January 2020 Newsletter

Prior Authorization Edition

Every healthcare practice and hospital struggles with the ongoing burden of prior authorizations, and the added administrative workload placed on providers. Without a doubt, prior authorizations create the single most significant requirement for practices trying to manage the overwhelming paper flow to meet payers’ guidelines and ensure patients receive the care prescribed.

By leveraging advanced technologies using automation and artificial intelligence (AI), and streamlining your prior authorization workflow, your practice can immediately reduce provider frustration, maximize the patient experience, and collect more revenue with fewer denials.

In the latest edition of the Infinx Healthcare newsletter, we review recent contributions to our blog, what we are currently reading, and what’s in the news, all spotlighting the benefits of utilizing AI and automation in the prior authorization workflow.

The AUC and CDSM programs have now entered the education and operation testing period lasting until the end of 2020. CMS is relying on the ordering provider to consult the AUC and forward the certificates through CMS-approved vendors in order to receive payment. More

Taking a comprehensive look at the causes of denied claims, you will find that more than half are the result of front-end patient processing. With AI, you can improve the denials management process by eliminating manual functions.More

You are guaranteed to succeed with top-notch financial results and a healthy bottom-line by welcoming automation that promises to streamline the healthcare billing lifecycle by improving the accuracy and timeliness of many patient/payer collection functions. More

In seeking to reduce denials, cardiology practices have the opportunity to explore new ideas that efficient automation can expand their revenue, reduce their days outstanding in A/R, and improve their patient’s experience by reducing surprise bills.More

What We Are Reading

Download our Case Study to learn how we helped an East Coast Medical Imaging Center automate their prior authorization workflow from referring physicians and increased their daily revenue by $750-1000 per day using our Prior Authorization Software, optimized by automation and AI. See how our scalable and automated solutions can improve your practice’s prior authorization workflow

Schedule a demo to learn more about our Prior Authorization Software or CDSM Solution, and see how we can manage your CDSM referrals and prior authorization claims, with one single integrated solution, to ease compliance and increase workflow efficiencies, maximizing your revenue.