Prior Authorization Management
Prior Authorization Management
Prior authorization is a well-intentioned component of the healthcare revenue cycle that affects both the patient and payer experiences.
The healthcare revenue cycle is comprised of several repetitive activities, making it ideal for intelligent automation. Human error has always been a contributing issue in claim denials. Prior authorization automation not only increases the number of verifications that can be accomplished in an hour, but it also improves overall accuracy. Prior authorization is a time-consuming process in the absence of technology, leading patients to wait even longer for the care they require.
S3 Connect is a technology builder that has implemented automated solutions with their data services benefits verification team.
Highlighted Benefits
- Continuously scan bulk health plans and alert on necessary information to comply with the new rules, gathered from the patient’s medical records within the EHR.
- Scans a huge number of health plans and alerts on essential information to comply with the new requirements, acquired from the patient's medical data inside the EHR, on a continuous basis.
- Ensures compliance with service level agreements, which decreases the risk of denials and revenue loss due to write-offs.
- Automation can trace every authorization from beginning to end.
- Ensure faster and more accurate authorization and provide patients with the necessary medical care.
- Uses electronic Fax and Email solutions to send out prior authorization requests via a dedicated dial-out number, and retrieves and stores the responses from the payors for future reference.
Other Services
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of business operations. Gain a chance to better your business, streamline each process, and ensure all your systems are rolling smoothly while maintaining the core of your business.
Eligibility Verification
By automating patient eligibility verification, providers may reduce expenses while increasing the accuracy of patient eligibility.
Denial Management
Managing denials by automating the process lets post-acute care teams spend less time managing them on a daily basis.
E-Consent Forms
Automated E-consent forms save practices and patients from the hassles of paperwork. Easily share and collaborate on informed consent forms.
Claim Tracker
RPA can facilitate the creation of a claims system that improves current business operations and assists the claims department in improving the overall customer experience.
Prior Authorization
An ideal healthcare RCM automation can quicken prior authorization and offer staff valuable time back. Leverage AI and extensive integrations to clearinghouses and benefit managers.
Analytics
Automate the entire data analytics life cycle by using AI/ML-based techniques and derive meaningful insights from data in a matter of minutes.
Transcription Automation
Get seamless syncs with the provider's cognitive process and assist them in creating perfect, excellent medical records.
Implementation Services
Our efficient SAP implementation services assist businesses in managing digital disruption and improving operations for successful transformation.
Managed Services
Manage, enhance, and maintain SAP environments with a combination of processes and methodologies to improve SAP solution-based landscapes.
Upgrade Services
Our comprehensive upgrade roadmap lays the path for larger transformative improvements, which result in tangible business outcomes for our clients.
Remediation Services
Moving ABAP custom code may be a difficult task. SAP has developed best practices that you should examine before making your migration in order to make the process smoother.
Migration Services
We accelerate your journey of migration to SAP S/4 HANA to save time, tackle market dynamics, and smoothen business challenges.
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