Healthcare providers are searching for innovative ways to solve long-standing issues in the delivery of care. Whether incentivized by the government or forced by market conditions, they are understanding now, more than ever, that many traditional methods won’t work to keep healthcare viable.
Models that had been acceptable for years, even decades, are now under the microscope. Are they efficient? Do they improve accuracy? Most importantly, what do they do for patients who now expect more control and choice in their care delivery?
Prior authorization is one such hidebound method. A radiologist cannot usually fulfill orders for advanced imaging from a referrer until approval—prior authorization—has been obtained from the patient’s health insurance plan. Without the prior authorization, reimbursement is denied or delayed. Those health insurance systems engage one of many prior authorization vendors to coordinate requests. The process can require several phone calls between all parties, lots of paperwork, and manual data entry—while the patient waits for days to get scheduled for the exam.
ScriptSender’s mission, demonstrated in its entire solutions portfolio, is to streamline the sharing of data across divergent platforms. ScriptSender makes it easy for data to flow. ScriptSender’s technology reduces the cycle time from days to hours for prior authorization.
ScriptSender customers send data to any platform in a single click, and that’s any data—referrals, orders, clinical notes, insurance information, anything. No complex interface is required. When the order and clinical note are sent with one click, ScriptSender uses its own artificial intelligence engine to determine whether prior authorization is needed for the exam. If it is needed, ScriptSender identifies all the data elements required to secure the prior authorization and sends that information seamlessly for approval of the request.