Key Trends in Electronic Prior Authorization Software

Electronic Prior Authorization Software

It is true that almost 70% percent of the industry is looking committed to implement an electronic prior authorization solution. With the increase in capabilities and rate of adoption of ePA especially in the electronic health records space, there is often a confusion in E- prescribing and electronic prior authorization.

While both occur in the same workflow, they are essentially not the same service. Electronic prior authorization helps in handling the additional requirements for the prescription that is dictated by the patient’s insurance plan to approve the coverage.

Rapid Automation in Practice Management

Automation across the prior authorization process is becoming pertinent with more healthcare providers looking to favor a paperless ambiance that will help them in reducing surging costs.

A disciplined process with skilled resources and immediate understanding of the claims adjudication mandates provides transparency in eligibility verification and authorization. It is important to lay down precise checks and balances that streamline the entire revenue cycle management priorities in best proportions.

Real time determination: A Salient Advantage

The right alerts for obtaining PA’s informing the physician about the prescribed medication for a patient has to be the roadmap forward. A real time determination is going to resolve many loopholes in obtaining prior auth on time and providing clarity in medical procedure to be followed for quick and effective reimbursements in the long run.

It is becoming easy with the pre-scriber clicking a few buttons in the EMR system and getting authorization real time. Hence, it is well understood that electronic prior authorization software will be a huge benefit for providers and also proficiency across it with skilled resources will be the need of the hour.

At the end, you will need hands on expertise and a platform that can help you with real time submission of your authorization requests and getting quick response with first time PA’s.

Reducing delay in first time requests in prior authorization can be solved with robust processes and sound electronic prior authorization software that will help in building up a strong case for a provider. Finding a specialized partner that innovates and adds value by providing state of the art platforms that reduce time in pre-certification is going to lay down a strong footprint.

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