“An increase in prior authorization (PA) requirements from health insurance companies is placing administrative and financial burdens on primary care offices across the United States.”
Ride the Storm: Navigating Through Unstable Periods / Katerina Rudko (Belka G...
The High Cost of Prior Authorizations
1. The of
Reduce costs and improve efficiencies by using an automated prior authorization process that:
Sources:
http://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-14-109
http://massneuro.org/Resources/Transfer%20from%20old%20sit/AMA%20White%20Paper%20on%20Standardizing%20Prior%20Authorization.pdf
http://medicaleconomics.modernmedicine.com/medical-economics/content/tags/insurance-companies/prior-authorization-predicament?page=full
http://medicaleconomics.modernmedicine.com/medical-economics/content/tags/americas-health-insurance-plans/curing-prior-authorization-headache
PriorAuthNow’s powerful, secure software works with your EHR system and connects directly
with all insurance carriers, making it the fastest, most economical way to submit, monitor
and complete prior authorizations. And, best of all—its 100% FREE OF CHARGE.
To find out more, visit priorauthnow.com or call us at 614-289-8603.
...and what you can do about it
PRIOR AUTHORIZATIONS
THINK PRIOR AUTHORIZATIONS AREN’T COSTING YOU? STATISTICS SHOW OTHERWISE:
wait several days for a
response to a PA request
are abandoned due to
complex approval policies
Average number of hours PER WEEK spent on
PA requirements per practice:
payer rejections need
to be appealed
spent annually by
physicians
on PAs
69%
40%
13.1hours
31billion
3hours
6.3hours
65thousand
868.4OF PHYSICIANS
OF PRIOR AUTHORIZATIONS
OF FIRST-TIME MILLION HOURS
LOST MONEY
LOST TIME
PRIORAUTHNOW CAN HELP
HOW TO MINIMIZE THE IMPACT ON YOUR PRACTICE
Physicians
Nurses
Staff
spent annually by physicians
dealing with insurer“hassles”
spent on PAs nationally each year
80%
from insurers on first-time PA
requests for tests and procedures
WHAT COULD YOU DO WITH THAT TIME & MONEY?
GROW
YOUR
PRACTICE
FOCUS
ON PATIENT
CARE
HIRE
ANOTHER
STAFF
MEMBER
EXPAND
YOUR OFFICE
SPACE
PURCHASE
NEW MEDICAL
EQUIPMENT
REJECTION RATE
20%
Handles all
PA activity in
one place
Removes
all guesswork
Helps you keep
up with changing
requirements
Eliminates
hand-written forms
and lengthy calls
Provides real time
status updates and
determinations
Protects patient
confidentiality
and keeps
data secure
“An increase in
prior authorization (PA)
requirements from health insurance
companies is placing administrative
and financial burdens on primary care
offices across the United States.”