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ROAS Provides Authorization contracts for the single case, multiple cases, periods of time, vacation coverage, sudden absence coverage and always available for added staff support.
VRadiation Oncology Authorization Service is expert in achieving payment for radiation therapy from insurance companies. ROAS provides Authorization contracts for the single case, multiple cases, periods of time, vacation coverage, sudden absence coverage and always available for added staff support. ROAS teaches authorization process seminars, and staff development either via web or in person.
ROAS correlates all information from the provider, the facility, the patient and the individual insurance company policies to provide the proper level of authorization approval and therefore payment to our clients from the insurance industry. In addition if the treatment is complete we can research the possibility of retro authorization and payment. Radiation Oncology Authorization Service is here to guide and assist in protecting healthcare providers and patients from the financial toxicity of cancer.
Radiation therapy
National Comprehensive Cancer Network guidelines
American Society for Radiation Oncology guidelines
The needs of cancer patients
The importance of time from diagnosis to treatment
Medical necessity policies
Treatment bulletins
Medical necessity criteria
Pre-Determinations, voluntary & required
Medical necessity review
Advanced Benefits Determination
Authorization procedures
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Reviewing submitted medical records and comparing to individual insurance policy for criteria-fulfillment. If further services used on same patient treatment this sum will be applied to the next level of service billing.
Pertinent medical records and individual medical policy criteria information presented to insurer for approval that said patient meets criteria and therefore should be covered by insurance, provided coverage is active.
Not an authorization, but is required by some insurers who utilize third party oversight. Pertinent medical records presented to case management for approval of procedures.
Presentation to insurer or designated review company of medical records, physics, dosimetry as needed for authorization of radiation therapies.
Presentation of authorization information, authorization paperwork, treatment records, medical policy bulletins and billed denial to the payor source for reversal of denial and coverage of claim.
Presentation of medical records, ASTRO/NCCN guidelines, treatment records, and billed denial to reverse claims denial by payor source.
Submission request for post treatment authorization and payment.
Office and facility seminars. Covering proper authorization process. ROAS will teach onsite at provider/facility offices or through webinars.
CEO Molly Daugherty RN BS has an extensive professional history of being an advocate for the patient and health care providers in their interactions with insurance companies. Insurance companies have complex rules, policies and criteria for radiation treatment and their authorization processes. Let ROAS assist in pursuing the scope of insurance needs for you, the provider of cancer treatment healthcare and your patient.
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