Use EHR data to transform prior authorization from ‘Mother, may I’ to real time CDS

Key takeaways:

  • How to rethink prior authorizations (PA) with clinical decision support (CDS) technology being an enabler to transform the process from ‘Mother, may I’ to instant approvals that get patients to the care needed faster.
  • How smart, helpful clinical decision support can be the future of PA, due to its ability to mine, curate, and manage vast amounts of data and guide provider decisions for instant approvals.
  • How CDS and artificial intelligence (AI) technology can help automate and simplify PA and radiology benefit management (RBM) for both providers and payers.

It’s time to rethink PA, especially with health care costs continuing to rise. With current PA, providers are constantly asking ‘Mother, may I” order this procedure and then waiting days to see if approved or denied, often causing delays on necessary care for patients. The nature of this approach often puts the provider, insurance company, and patient against each other rather than collaborating for the best possible patient outcomes. CDS and AI can help solve the challenges of PA currently faced by providers, payers, and patients. Stanson Health offers a teach enabled service that automates and simplifies the PA process with our radiology benefit management (RBM) solution for both providers and payers. 

Click here to learn more about how your organization can rethink the PA process.