With the MCG Cite AutoAuth, payers and providers can rely upon an automated, evidence-based system to facilitate the prior authorization process. The web-based interface, provided through the payer’s portal, makes it easy for a provider to document and support treatment requests.

MCG Health, part of the Hearst Health network, helps healthcare organizations (in both the government and private sectors) implement informed care strategies that proactively and efficiently move patients toward health. MCG’s transparent assessment of the latest research and scholarly articles – along with data analysis – gives patients, providers, and payers the vetted information they need to feel confident in their care management decisions.

AKASA delivers Authorization Management, powered by our Unified Automation® platform, to holistically automate prior authorizations for providers. Through our unique RPA + ML + experts-in-the-loop approach, AKASA determines if prior authorization is required, gathers the necessary information and clinical documentation from your EHR, submits the authorization request to payers, checks on the status of those requests, and documents the results in your EHR. Additionally, we notify payers of inpatient admissions, attaching medical records as required. The result: more timely reimbursement and patient care, with fewer staff frustrations.

AKASA is the leading developer of AI for healthcare operations and the revenue cycle. We scale human intelligence with leading-edge AI and ML trained on customer data to learn unique systems, continuously adapt to changing environments, and deliver comprehensive automation for complex workflows. Our platform is used by more than 475 hospitals and 8,000 outpatient facilities. Step into the future of healthcare with AKASA. 

What makes our prior authorization solution unique?

• It’s a holistic prior authorization solution: Our automation identifies payer requirements, submits requests, checks statuses, and notifies payers of inpatient admissions — freeing your staff from tedious prior authorization tasks. 
• Our AI intelligently navigates complex auth processes: Our AI intelligently navigates complex auth processes, payer rules and portals, ensuring tasks get done.
• Our machine ensures auth requests are thorough and accurate: Reduce back and forth with payers by ensuring all required information, such as clinical documentation and supplemental CPT codes, are submitted the first time. 
• No disruption to your current workflow: Our AI works alongside your existing systems and third-party tools, optimizing prior authorization processes.