Patients suffer an extreme backlog in medical prescriptions and paperwork, overdue bills, problems with paperwork is a great challenge. After receiving prior authorization, almost 869 million hours are spent per year!

It is true that electronic prior authorization has been in force for more than a decade. However, for payers who have their own heavy web portals, there is a lack of better communication between two responsive interfaces, the portals, which are only associated with the individual process workflow.

What we need today is the intervention of experts and a combination to take full advantage of the benefits of technology. Although it is true that a manual process is quite expensive and costs around $10.78 per transaction, compared to $2.07 for a prior electronic transaction authorization.

Reduce time with electronic prior authorization

Good communication between recipient and provider is a serious problem that becomes a major obstacle to the ideal shift to more value-based care. Ultimately, it will be possible to address your practice management priorities with a perfect blend of manual and electronic pre-clearance that cures your pain in licensing and examination mandates as a medical practice.

With more than $31 billion spent annually for prior authorization, healthcare providers must take advantage of the best technology to expedite the practice management process. Healthcare in general usually stays local!

Whether it’s REM on the provider side, end-user management systems are old and often can’t keep up with the changing dimensions of the business. Seamless data exchange between provider and payer is still hampered by unusual pay-per-view portals that map to their individual workflow models.

Combination of a manual/electronic process for a streamlined pre-authorization process

Although both systems can communicate, the adjustment and absorption of data is not efficient enough, which makes the integration rather bleak. The entire licensing process is the most important aspect of the actual sales cycle. Patient access services do not have enough resources to respond to authorization requests!

The cuts in Medicare and Medicaid will be another challenge, and a more rational management/management of the management cycle will be the reference. Appealing to all the “no self-denials” you face as an organization requires you to combine manual and electronic processes with a wealth of resources to meet the demands of modern practice management.

Considering that nearly 90% of prior authorizations require a call or fax, Surescripts estimates that the cost of servicing these requests ranges from $2,000 to $14,000 per year. Previous authorizations account for almost 2% to 4% of these revenues!

Considering billions of prescriptions are ordered each year, that creates a lot of money and time! For an urgent request, it can take 24 hours to make a decision, and for a standard, it can vary between 10 and 15 days!

On average, we find that physicians spend 1.1 hours a week, surgeons 0.7 hours, and specialists 0.8 hours. The biggest challenge is still not taking into account that the different forms are associated with the prior authorization process.

For example, general care nurses spend about 13.1 hours per preauthorized physician and 3.8 hours on forms in any given week. Electronic prior authorization provides bandwidth and allows physicians to focus their time on the highest priorities of nursing management.