Many healthcare organizations are turning to prior authorization automation to optimize their processes for the sake of improved operational efficiency, financial and clinical benefits, fewer denials, and better patient outcomes. If you’re considering adopting prior authorization automation technology for the first time, or you’re potentially switching from an existing provider, here’s what to know before implementing prior auth automation.
- Know Your Core Challenges: The first step in adopting prior auth automation is understanding the unique challenges your organization faces with current processes. As revealed by the American Medical Association (AMA), physicians report an 80% increase in the complexity of prior authorization processes over the past five years. This complexity often leads to manual, repetitive tasks, causing burnout and hindering patient care.
- Know Your Automation Options: Not all prior authorization automation solutions are created equal, and choosing the right fit for your organization requires careful consideration. Explore the potential of artificial intelligence (AI), which, according to recent reports, 65% of physicians see as advantageous in reducing administrative burdens.
- Know the Features Your Organization Needs for Success: The success of prior authorization automation lies in selecting a tool that aligns with your organization’s goals. Consider features like automated submission capabilities, real-time eligibility verification, analytics and reporting.
Implementing prior authorization automation requires a strategic approach. By understanding your organization’s core challenges, exploring automation options, and prioritizing the features essential to your practice, you can pave the way for staff productivity and patient health outcomes.
To learn more about implementing prior auth automation, read Dr. Steve Kim’s full article on Healthcare IT Today.