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Points of Light 2022 Case Study 10
Prior Authorization for Imaging Automated Via CDS Technology
Author
Boyd Stewart
Author
Lois Krotz
UVA Health realized that the government-mandated clinical decision support they used when placing imaging orders for Medicare patients could potentially be leveraged to expedite the prior authorization process while also improving providers’ imaging order patterns. As a result, the organization partnered with Change Healthcare and one of their commercial payers to leverage the clinical decision support mechanism for non-Medicare patients and expedite the prior authorization process, leading to significant benefits for patients, ordering providers, and the payer organization.
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Key Findings:
- Executive Summary
- The Collaborators
- Points of Friction—Challenges to Be Solved
- Action Plan—How the Collaborators Worked Together to Reduce Friction
- Points of Light—Outcomes Achieved through Collaboration
- Lessons Learned
- What's Next?
Writer
Elizabeth Pew
Designer
Madison Moniz
Project Manager
Mary Bentley
This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2024 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.