Payer types we handle; Commercial, Medicare Advantage, Workers Comp, No Fault, Medicaid Managed Care (skilled), Secondary/Copayment, & MLTC/MLTSS/Long-Term Custodial payers.
Comprehensive Case Management Includes:
Centralized Patient Review
We review each patient’s clinical record, diagnoses, care plan, and supporting documentation—streamlining all communication to a single point of contact.
Contract-Aligned Authorization Review
Case managers independently review each authorization and cross-reference it with care provided to ensure the highest appropriate level of reimbursement is approved. Documented rationales on every level obtained to ensure clear auditable data.
Proactive Denial & Appeal Management
We anticipate potential denials, communicate directly with insurance case managers, and initiate appeals, securing the proper length of stay for the patient.
Authorization Tracking & Timely Communication
All authorization details are tracked and conveyed to your billing department promptly to prevent gaps, missed days, or denied claims.
Thanks to Absolute Authorizations I have a forever support group, and I am so grateful to be apart of this team with them here by my side."
Deb K. Social Worker- Lake Placid Health & Rehabilitation Center
