CASE STUDY
Streamlining prior authorization
THE CLIENT'S PREFERRED PARAMETERS
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The client looked for a better way to handle authorization processes despite significant challenges.
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They focused on reducing revenue loss and scheduling delays by exploring new strategies and technologies.
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Their proactive approach aimed to improve efficiency, maintain financial stability, and speed up patient care delivery.
OVERVIEW OF THE BUSINESS SITUATION
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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
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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.
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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.
