Obtaining prior authorizations is an ongoing struggle for most radiology and imaging centers. The prior authorization process can be very time-consuming, often requiring many hours of constant follow-up by your staff, which ultimately takes away from patient care. From the time the order is placed and the actual exam, there are multiple risks for delays and denials. As a provider, you can’t complete the radiology scan unless you receive an approval and sometimes receiving that approval often requires navigating proprietary and nonstandard workflows.
Current solutions over promise 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. In addition, 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.