Services
Prior authorization support built for specialty practices.
VCS offers two structured service models and a range of supporting capabilities — all delivered with nurse-led precision and compliance-driven workflows.
90-Day Prior Authorization Backlog Resolution Pilot
A structured 90-day engagement designed to reduce and stabilize an agreed-upon prior authorization backlog while strengthening workflows and providing measurable performance reporting. Case volume, deliverables, responsibilities, reporting cadence, and fees are established in the engagement agreement.
The pilot begins with a workflow assessment and backlog review, followed by prioritized authorization submissions and proactive payer follow-up. You receive weekly status updates and a comprehensive end-of-pilot performance summary. Completion depends on factors including payer response times and availability of required documentation.
- Dedicated nurse-led review of all pending authorizations
- Prioritization by clinical urgency and revenue impact
- Structured submission and payer follow-up workflows
- Weekly status reporting throughout the engagement
- End-of-pilot performance summary with workflow recommendations
Prior Authorization Maintenance
Ongoing, nurse-led prior authorization support that integrates with your existing staff and workflows — keeping authorizations current, reducing denials, and protecting your revenue cycle month over month.
Ongoing maintenance includes continuous prior auth submission and tracking, proactive payer follow-up, denial prevention support, and monthly performance reporting — all coordinated with your billing and clinical teams.
- Continuous prior auth submission and real-time tracking
- Proactive payer follow-up before deadlines
- Denial prevention review and appeals support
- Monthly performance and trend reporting
- Revenue cycle team collaboration
Additional Capabilities
Additional capabilities available based on engagement scope.
Authorization Follow-Up
Proactive tracking and payer outreach to prevent authorization delays and ensure timely decisions.
Denial Prevention & Appeals
Clinically grounded appeals built to overturn preventable denials, with documentation review before submission.
Workflow Assessment
Structured review of your current PA processes to identify gaps, redundancies, and improvement opportunities.
Performance Reporting
Regular summaries of authorization activity, denial trends, and workflow performance — formatted for practice leadership.
Revenue Cycle Collaboration
Coordination with your billing team to close authorization gaps and reduce claim delays tied to PA issues.
Conditional Peer-to-Peer Support
Peer-to-peer coordination and case preparation may be available when appropriate. Participation by a qualified treating or contracted clinician is subject to payer requirements, clinician availability, separate arrangements, and any applicable fees. VCS does not guarantee peer-to-peer availability or outcomes.
What VCS Does Not Provide
Clarity on scope.
VCS is a prior authorization specialist — not a full-service billing company. Understanding what we do not provide helps ensure the right fit for your practice.
- Full medical billing or claims submission
- Payment posting or accounts receivable management
- Payer-side delegated utilization management
- Guarantees of authorization approval
Not sure which service model fits your practice?
Start with a Backlog Check-In call. We'll review your current authorization volume and recommend the right engagement.