Navigating the Prior Auth Landscape in 2024: 3 Things to Know Before Implementing Automation

The following is a guest article by Dr. Steve Kim, Co-Founder and CEO at Valer Prior authorization automation is an essential consideration for healthcare organizations seeking to streamline their processes in the coming year. Automating prior authorization workflow offers several operational, financial, and clinical benefits, including fewer avoidable denials, procedure cancellations, and delays in care, better patient outcomes, improved staff productivity, and more. If you’re considering adopting prior authorization automation technology for the first time, or you’re potentially switching from an existing provider that’s falling short, here are three things to know to help get the most from your investment. Know Your Core Challenges Before implementing prior authorization automation, the most crucial step is to understand the core challenges your organization faces with current processes. If your organization is new to the idea of automating your prior authorizations, you’re likely dealing with pain points stemming from a highly manual, repetitive process. These can materialize in three major ways. According to a survey by the American Medical Association (AMA), 80% of physicians report that the complexity of prior authorization processes has increased over the past five years. For organizations with manual prior auth processes, this means having to expend time and resources to adapt to evolving regulations and ensure compliance. This places an undue burden on healt...
Source: EMR and HIPAA - Category: Information Technology Authors: Tags: Administration AI/Machine Learning Health IT Company Healthcare IT IT Infrastructure and Dev Ops Automation Dr. Steve Kim Prior Auth Prior Auth Automation Prior Authorization Prior Authorization Automation Valer Voluware Source Type: blogs