Real-time Prior Authorizations Deliver Improved Care, Reduce Costs and Offer Provider Satisfaction
Now, using cutting-edge technology and years of Clinical Decision Support (CDS) expertise, Stanson Health has automated prior authorizations. The solution can be integrated into your current electronic health record (EHR), offering a payer-agnostic solution that streamlines the process with real-time decisions at the point of care. As your partner, Stanson Health brings more than six years of CDS expertise, serving more than 170,000 providers in over 500 hospitals earning us best in KLAS rankings. Our proven track record makes us the ultimate choice for an automated prior authorization solution. Using natural language processing (NLP) and machine learning (ML), we connect providers and payers with guidelines to instantly determine if an order meets payer requirements for approval based on information gathered from the EHR.
With our prior authorization solution, providers, payers and patients immediately experience the benefit of an automated, real-time prior authorization approval process. Eligibility and clinical necessity are both assessed based on payer guidelines, enabling a real-time decision to be delivered at the point of care. This improves the overall experience for everyone, including the patient, and saves both providers and payers the time and expense spent managing the manual prior authorization process.
$23 to $31 billion
is spent each year for providers to interact with health insurance plans.
Real-time Authorizations Using Data in the Chart
- Eligibility check with payer
- Medical necessity checking using payer guidelines
- Furnishing facility selection using payer approved locations
- Prior authorization submission/automated approval, including providing EHR with payer generated cert ID
Real-time Authorization Approval
- Automated prior authorizations integrate into current EHR workflow with payer guidelines to approve authorization requests.
- Streamlined authorization process results in reduced time delays for both patients and providers.
- Reduce clinically inappropriate and potentially harmful orders with complete transparency to the payer and health system.
- Decrease administrative burden for both provider and payer staff allowing them to focus more on patient care.
Why Automate? The Numbers Tell the Story.
is spent each year for providers to manually interact with health insurance plans.1
is incurred per year in time and labor expenses interacting with multiple insurance plans.2
of physicians reported that the existing prior authorization process led to a serious adverse event.3
of providers reported a wait of at least three business days for a prior authorization decision.
a week are spent by providers or their staff on administrative duties specific to prior authorization.
of providers reported a negative impact on clinical outcomes due to the current prior authorization process.
of respondents agreed that the hassle associated with the existing prior authorization process can sometimes lead to patients abandoning their treatment.
of respondents described the administrative burden associated with prior authorization as “high or extremely high”.4
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Resources
Focus attention on patients instead of paperwork.
Automated Electronic Prior Authorization
For Patients, Providers and Payers
Take Costs and Waste Out of Your Health System:
7 Steps to Effective Clinical Decision Support
Smart, Fast, Efficient:
Introducing Seamless Patient Care
Driving Value:
Automating Prior Authorization at the Point of Care
Prior Authorization:
A Better, Faster Way
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