So many procedures — and so many types of procedures. It’s no wonder orthopedic practices struggle to process such a large, diverse and ever-changing volume of prior authorizations every week. When authorization needs vary wildly from procedures and surgeries to physical therapy, imaging, rehab, medications, and injections, the corresponding patient-insurer friction can overheat the most efficient of organizations.
Current solutions are long on promises but short on the ability to fully automate the prior authorization workflow and ultimately require human interaction. The prior authorization process is costly, very complex, and creates scheduling nightmares. Payers are continuing to bring more procedures under prior authorization review, and portals and guidelines regularly change. All of these requests frequently take time away from patient care, which directly affects customer satisfaction and your bottom line.