Our Services
Our Services
Prior Authorization Management
- Review authorization requirements by payer and service type
- Collect and verify required clinical documentation
- Submit authorizations through payer portals, electronic systems, or fax
- Ensure submissions meet payer-specific guidelines
- Track initial submission status and confirmation
Authorization Follow-Up & Tracking
- Monitor authorization status through payer systems
- Perform timely follow-ups on pending requests
- Document payer responses and reference numbers
- Escalate delayed cases according to defined timelines
- Communicate status updates to clinic teams
Denial Prevention & Appeals Support
- Review denial reasons and identify documentation gaps
- Support preparation of appeal submissions when appropriate
- Track appeal timelines and outcomes
- Identify patterns contributing to repeat denials
- Provide feedback to strengthen future submissions
Revenue Cycle Collaboration
- Coordinate authorization details with billing and revenue cycle teams
- Verify approved services align with scheduled procedures
- Support resolution of authorization-related claim issues
- Reduce authorization-related write-offs and rework
- Promote alignment between authorization and reimbursement workflows
How We Work With Your Practice
- Integrates seamlessly into existing workflows with minimal disruption
- Defines clear service scope, volume, and accountability
- Maintains HIPAA-compliant access and data security
- Provides consistent communication and performance oversight
PILOT PROGRAM
30-Day Pilot Program
30-Day Pilot Program
30-Day Pilot Program
Every practice is unique. Our pilot model serves as an effective business solution, allowing you to evaluate our consulting services without disruption or long-term commitment. We offer a 30-day pilot program so clinics can experience our strategy development process before making a long-term commitment.
Who We Serve
30-Day Pilot Program
30-Day Pilot Program
VCS provides a variety of specialty practices, offering business solutions that include: Orthopedics, Pain Management, Cardiology, Oncology, Imaging & Diagnostic Services, and other specialty care practices. Our consulting services ensure a comprehensive approach to strategy development in these areas.
Pilot features
30-Day Pilot Program
Pilot Structure
We offer limited, agreed-upon volume as part of our business solutions, ensuring dedicated nurse authorization support through our consulting services. Our transparent performance metrics help in effective strategy development, allowing for clear next steps at completion.
Pilot Structure
What’s Not Included
Pilot Structure
Our business solutions include a 30–60 day engagement with a defined scope and volume, ensuring our consulting services are tailored to your needs. We operate on a monthly retainer while providing clear performance metrics to guide our strategy development.
What’s Included
What’s Not Included
What’s Not Included
Our dedicated nurse support is part of our comprehensive business solutions, ensuring efficient authorization tracking and effective appeal handling as applicable. We also incorporate weekly performance check-ins to enhance our consulting services and support strategy development.
What’s Not Included
What’s Not Included
What’s Not Included
EMR ownership is a crucial aspect of healthcare management, and effective patient communication is essential for successful outcomes. Our consulting services provide comprehensive business solutions, including billing or coding services, tailored to enhance your strategy development.
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