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Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
Prior Authorizations
Prior Authorizations

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Categories

Solutions

Description

Product Description:

Improve patient access by accelerating time to care while reducing FTE resource spend on manual, repetitive tasks involved with obtaining prior authorizations.

About Adonis:

Adonis fosters unparalleled revenue outcomes that improve efficiency, reduce costs, and increase revenue. Our partnerships are forged in the commitment to long-term financial success. Whether you're a provider with an internal billing team or you outsource your RCM operation, we're prepared to meet you where you are to improve your billing and collections outcomes.

Product Description:
Obtaining pre-authorizations without delay is essential to both preventing unnecessary delays in care and ensuring accurate reimbursement for services provided. But there are multiple challenges to administering an efficient, effective pre-authorization program, including: • Recruiting and retaining staff who have both clinical and revenue cycle expertise • Dedicating resources to stay up to date on complex, evolving guidelines and payer-specific requirements, and to manage payer responses • Lack of a consistent, technology-enabled workflow An Efficient Solution: Our Authorization Management Services staff manages pre-certification and authorization needs for inpatient and outpatient diagnostic and therapeutic services. We also provide comprehensive concurrent or retrospective inpatient authorizations after admission. Our solution includes: • Authorization Experience and Expertise – Our services are provided by clinicians (nurses or allied health depending on client need) who have specialized education in authorization requirements and commercial screening tools. Our team members average more than five years of clinical and authorization experience, stay up to date with training and compliance, and are dedicated to helping ensure that no part of your authorization request slips through the cracks. • A Centralized and Streamlined Technology Process – Our team leverages a centralized system to accelerate payer response, with processes that are efficient and repeatable. We incorporate robotic-process automation to assist with account statuses and system updates. • Thorough Authorization Clinical Review – Our team reviews each medical record, focusing on payer-specific requirements and obtaining authorization for services scheduled or rendered. We stay abreast of changes to Medicare, Medicaid, and commercial payer guidelines. • A Focus on Reducing Authorization-Related Denials – We take a holistic approach to authorization, which includes working auth-related denials. We review denied admissions, days, and services, and complete all necessary steps for reconsideration and appeal requests. Our denial workflow is customized so that we can pair expertise to the type of denial; for example, leveraging technical versus clinical staff depending on the reason for denial. • Detailed Performance Reporting – We provide detailed performance reporting that includes a month-over-month view of account activity including: √ current status √ completion percentages √ approval percentages
About Change Healthcare:
Change Healthcare is inspiring a better healthcare system. We are a leading independent healthcare company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system. Our comprehensive suite of software, analytics, technology-enabled services and network solutions take costs out of the healthcare system by driving improved results in the complex workflows of payers and providers by enhancing clinical decision-making and simplifying billing, collection and payment processes, and enabling a better patient experience. We are creating a stronger and more efficient healthcare system that enables better patient care, choice, and outcomes at scale.

Compatibility level

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Clients

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Product Capabilities

Adonis’ Automated Prior Authorizations integrates with providers’ appointment systems to automatically review all upcoming appointments and identify those that will require prior authorization. Adonis uses a combination of machine learning and expert input to keep payer rules up to date, ensuring that all relevant appointments receive a prior authorization.

Adonis leverages machine learning and expert input to continually update its knowledge base. Adonis leverages AI to automatically identify and store payer rule updates.

Adonis’ prior authorization specialists use Adonis’ proprietary work list and form completion tools to more accurately and efficiently submit requests to the relevant payers. The speed and precision enabled by these automations lead to faster and higher rates of approvals.

Adonis’ prior authorization specialists use Adonis’ proprietary work list and form completion tools to more accurately and efficiently submit requests to the relevant payers. The speed and precision enabled by these automations lead to faster and higher rates of approvals.

Adonis’ prior authorization work list and form completion tooling allow for flexible document attachments, ensuring that all necessary information for receiving approval can be easily found and submitted.

Once Adonis identifies that prior authorization is required, the upcoming visit will enter our team’s work list. From there, our team members will prioritize prior authorizations based on service date.

The Prior Authorization Status Dashboard enables status tracking for all prior authorization requests.

Use Cases

Description:

Adonis’ Automated Prior Authorizations identifies scheduled patient visits that require authorizations by utilizing existing stored payer rules. Your staff is notified when authorizations are complete, denied, or require additional information not readily available within your system. All authorization data is pushed back to your system of record.

Pediatric use cases:

Adonis' Automated Prior Authorization is applicable across many specialty areas, including pediatrics;

Users:

Front-desk staff, Revenue Cycle Management Team

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

NextGen, athena, eClinicalWorks

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:
  • Fully Outsourced - Adonis handles all of the Prior Authorization workflows for your team and pushes the data back to the necessary systems
  • Highly automated - Prior Authorizations are performed behind the scenes with minimal intervention from staff
  • Machine Learning Backed Automations - Our machine learning models are trained on your Prior Authorization data, leading to efficiency gains and greater automations over time
Differentiators vs Competitors:
  • Adonis automates the bulk of authorization tasks, allowing your staff to prioritize high-value work and complex follow-ups.
  • Adonis maintains up-to-date payer rules, eliminating the need for staff members to regularly visit payer sites or commit guidelines to memory.
  • Adonis leverages machine learning to deliver exponentially increasing efficiency gains over time.
Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Keywords

Images

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Videos

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Downloads

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Alternatives

Company Details

Founded in 2007

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