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Authorization / Referral

APOYO is committed to providing high-quality healthcare services while ensuring a seamless and efficient authorization and referral process. Our goal is to simplify the administrative aspects of healthcare for both patients and referring healthcare providers.

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01

Insurance Verification:

We initiate the authorization process by verifying the patient's insurance coverage. This step helps us understand any pre-authorization requirements and ensures that the necessary approvals are obtained.

02

Authorization Request Submission:

Once the treatment plan is established and insurance coverage is confirmed, we submit the authorization request to the relevant insurance provider. This includes all necessary documentation and supporting information to expedite the approval process.

03

Follow-Up and Communication:

Our administrative team actively follows up with the insurance provider to track the status of the authorization request. Clear and timely communication is maintained with the patient and referring healthcare provider throughout this process.

04

Authorization Approval:

Upon receiving authorization approval, we promptly inform the patient and referring provider. The patient is then scheduled for the approved medical services or treatments.

05

Specialty-Specific Coding:

Recognizing the unique coding requirements of different medical specialties, we offer specialty-specific coding services tailored to the nuances of each practice area.

Referral Process

APOYO is committed to providing high-quality healthcare services while ensuring a seamless and efficient authorization and referral process. Our goal is to simplify the administrative aspects of healthcare for both patients and referring healthcare providers.

01

Referring Healthcare Provider Communication:

When a referral is initiated by a healthcare provider, we establish open communication to gather all necessary patient information, medical history, and the reason for the referral.

02

Specialist Evaluation:

The patient is scheduled for an evaluation with the specialist or appropriate healthcare professional based on the nature of the referral. This evaluation helps determine the most suitable course of action for the patient's healthcare needs.

03

Referral Authorization (if applicable):

In cases where the referral requires additional authorizations, we coordinate with the insurance provider to secure the necessary approvals. This ensures that the patient can proceed with the referred services without delays.

04

Patient Education and Consent:

We prioritize patient education, explaining the purpose and benefits of the referral. Patients are actively involved in the decision-making process, and their consent is obtained before proceeding with the recommended services.

05

Referral Completion and Follow-Up:

Once the referred services are completed, we provide a comprehensive report to the referring healthcare provider. We also follow up with the patient to ensure continuity of care and address any post-referral needs.

Our Motivated Team

Meet Our Skilled Team

Rubesh is the visionary behind APOYO Healthcare, with a 16 years track record in revenue cycle management. With a passion for healthcare innovation and financial optimization, Rubesh has led the company with a commitment to innovation, client satisfaction, and overall excellence.

As the driving force behind our day-to-day operations, Noorul brings 17 years of experience in Healthcare billing. Known for his strategic thinking and operational expertise, Noorul ensures that our services are delivered seamlessly and exceed client expectations.

"At APOYO Healthcare, our leadership team is committed to driving the company's vision forward and delivering exceptional results. Together, we strive to exceed expectations and set new standards in the field of medical billing."

Get in Touch

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CONTACT US

Get in touch

We provide a steadfast commitment to accuracy, efficiency, and transparency, we strive to be your trusted partner in navigating the complex landscape of medical billing.

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Call us

+1 303-228-3695
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E-Mail us 24/7

info@apoyohs.com

Testimonials

Here's What Our
Clients Have Said

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We are extremely pleased with the RCM services provided by Apoyo Healthcare LLC. Their knowledgeable team has not only improved our revenue cycle but has also demonstrated a genuine interest in our practice's success. The use of cutting-edge technology and proactive approaches to compliance issues have exceeded our expectations. Apoyo is undoubtedly a trusted ally in optimizing financial outcomes for medical practices.



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We are delighted to share our positive experience with Apoyo Healthcare LLC. Their exceptional Revenue Cycle Management services have proven to be a game-changer for our medical practice. With a keen understanding of the intricacies of medical billing and coding, they have significantly improved our financial health. The team's commitment to staying updated on industry regulations, transparent communication, and efficient processes make them an invaluable partner. Thanks to Apoyo, we can now focus more on patient care, confident that our revenue cycle is in expert hands.

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Our practice has experienced a remarkable transformation since partnering with Apoyo Healthcare LLC. Their comprehensive understanding of the ever-evolving healthcare landscape has resulted in a significant reduction in claim denials and an overall improvement in revenue flow. The team's professionalism, responsiveness, and dedication to our success make them stand out in the field of Revenue Cycle Management. We confidently recommend Apoyo to fellow healthcare providers seeking reliable and effective RCM solutions.

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Working with Apoyo Healthcare LLC has been a game-changer for our medical practice. Their expertise in Revenue Cycle Management has not only enhanced our financial performance but has also allowed us to operate more efficiently. The team's commitment to staying ahead of industry changes, coupled with their personalized and responsive service, has created a partnership that feels like an extension of our own practice. We're grateful for the positive impact Apoyo has had on our bottom line and highly recommend their services to fellow healthcare providers.