SERVICES
Quick Precert
Office-based Solutions
QuickPrecert provides your office with targeted documentation strategies designed to MAXIMIZE EFFICIENCY and minimize likelihood of prolonged turn around times, incomplete submissions, resubmissions and denials.
Facility-based Solutions
QuickPrecert provides insurance-specific documentation templates to assist facilities with compiling patient chart information to submit for appropriated bed day requests, level of care assignment, procedural precertiifcation, continued stay requests, and DME services.
Denial & Appeal Assistance
QuickPrecert has extensive experience with denials and appeals. They understand the subtleties required to get procedural approvals. We also improve your appeal documentation to improve the likelihood of overturning a decision in your favor.
QUICKPRECERT EXPERTS REVIEW EACH MEDICAL POLICY
WE MANUALLY CURATE TARGETED DOCUMENTATION STRATEGIES
We painstakingly review the relevant medical policies for multiple insurance carriers. Then we re-review them monthly to see if there are any changes in the medical necessity criteria. If there are changes, we let you know, and amend our templates to reflect the changes
Office-based Solutions
QuickPrecert interacts seamlessly with your present computer and software systems. Multiple practice locations and multi-provider groups are easily accommodated.
- Easilty Manage Account Setting
- Reduce repetitive documentation tasks
- Increase efficiency of submissions
- Collates clinical into a single document
Facility-based Solutions
Flexible entry options and multiple providers are easily adapted and built in dashboards allow easy cross-referencing across users.
- Inpatient procedural/bed day requests
- SNF Admission Criteria
- LTACH Admission Criteria
- Out of network benefit coverage requests
Procedures Available
General Procedures
Any procedure code that is on the precertification list for a specific insurance carrier can be requested on the QuickPrecert platform.
Inpatient Bed Days
If a specific procedure or patient is more appropriately served under an inpatient level of care, we can help define what constitutes an appropriate inpatient status setting or when the patient is appropriately cared for under outpatient/observation level of care.
Medications
Standard medications as well as specialty medications are often subject to multiple criteria. We ensure that the medication requested is correct, has preferred status and appropriate dosing is outlined.
Varicose Veins
The majority of varicose vein procedures require precertification. Different carriers have different criteria and they are generally based on ultrasound results, vein size and reflux, and a duration of conservative therapy. Our customized, menu-driven form makes it easy to choose the right vein, the right procedure code and the right supporting clinical information.
Spinal Surgery
Elective spinal surgery cases are on the national precertification list for essentially every insurance carrier. The potential for multiple levels, multiple codes, and multiple devices or ancillary products makes spinal surgery precertification a daunting task. Our intuitive, targeted template makes it easy to choose the levels of surgery, the procedure codes requested, and includes specific allografts or devices.
Bariatric Surgery
Bariatric surgery patients are complex and so are the precertification requirements. Insurance carriers vary widely with medical necessity criteria including the presurgical program requirements, impact of comorbid conditions for various levels of a patient’s BMI, and the required preoperative screening tests needed. By providing a templated roadmap, QuickPrecert guarantees a successful surgical approval.
Orthopedic Surgery
Additional orthopedic surgery precertification options include viscosupplementation use, femoral-acetabular impingement surgery, and joint arthroplasty including appropriateness of inpatient level of care when clinical conditions merit an inpatient stay.
Breast Surgery
The most common breast surgery requiring precertification is reduction mammaplasty. The requirements are generally straightforward but each insurance carrier has a different approach to the number of grams required for removal to be consistent with their medical policy. QuickPrecert makes it easy!
Eye Surgery
The primary eye procedures that require precertification include blepharoplasty, blepharoptosis, and brow ptosis. A simple, menu-driven form ensures that the appropriate documentation is included and that the relevent ocular examination features are described.
Panniculetomy/ Abdominoplasty
Request for authorization of panniculectomy and / or abdominoplasty is complex as it requires critical clinical documentation as well as supporting photographic images. Our forms guide you on which images are needed and the best photographic techniques to optimize clinical relevance.
DME / Medical Supplies
Requests for specific DME items or medical supplies can be extremely confusing. Knowing from the outset which items are allowable and considered medically necessary, makes providing the equipment much easier and faster. Custom requests are welcomed!
Botulinum Toxin
The broad clinical applications of botulinum toxin can make it challenging to incorporate the correct clinical to support medical necessity criteria. We help guide you with acceptable clinical diagnoses and specific indications for various botox formulations.
"If it needs precertification, we can help!"
If you have a specific pain point with precertification, let our experts assist with removing the pain point, often at no additional cost.
Check out our low cost audit and analysis of your prior authorization process!
CUSTOM SERVICES
In addition to our standard services, QuickPrecert provides several custom precertification services.
Custom Platform Creatiion
If you are a hospital, a payer, a health plan, an insurance provider, TPA, broker, diagnostic imaging provider, or ambulatory surgery center — any organization where you want to change, augment, streamline or create your own prior authorization process, the experts at QuickPrecert, LLC, will deliver a smooth and efficient prior authorization platform.
Peer to Peer Services
If an initial submission is returned with an unfavorable determination, the experts at QuickPrecert will conduct a peer to peer call with the insurance medical director to present the appropriate medical necessity criteria matched with the patient’s clinical information to overturn the initial denial.
Denial Letter Services
If services are initially denied and if a peer discussion is not ruled in your favor, and in favor of the patient, an appropriately crafted and targeted denial letter, that is supplemented with the critical medical necessity criteria can result in the original denial being overturned. In your busy practice, you may not have the time or resources to produce such a letter. The experts at QuickPrecert can act in your stead.
We are committed to improving the precertification process by providing streamlined solutions to help you take care of your patients.
Company
Support
P.O. Box 25762
Columbia Station, Ohio 44028
(440) 829-7562