsource Prior Authorization?
For many specialty practices, the answer is yes. Prior authorization outsourcing services take requests, payer follow-up, and denial appeals off your staff’s plate, so authorizations are handled by specialists who work with payers every day.
When you outsource prior authorization, look for a partner that:
Knows your specialty’s authorization requirements, especially complex orthopedic, pain management, and psychiatry cases
Tracks every request daily so nothing stalls
Handles peer-to-peer reviews and appeals, not just submissions
Works directly inside your EHR
Advanced Healthcare Revenue (AHR) provides prior authorization solutions as a standalone service or as part of full-cycle revenue cycle management. Talk to our team about outsourcing your prior authorizations.