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Providing Our Clients with Efficiencies through Auto Authorization

December 15, 2009

Lynn D. Nemiccolo, RN Vice President, Business Product Development

A recurring theme in the healthcare industry over the past several years has been that of “creating efficiency.” Efficiency, of course, includes the lofty goal of eliminating waste in care delivery – whether that waste is unnecessary or redundant care, avoidable complications, errors or lack of care coordination. Certainly, we believe the Care Guidelines have a large role to play in that effort.

However, this struggle to find efficiencies extends to the administrative realm. How can we perform the transactions, reviews and other duties required through less expensive, but equally effective means?

This kind of efficiency can come in several forms: medical management systems, electronic health records, CPOE, etc. All are worthy investments, if done correctly, but there is another that has woven its way in and out of our industry’s dialog over the past decade, and is worth considering: “auto authorization.”

Auto authorization is a software tool – typically accessed through a web portal – that offers real-time, self-service access to member eligibility and medical necessity authorization. It creates administrative efficiencies for both payors and providers.

This blog’s purpose is to provide our clients with insight regarding a variety of issues they face. On occasion, however, we may use it to share exciting news, such as our current development of auto authorization software that will be available to our clients in 2010. This software will be released as an additional module within our highly-successful existing interactive software, CareWebQI®. We look forward to its development in the coming months and sharing its progress with our clients!

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