What You Should Know:
– Edifecs and Empowered-Home introduced a partnership to supply automated prior authorizations to medical associations, Accountable Care Organizations (ACOs), Independent Physician Associations (IPAs), medical teams, and residential well being care businesses.
– The Edifecs prior authorization solution mixed with the medical resolution help system of affected person administration software program firm, Privis Health, types the spine of Empowered-Home’s ecosystem. Empowered-Home is linked with medical associations in a number of states together with New York, Texas, Washington, Montana, and Hawaii as a result of it’s a complicated ecosystem that requires cooperation from each side.
Why this Matters
The burden of the prior authorization course of is roughly 16 hours per week or $80,000 per ordering doctor per yr. The delay in remedy is usually over 30 days and may trigger a major detriment to the care regime and affected person well being. The Edifecs prior authorization answer supplies real-time adjudication leading to extra correct billing, fewer declare denials, and sooner reimbursement. Additionally, it considerably decreases the executive burden on suppliers permitting them to focus extra time on affected person care and alleviate doctor burnout.
“As strong supporters of the ‘Improving Seniors’ Timely Access to Care Act,’ we are proud to be partnering with Empowered-Home to automate the prior authorization process for its customers and partners, and ultimately provide seniors with more timely access to care,” mentioned Venkat Kavarthapu, CEO of Edifecs. “The prior authorization process is cumbersome and costly for both payers and clinicians. We have worked hard to alleviate that burden by automating it from the provider’s EHR system to the payer’s utilization management workflow.”
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