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REVENUE CYCLE

YOUR PATIENTS ARE NOT A SURPRISE. THEIR HEALTHCARE BENEFITS SHOULD NOT BE EITHER.

A definition of healthcare revenue cycle is tracking the revenue from patients, starting with their initial appointment or encounter with the healthcare system to their final payment of balance. Why just track when you can be dynamically integrated with the entire process?

  • Insurance Eligibility  
  • Patient Financial Responsibility 
  • Determination for Prior Authorization
  • Prior Auth Submission 
  • Performance Improvement Analytics

BENEFITS OF INTEGRATED HEALTHCARE ECONOMICS

SPESANA ADDRESSING NEW CMS REQUIREMENTS TODAY

Spesana Authorize is Improving Time to Diagnosis & Treatment

The Centers for Medicare & Medicaid Services (CMS) Jan. 17 finalized new regulations aimed at reforming the prior authorization process.

The new rule will:

  • Streamline and reduce the burden associated with health plan prior authorization processes.
  • Promote greater transparency into medical necessity criteria.
  • Improve the electronic exchange of health care information.

Overall, the rule will improve patient access to care and help clinicians focus on patient care rather than paperwork, all while saving clinicians an estimated $16 billion over the next 10 years, based on CMS projections.

SPESANA AUTHORIZE USES ARTIFICIAL INTELLIGENCE, MACHINE LEARNING, AND SEAMLESS WORKFLOW INTEGRATION

Decrease in Prior Authorization Cycle Time, Resulting in Shorter Time to Diagnosis/Treatment and Reduction in Patient Stress

Decrease in Manual Tasks Resulting in More Efficient Allocation of FTEs & Increased Employee Satisfaction

CONTACT US TO PARTICIPATE IN NO-RISK PROOF OF CONCEPT TRIAL

EMAIL FOR MORE INFORMATION ABOUT SPESANA AUTHORIZE