Prior consent Cure with a decision

Global Courant

Patients suffer extremely late in medical prescriptions and procedures, overdue bills, issues with paperwork is a major challenge. Nearly 869 million hours are spent each year after prior approval!

It is true that electronic prior consent has been in place for over a decade. However, for payers who have their own heavy web portals, there is a lack of better communication between two receptive interfaces, the portals, which are only associated with the individual process workflow.

What we need today is expert intervention and a combination to maximize the benefits of the technology. While it is true that a manual process is quite expensive costing around $10.78 per transaction compared to $2.07 for an electronic pre-transaction authorization.

Reduce time with electronic prior consent

Good communication between the beneficiary and the provider is a serious problem that becomes a major obstacle to the ideal shift towards more value-based care. Ultimately, solving your practice management priorities will be possible with a perfect combination of manual and electronic prior authorization that cures your pain in exam and authorization mandates as a medical practice.

With more than $31 billion spent annually on prior authorization, healthcare providers must leverage the best technology to accelerate the practice management process. Healthcare in general generally stays local!

Be it REM on the supplier side, the end user management systems are old and often unable to keep up with the changing business dimensions. Continuous data exchange between provider and payer continues to be hampered by unusual pay-per-view portals that correlate with their individual workflow models.

Combination of a manual/electronic process for a simplified pre-authorisation process

While both systems can communicate, tuning and data ingestion are not efficient enough, making the integration rather dismal. The entire licensing process is the most important aspect of the actual sales cycle. Patient access services do not have sufficient resources to answer authorization requests!

The Medicare and Medicaid cuts will be just another challenge, and more rational management/management cycle management will be the reference. Appealing to all the “non-denials” you face as an organization requires you to combine manual and electronic processes with a host of resources that meet the demands of modern practice management.

Since nearly 90% of prior authorizations require a phone call or fax, Surescripts calculates the cost of handling these requests to be between $2,000 and $14,000 per year. Previous authorizations account for almost 2% to 4% of this turnover!

When you consider that billions of prescriptions are ordered every year, that saves a lot of money and time! For an urgent application it can take up to 24 hours to make a decision, and for a standard application it can vary between 10 and 15 days!

On average, we find that doctors spend 1.1 hours per week, surgeons 0.7 hours and specialists 0.8 hours. The main challenge is still not taking into account the fact that there are different forms associated with the prior authorization process.

For example, GPs spend about 13.1 hours per week per doctor with prior authorization and 3.8 hours on forms. Electronic advance authorization provides bandwidth and allows physicians to focus their time on top nursing management priorities.

Prior consent Cure with a decision

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