Happy Patients, Minimal Churn using Real-Time Prior Authorizations

By Infinx
December 27, 2018

Here’s the deal. If you’re still processing your prior authorizations manually, you are sacrificing revenue, cost containment, and population health management strategies. Period. Why? Because too many of your patients are frustrated, unhappy and seeking treatment elsewhere. Happy patients mean happy revenue cycles. That’s the business we’re in. As a result, adopting a real-time solution is no longer just a competitive advantage, it is a business imperative.

By adopting real-time prior authorization determinations, you can expect a drastic decrease in wasted time and money – as well as a corresponding drop in patient churn and a rise in the accuracy of patient scheduling.

Reach Peak Capacity with Real-time Prior Authorizations

Real-time determination of prior authorizations means fast answers and fast answers make patients happier. It minimizes churn, cuts scheduling times, and your staff is freed up to work on more high-value activities. Instead of waiting days and following up via phone, fax, and email, your staff can determine almost immediately whether an authorization is required, submit it, and receive confirmation. In other words, your organization operates at peak capacity.

The Infinx Patient Access Software is a secure, web-based portal, that provides real-time authorizations for any procedure that requires insurance pre-certification. It’s simple and easy. With one single platform, the Infinx Patient Access Software tracks and catalogs each authorization based on status. It validates addresses, reducing rejections, and leverages a procedure code lookup tool. Just like that you save both time and money, free up your in-house resources and adopt lightning fast turnaround time and increased customer satisfaction.

Exception Handling by Proven Experts

But no system is 100 percent automated, you might be saying. That’s why Infinx retains a specialized prior authorization support team to perform expert exception handling. For example, if a patient’s benefits suggest a prior authorization isn’t required but the Infinx Patient Access Software indicates that it is, our team can evaluate the payer rules and the data feed to determine why there might be a discrepancy, all within 30 minutes.

Infinx’s deep understanding of claims processing and denial trends helps your team get answers quickly at each stage of the prior authorization process.

An Industry Shift to Real-Time Prior Authorizations

As you probably know, states increasingly expect payers to adopt Electronic Data Interchange standards for electronic prior authorizations. In the last 18 months, nearly 40 percent more payers saw a rise in the prior authorization requirement. It’s only a matter of time before the majority of prior authorizations are approved electronically.

Why is the industry seeing this seismic shift? According to a 2018 American Medical Association survey, 92 percent of clinicians say lengthy prior authorization protocols have impeded timely patient access to care and harmed patient clinical outcomes.

Doctors and administrators both know that delayed or flawed authorizations processes are deeply frustrating and even traumatic for patients. Discover what practices and hospitals all over the U.S. already know. Infinx’s Patient Access Software solution is the fastest, most comprehensive and accurate prior authorization solution available.

Request a demo to see how Infinx can fully automate and streamline your prior authorization workflow. Contact us at sales@infinx.com.

About the Author

Infinx

Infinx

Infinx provides innovative and scalable payment lifecycle solutions for healthcare practices. Combining an intelligent, cloud-based platform driven by AI with our trained and certified coding and billing specialists, we help clients realize revenue, enabling them to shift focus from administrative details to billable patient care.

Leave A Comment