Revenue Cycle Prior Authorization
Software that facilitates the electronic transmission of information between provider and payer organizations for (1) determination, (2) submission, and (3) status of authorization of care.
Subject Expert
Don Seamons
Research Director
Report Abstract
Key Findings:
- Automated Prior Authorization Improves Financial Performance and Staff Efficiency
- Expansive Use of Automated Prior Authorization Leads to Higher Satisfaction
- Customers Want Further Streamlined Workflows, Are Hopeful for Future Improvement
- Some Friction between Prior Authorization Vendors & Payers; Most Provider Organizations See No Change in Their Payer Relationships from Prior Authorization Solutions
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Performance Data
Overall Score by Product
Products Appearing in Decisions
Overall Score by Question Topic
Provider Facility Size by Product
Provider Facility Type by Product
Reducing Filters
Unlike sizing filters, reducing filters DO NOT recalculate scores based on the evaluations that meet these requirements. They narrow the list of solutions to show the vendors and solutions that can meet a specific need.
This data is based on interviews with a sample of the firms' recent clients. As a result, it is not necessarily comprehensive of all work a firm may do in this segment.
We require a minimum of 2 confirmations of a service performed in the last 3 years for a solution to qualify.