Prior Authorization in Kansas
Soft Home Global provides authorizations submitted ahead of the date of service and chased to a decision for Kansas practices and billing companies at $1,800 per seat per month. Full time, worked during Kansas business hours, inside your own system.
What is specific to Kansas
Kansas runs almost all of its Medicaid through KanCare managed care plans and has not adopted ACA expansion, so eligibility screening and the self-pay mix weigh more heavily than in expansion states.
Kansas’s Medicaid programme is KanCare. Practices with a meaningful KanCare mix usually need it worked as its own queue rather than mixed into commercial follow-up, because the submission path, the timely filing window and the appeal route are all different.
What a prior authorization seat does in Kansas
Submitted before the date of service and chased through the payer's decision window.
An authorisation found after the visit is a write-off, not a denial to appeal. In Kansas the work is submitting ahead of scheduling and chasing the decision, against a payment clock that starts only once a clean claim lands.
- Authorizations submitted ahead of scheduling, not after
- Status chased rather than waited on
- Peer-to-peer reviews scheduled when required
- Clinical documentation gathered before submission
- Expiring authorizations flagged before they lapse
- Worked during Kansas business hours, not queued overnight
For the statute behind all of this — Kansas’s prompt-pay deadline, its Medicaid filing limit, and the wrinkle that catches people out here — see the Kansas billing page.
Working Kansas hours
Kansas runs on Central time, 11 hours behind our floor in Rawalpindi. To be at a desk for your nine to five, the shift here runs 8pm to 4am, and 7pm to 3am once the clocks go forward. Pakistan does not observe daylight saving, so the shift moves on this side rather than yours.
One wrinkle worth naming: four western counties run on Mountain time. If your practice sits on that side of the line, say so on the call and the shift is set to your clock rather than the one most of the state keeps.
That is the part that decides whether follow-up happens at all: a payer’s phone lines are open on Kansas hours and nobody else’s.
What it costs in Kansas
$1,800
Per seat, per month, in US dollars — $21,600 a year for one full-time person, forty hours a week, on Kansas hours. No annual contract, no percentage of collections, no setup fee and no software to buy. Seat prices across all roles in Kansas run $1,450 to $2,400; the full list is published.
That is the entire invoice. Run your own figures against a percentage vendor or a hire rather than take ours.
Getting started in Kansas
About a week from a signed agreement to a person working your queue, and that week of training on your workflow is not billed on top. The work happens in your own system under a login you issue, so there is nothing to migrate and nothing to install. The week, step by step, and what is signed before anyone has access.
Questions
Do you work with Kansas practices?
Yes. Kansas accounts are worked during Kansas office hours rather than queued overnight, because a payer's phone lines are open then and at no other time.
What is different about Kansas?
Kansas runs almost all of its Medicaid through KanCare managed care plans and has not adopted ACA expansion, so eligibility screening and the self-pay mix weigh more heavily than in expansion states.
When does a Kansas payer have to pay a clean claim?
30 days for clean claims — no electronic vs. paper distinction (K.S.A. 40-2442). Where the insurer requests additional information, it has 15 days after receiving it. Late payment carries 1% per month interest. A claim sitting past that is not merely late, it is late against a statute, and the follow-up call changes from "when might this be paid" to "this passed your statutory window on a specific date".
How much does prior authorization cost in Kansas?
$1,800 per seat per month — $21,600 a year for a full-time person, forty hours a week. Every seat price is published at softhomeglobal.com/pricing.
What hours will somebody actually be working our Kansas queue?
Kansas is on Central time, 11 hours behind Rawalpindi. The shift here runs 8pm to 4am so your seat is at a desk for your full working day, shifting to 7pm to 3am while daylight saving is in force — Pakistan does not observe it, so the change happens on our side.
Do you handle KanCare as well as commercial payers?
Yes, and as its own queue rather than mixed into commercial follow-up. KanCare has its own submission path, its own filing window and its own appeal route, and working it in the same worklist as commercial claims is how the deadlines get missed.
Is this a percentage of what you collect?
No — a flat monthly rate per seat, published at softhomeglobal.com/pricing. A percentage bills you most in your best month and points the vendor at the easy accounts.
What is the minimum commitment, and how quickly can somebody start?
One seat for one month, cancellable on thirty days notice, and about a week from a signed agreement to a person working your queue. The week of training is not billed. The steps are at softhomeglobal.com/how-it-works.
Is our patient data safe offshore?
A Business Associate Agreement is signed before anyone has access, and the work happens in your own system under a login you issue, so every action is attributable to a person in your audit trail. The controls are listed at softhomeglobal.com/security.
Next step
One seat on your Kansas work
Twenty minutes on a call is enough to tell whether this fits. If it does not, I will say so.
Or write to ops@softhomeglobal.com