Streamlining Prior Authorizations Using AI-Augmented Capture & RPA

By September 11, 2020 News

In the wake of the COVID-19 crisis, companies are looking for tools that hold the promise of cutting costs and boosting revenue. This trend is especially apparent in the healthcare sector, where revenue is directly related to process efficiency in areas ranging from prior authorizations, to enrollment, to referrals, to pharmacy management. In this article we will examine some of the technologies, like Artificial Intelligence (AI), Robotic Process Automation (RPA), and Intelligent Capture, that Alitek is leveraging to make healthcare companies more agile and profitable in 2020 and beyond.

Benefits to Healthcare Providers, Patients, and Physicians

Using the technologies described in this article, Alitek has helped healthcare companies achieve tremendous financial results. For one client, we were able to reduce costs by up to 80% in their manual triage process flow. For another, we helped increase SLA compliance leading to an improved CMS Star Rating and increased reimbursement from Medicare. In perhaps the most striking example, we saw how automation can allow for an average turnaround of prior authorizations in 2.5 days, much less than average for the industry [1].

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About Alitek

Alitek is a leader in information based digital transformations. We help organizations improve business outcomes, increase efficiency, and reduce risk, through better management of information. Our experienced team works with you to build a unique strategic plan based on your specific needs, no matter the size of your company.