How are you handling the rise in Prior Authorization denials?

AdamAlexander

May 3, 2026 02:43 PM

Newbie - Just Registered

It feels like payers are becoming increasingly aggressive with prior auth requirements lately. Is anyone using a billing service that specifically excels at automating this, or are you still finding that your clinical staff has to do the heavy lifting to get claims approved?

qoteq

May 3, 2026 03:11 PM

Newbie - Just Registered

Dealing with those aggressive prior auth denials has become a massive drain on clinical staff lately, often leaving our nurses stuck on the phone for hours instead of focusing on patients. We struggled with that constant paperwork battle until we decided to outsource our physician medical billing to the team at SwiftMDS. They’ve been absolute lifesavers because they handle the tedious follow-ups and technical hurdles that usually trip us up, and having experts who actually know how to push back against unfair denials has made a huge difference in our workflow. Delegating the heavy lifting is honestly the only way to keep your sanity while the payers keep moving the goalposts.