Prior Authorization Bottlenecks: How Hospitals Can Overcome Delays and Denials

Prior authorization (PA) has become one of the most frustrating hurdles for hospitals and providers. While payers argue it controls costs, in reality, PA often delays patient care, increases administrative burden, and leads to higher denial rates.

Here’s why PA continues to be a major bottleneck - and how RevSync Healthcare can help streamline the process as an extended partner to your operations.

Current Challenges in Prior Authorization

1. Growing Administrative Load: Front-office and clinical staff spend hours submitting, tracking, and following up on PA requests. This takes time away from patient care.

2. Delayed or Denied Patient Care: Delays in PA approvals can postpone critical treatments, frustrate patients, and in some cases, worsen health outcomes.

3. Denials Linked to Prior Auth: A significant percentage of denials stem from missing or incomplete PA. These denials often lead to lost revenue or costly appeals.

4. Payer Variability: Each payer has unique rules, forms, and timelines. Staff must stay updated constantly, which is difficult without dedicated resources.

Why Hospitals Struggle to Fix PA In-House

• Staff juggle PA tasks with many other duties.

• IT systems often lack integration with payer portals.

• Rules change frequently, requiring ongoing training.

• Staffing constraints limit focus on PA.

How RevSync Healthcare Streamlines PA

RevSync acts as your dedicated prior authorization team:

• End-to-End PA Management: We handle requests, documentation, follow-ups, and approvals.

• Eligibility Verification: We integrate benefit checks early to avoid unnecessary denials.

• Automation & Alerts: Our workflow tools track request status, reducing missed deadlines.

• Appeals Management: If a request is denied, we manage resubmissions and appeals.

• Scalable Support: Our flexible staffing model adapts to fluctuating PA volumes, keeping costs low.

Results You Can Expect

• Faster PA approvals and reduced delays in care.

• Significant drop in denials linked to prior authorization.

• Lower administrative costs and staff burnout.

• Improved patient satisfaction and trust.

Conclusion: Prior authorization doesn’t have to be a bottleneck. With RevSync Healthcare’s specialized support, hospitals can speed up approvals, cut denials, and reduce costs - all while improving patient care and staff efficiency.

Reach out to RevSync at info@revsynchealthcare.com to learn how we can streamline your prior authorization process starting today.