CLIENT SITUATION :- The client, a collective of pain management specialists comprising MDs and Nurse Practitioners, encountered revenue loss challenges stemming from a surge in authorization denials. Additionally, they faced scheduling delays attributed to heightened patient inquiries and prolonged authorization denials
OVERALL MARKET SITUATION :-In the healthcare sector, we’re experiencing substantial regulatory shifts, driven by a rising need for enhanced privacy features and a notable shift in consumer preferences towards subscription-based services.
BUSINESS FUNCTIONING :-The traditional reception process, operating with a restricted number of staff members, proved insufficient in efficiently managing the sudden influx of authorization requests.
The client looked for a better way to handle authorization processes despite significant challenges.
They focused on reducing revenue loss and scheduling delays by exploring new strategies and technologies.
Their proactive approach aimed to improve efficiency, maintain financial stability, and speed up patient care delivery.
