Reduce Denials, Costs and Prior Authorization Burden

Typical pre-certification and prior authorization processes for hospitals are manual, time-consuming and inefficient. As insurers increase prior authorization requirements, providers incur millions in administrative costs and lost revenue, trying to navigate ever-changing payer rules to prevent denials, improve staff efficiency and provide care.

AccuReg Authorization Manager simplifies disjointed phone, fax and web-based processes, reducing the time, resources and costs required to manage and obtain authorization. AccuReg applies intelligent end-to-end automation, an adaptive rules engine and sophisticated pattern analysis to the five best-practice steps of prior authorization, helping you prevent no-auth denials, improve staff efficiency and increase patient satisfaction.

Learn More About Prior Authorization

Authorization Manager - Demographic Audit - an icon of three people

1. Demographic Audit

Authorization Manager - Eligibility Verification - an icon of a computer with a checkmark on the screen

2. Eligibility Verification

Authorization Manager - Determination - an icon of a clipboard and a magnifying glass

3. Determination

Authorization Manager - Submission - an icon of an envelope with a document inside

4. Submission

Authorization Manager - Retrieval - an icon of a computer with two messages on screen

5. Retrieval

Innovation that Reduces Time, Resources and Costs to Obtain and Manage Authorization

AccuReg Authorization Manager manages and maintains your payers’ authorization determination rules engine to automate the prior authorization process.

Authorization Manager audits patients’ demographic and visit information, scanning for hundreds of type errors and issues, while intelligent eligibility validates service-specific benefits. When issues are found, accounts are flagged, and staff receives real-time alerts with instructions for how to correct issues that could cause denials.

Our technology then determines if authorization is required, utilizing the most current payer requirements. When authorization is required, we streamline submissions through a single platform, consolidating payer portals, making it easy to complete questionnaires, upload documents, and provide other required information. Intelligent automation monitors response status and retrieves authorization or denial number along with additional documentation requests, eliminating staff time manually checking payer portals.

  • Initiates, submits and retrieves instant authorization determination using real-time EDI transactions for many of your most common procedures
  • Manages and maintains authorization determination rules for all payers
  • Provides staff with real-time alerts and instructions through our centralized interface on how to obtain authorization and initiate submission, along with all required documentation
  • Intelligent automation monitors response status to retrieve authorization or denial, saving staff time

Reduce No-Auth Denials, Improve Staff Efficiency, Increase Patient Satisfaction

Finally. An all-payer, all-service solution that uses technology to overcome the pain of prior authorization.

AccuReg Authorization Manager is powered by our intelligent rules engine to adapt to changing payer requirements and get smarter every day. Automate time-consuming, error-prone prior authorization processes to prevent no-auth denials, reduce costs and allow your staff to focus on higher touch activities and patient care. Learn how your hospital can reduce frustrating manual processes with intelligent automation from AccuReg.

Complete a contact request form or call us direct at 866-872-7498.

How AccuReg Authorization Manager Benefits You

Capabilities

  • Maintain determination rules engine
  • 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 pre-service

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