An End-to-End Prior Authorization Solution Implemented for an East Coast Orthopedic Group Achieved a $55K Increase in Quarterly Revenue

We partnered with a large East Coast Orthopedic Group with over 70 providers at 11 locations providing orthopedic services, imaging, rehabilitative, pain management, and primary care services.

Due to operational complications from a manual prior authorization process, they saw significant revenue leakage caused by their overburdened Patient Access team. In addition, the Group was also impacted by the industry-wide problem of ever changing payer guidelines. As their diagnostic and treatment abilities grew, so did the insurance prior authorization requirements.

Learn how we helped increase their revenue by an additional $55K per quarter by:

  • Eliminating the need to hire additional FTEs
  • Reducing their prior authorization turnaround times
  • Reducing their denial rates, ultimately increasing their revenue
  • Improving efficiencies to help expand their weekend hours
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