FinanceHow To Simplify Prior Authorizations

How To Simplify Prior Authorizations

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For many healthcare providers, prior authorization automation requests have proven notoriously difficult. 27% of physicians say their requests are always denied, and 35% of physicians claim that the criteria for prior authorization are rarely evidence-based. This can make it extremely frustrating, costly, and time-consuming for both physicians and administrative teams alike to fill out, monitor, and appeal prior authorization decisions. Often, this has led to 35% of physicians to hire solely for the role of working on prior authorization requests. But what if there was a better way to compile medical charts, fill out PA requests, and constantly monitor their status?

Fortunately, Orbit AI and technology like it have come out to automated as much as 82% of the prior authorization process. This has shown to have better accuracy than human-completed PA requests and takes less than 5 minutes to perform these prior authorization processes. This means that the administrative burden that PA requests have is slashed and around 12 hours is saved per staff member, per week. Most importantly, this helps to avoid the negative patient outcomes experienced while waiting for prior authorization requests to be approved. Regardless of what you want it for, these prior authorization systems have a benefit to offer your business.

Prior Authorization Automation
Source: Orbit Healthcare

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