Whether you’re a small local doctor or a large healthcare provider, you are likely familiar with prior authorization automation. Prior authorizations are simply requests from a provider to an insurance company to get consent for healthcare procedures. Unfortunately, these PA requests don’t always pan out in your favor, and as many as 27% of physicians say their requests almost always get denied. Not only that, but 75% of doctors think that these denied requests have become more frequent in the past 5 years. This disproportionately affects smaller providers who don’t necessarily have the resources to keep reapplying for PA appeals. Even if they can, 48% of doctors say that their patients’ health cannot wait for another round of appeals before receiving the procedure.
Fortunately, new technology can benefit both small and large healthcare providers alike. Automated PA systems such as Orbit AI slash both the average cost of PA requests and the time to get them done. It is estimated it saves 60% of all existing provider costs and only takes 5 minutes to perform the prior authorization process. With less time and money being spent on appeals, this frees up staff to make sure the patient experience is a good one, which results in better patient outcomes. Regardless of who your provider office serves, automated prior authorization systems can simplify the workload for your business.
Source: Orbit Healthcare