Eliminate Denials, Reduce Costs and Stop Wasting Time with Automated Prior Authorization

Typical pre-certification and prior authorization processes for hospitals are manual, time-consuming and often ineffective. Your hospital can replace the resource-draining manual authorization processes and reduce denials, write-offs and labor costs by auditing scheduled and registered accounts with automated, procedure-specific authorizations prior to service.

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Identify when authorization is needed

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Facilitating submission

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Retrieving payer authorization response

Innovation that Disrupts the Painful Process for Prior Authorization Management

AccuReg’s electronic prior authorization software, Authorization Manager, automatically identifies when authorization is needed, facilitates submission and retrieves payer authorization responses. For many of your most common procedures, such as radiology, the prior authorization process is fully automated and done in real-time, returning instant authorization determination. That means hospital staff is no longer wasting valuable time.

For procedures when real-time automation isn’t available, Authorization Manager still automates identification and retrieval using centralized, consistent workflow tools to improve current disjointed, inefficient authorization processes. And, for customers who prefer to let our dedicated experts handle all prior authorizations, AccuReg offers a full-service solution, allowing your team to focus on higher-touch patient satisfaction priorities.

  • Automatically initiates, submits and obtains instant authorization determination using real-time EDI transactions for many of your most common procedures.
  • When instant prior authorization determination is not available, registrars and your patient access staff receive instructions through our centralized interface on how to obtain precertification authorization and initiate submission, along with all required documentation.
  • For hospitals that want to further simplify the authorization process, we offer tech-enabled service that provides supplemental staff or a fully outsourced solution using dedicated experts available from our U.S.-based service center.

Features

  • Automated and Electronic Prior Authorization
  • End-to-End Solution to Identify, Submit and Retrieve
  • Complete All-Payer Management
  • All-Service-Line Coverage
  • Seamless User Experience and Workflow
  • Intelligent Rules Engine and Rule Maintenance
  • Procedure Code Change Auditing
  • Real-Time Alerts with Resolution Instructions
  • Notice of Admissions
  • Available U.S.-Based Authorization Experts

Outcomes

  • Decrease No-Auth Denials
  • Reduce Labor Costs
  • Increase Patient Satisfaction
  • Avoid Retroactive Authorization Appeal Battles
  • Improve Physician Satisfaction
  • Expedite Patient Care and Increase Satisfaction
  • Catch Denials Post-Service

How Automated Prior Authorization Software and Services Work

AccuReg Authorization Manager is powered by our intelligent rules engine, integrated with premier prior authorization technology from PriorAuthNow™, to adapt to changing payer requirements and get smarter every day.

By using both technology and service, our electronic prior authorization software automatically requests and obtains authorizations by using EDI transactions from all payers and automated payer website retrieval. Authorization Manager is designed to improve the prior authorization process for providers. Learn how your hospital can reduce authorization denials. Complete a contact request form or call us direct at 866-872-7498.

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