Help Accelerate Prior Authorization:
- Automate manual processes by determining if a pre-authorization is required and on file with the payer.
- Create a consistent workflow for manual intervention of pre-authorization follow-up to ensure mission-critical steps are not overlooked.
- Help reduce losses due to write-offs by automating Medical Necessity checking as part of registration, and perform clinical code auditing for Medicare outpatient services.
- Monitor payers electronically for pending pre-authorization decisions with results automatically posted to your health information system.
- Help reduce authorization-related claim denials by accessing an audit trail where the authorization verification was obtained and results were stored.
- Create Advanced Beneficiary Notices with expected charges for the patient which allows them to accept liability prior to care delivery.
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