Physical therapists did not go to school to manage prior authorizations, yet that is often what happens. An important procedure for a patient is derailed because a prior authorization is required. And the long, arduous process of obtaining authorization begins, and it becomes pain-staking. The complexity of the process taxes staff to the point that denials go up.
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.