Case Study 2 | Prior Authorization Backlog Support for a Pain Practice
GoHealthcare Practice Solutions | Case Study 2 | Prior Authorization Backlog Support for a Pain Practice
Prior Authorization Backlog Support for a Busy Pain Practice
Client Profile
A Kansas-based pain management practice providing specialty pain services with a high daily patient volume. The practice works with multiple payers and depends heavily on timely prior authorizations to keep procedures scheduled and patients moving through care without delays.
The Challenge
The practice was experiencing a significant prior authorization backlog. Authorization requests had accumulated to the point where the team felt it was nearly impossible to catch up. Procedures were delayed, schedules were underutilized, and staff were overwhelmed trying to manage follow-ups, resubmissions, and payer communication.
Because the practice was very busy, internal staff did not have the capacity to resolve the backlog while also keeping up with new authorization requests. The growing volume created stress across the office and directly impacted patient access to care.
The practice needed immediate, reliable support from a team that specialized in prior authorization and could step in quickly to stabilize the situation.
GoHealthcare’s Role
GoHealthcare Practice Solutions was engaged to take over prior authorization support and address the existing backlog. The GoHealthcare team worked closely with the practice’s office manager and staff to understand payer requirements, prioritize cases, and restore control over authorization workflows.
Rather than offering short-term help, GoHealthcare focused on clearing the backlog while also putting processes in place to prevent the issue from happening again.
What Was Done
GoHealthcare provided focused, hands-on prior authorization support:
• Reviewed and prioritized the existing authorization backlog
• Identified incomplete or stalled requests and corrected issues
• Resubmitted and followed up on authorizations with payers
• Communicated directly with insurance carriers to resolve delays
• Organized authorization tracking to improve visibility and follow-through
• Supported new authorization requests while backlog cases were being resolved
• Maintained clear communication with the practice’s internal team
Processes were structured and supported by tracking tools, but execution remained hands-on and accountable.
Results
As the backlog was addressed:
• The large prior authorization backlog was cleared
• Authorization turnaround times improved
• Procedure schedules stabilized
• Providers were able to stay busy performing procedures
• Staff experienced reduced stress and fewer daily disruptions
• Patients received approvals and procedures more quickly
What once felt impossible became manageable with the right support in place.
Why It Mattered
Clearing the prior authorization backlog allowed the practice to regain momentum. Providers were no longer slowed down by administrative delays, and patients benefited from faster access to care.
The practice continued working with GoHealthcare after the backlog was resolved, recognizing the value of having a trusted partner dedicated to prior authorization support. GoHealthcare’s reliability, responsiveness, and expertise turned a critical operational challenge into a stable, ongoing process.
Client Profile
A Kansas-based pain management practice providing specialty pain services with a high daily patient volume. The practice works with multiple payers and depends heavily on timely prior authorizations to keep procedures scheduled and patients moving through care without delays.
The Challenge
The practice was experiencing a significant prior authorization backlog. Authorization requests had accumulated to the point where the team felt it was nearly impossible to catch up. Procedures were delayed, schedules were underutilized, and staff were overwhelmed trying to manage follow-ups, resubmissions, and payer communication.
Because the practice was very busy, internal staff did not have the capacity to resolve the backlog while also keeping up with new authorization requests. The growing volume created stress across the office and directly impacted patient access to care.
The practice needed immediate, reliable support from a team that specialized in prior authorization and could step in quickly to stabilize the situation.
GoHealthcare’s Role
GoHealthcare Practice Solutions was engaged to take over prior authorization support and address the existing backlog. The GoHealthcare team worked closely with the practice’s office manager and staff to understand payer requirements, prioritize cases, and restore control over authorization workflows.
Rather than offering short-term help, GoHealthcare focused on clearing the backlog while also putting processes in place to prevent the issue from happening again.
What Was Done
GoHealthcare provided focused, hands-on prior authorization support:
• Reviewed and prioritized the existing authorization backlog
• Identified incomplete or stalled requests and corrected issues
• Resubmitted and followed up on authorizations with payers
• Communicated directly with insurance carriers to resolve delays
• Organized authorization tracking to improve visibility and follow-through
• Supported new authorization requests while backlog cases were being resolved
• Maintained clear communication with the practice’s internal team
Processes were structured and supported by tracking tools, but execution remained hands-on and accountable.
Results
As the backlog was addressed:
• The large prior authorization backlog was cleared
• Authorization turnaround times improved
• Procedure schedules stabilized
• Providers were able to stay busy performing procedures
• Staff experienced reduced stress and fewer daily disruptions
• Patients received approvals and procedures more quickly
What once felt impossible became manageable with the right support in place.
Why It Mattered
Clearing the prior authorization backlog allowed the practice to regain momentum. Providers were no longer slowed down by administrative delays, and patients benefited from faster access to care.
The practice continued working with GoHealthcare after the backlog was resolved, recognizing the value of having a trusted partner dedicated to prior authorization support. GoHealthcare’s reliability, responsiveness, and expertise turned a critical operational challenge into a stable, ongoing process.