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Connected Authorization Services

Optimize authorization management by leveraging expert staffing, intelligent automation, and broad connectivity.

 

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StreamlineMedical Authorizations

  • Deploy pre-authorization experts who use intelligent technology to help handle routine authorizations rapidly and work complex cases by exception, improving the efficiency and accuracy of medical authorizations
  • Easily manage pre-certification for inpatient and outpatient procedures and therapies, and inpatient retrospective authorization after receipt of Medicaid eligibility
  • Accelerate data sharing with payers through direct payer connections and avoid timely filing delays
  • Enable a smoother, more precise workflow with technology that automates manual tasks, including the identification of authorization requirements, authorization submission, and status inquiries.
  • Build and scale capabilities to help prevent unnecessary care delays, support accurate reimbursement, and reduce the cost of medical-authorization efforts
  • Gauge performance with detailed assessments and month-over-month reports that monitor key performance indicators and spot improvement opportunities early

Drive Efficient, Accurate, and Timely Authorizations

  • Flexible Staffing Model

    • Our trained specialists monitor routine authorizations using intelligent automation.
    • For complex cases, they provide expert oversight, insight, and support at all points to drive success.
    • Team members average more than 10 years of clinical and authorization experience, and our clinicians (nurses or allied health) have specialized education in authorization requirements and commercial screening tools. 

  • Intelligent Automation

    • Authorization technology integrates with an HIS to automate routine tasks and flag potential issues for our staff.
    • Helps reduce the time and effort required to complete an average prior authorization
    • Identifies accounts requiring further intervention, allowing our expert staff to work by exception

  • Broad Payer Connectivity

    • Broad Payer Connectivity

Our outcomes

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Case Study

Grand View Health Leans on Change Healthcare During Pandemic

Case Study

Grand View Health Leans on Change Healthcare During Pandemic

Change Healthcare quickly stood up a dedicated registered nurse triage team to handle more than 4,000 hotline calls per month.

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White Paper

No Surprises Act: Physician Revenue Cycle Management Recommendations

White Paper

No Surprises Act: Physician Revenue Cycle Management Recommendations

Read this white paper to learn how physicians can help ensure NSA compliance while also adhering to revenue cycle management best practices.

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White Paper

How Revenue Cycle Technology Increases Financial Stability

White Paper

How Revenue Cycle Technology Increases Financial Stability

Learn how to solve the financial challenges facing physician practices by utilizing revenue cycle technology.

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