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Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
Infinx - Prior Auth
Infinx - Prior Auth

0 review

Authorization Advisor
Authorization Advisor

0 review

Categories

Solutions

Description

Product Description:

Get faster prior auth approvals using artificial intelligence and automation with exception handling by specialists.

About Infinx:

Infinx Healthcare provides tech-enabled patient access and revenue cycle management solutions for providers, hospitals and health systems. Combining technology like artificial intelligence, automation and workforce management, with exception handling by our skilled patient access, clinical, coding, billing and compliance specialists, we help clients preserve and capture more reimbursements and expand operating margins. 

Product Description:

Authorization Advisor is a generative AI (GenAI)-powered assistant that helps prior auth specialists efficiently submit auth requests on payer portals. The interactive browser sidebar lives in your workflow and enables staff to fill in patient information and authorization details quickly. It reviews relevant medical information and recommends documents to include in the auth request. 

Plus, Authorization Advisor works with any payer portal or service line and most EHRs (including Epic and Cerner). Our AI continuously learns from customer inputs and improves future recommendations.

About AKASA:

AKASA is the preeminent provider of generative AI solutions for the healthcare revenue cycle. Our offerings are built on the AKASA platform, which integrates the company’s proprietary generative AI technology and deep revenue cycle expertise to deliver exceptional impact for hospitals, health systems, and the patients they serve. Our platform is used by more than 475 hospitals and 8,000 outpatient facilities. AKASA helps healthcare organizations improve revenue outcomes, achieve greater efficiency, empower staff, and allocate resources where they matter most.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Product Capabilities

AKASA Authorization Advisor efficiently extracts key info from your EHR and presents it in an interactive browser sidebar for prior auth specialists to quickly access. Additionally, the AI suggests relevant information for users to populate appropriate fields on payer portals.

Using our powerful GenAI technology, Authorization Advisor reviews relevant medical information and recommends documents to include in auth requests, along with evidence-based justifications. The technology then pulls those suggestions into the sidebar for the RCM team to evaluate.

AKASA Authorization Status Check uses automation to check the status of submitted auth requests and documents the results.

Use Cases

Description:

In a recent survey, AMA reported a staggering 86% of providers felt that the mechanics of administering prior authorization processing is a burden, 91% felt that it caused patient care delays and 82% reported that the number of prior authorizations required for medical services increased over the last 5 years.

While the healthcare industry is working towards implementing standard electronic prior authorization processing guidelines, it is no secret that in the foreseeable future, providers will still find the process of obtaining prior auth approvals burdensome causing patient care frustrations, delays and abandonment.

Pediatric use cases:

None provided

Users:

Providers, Administrators

Description:

Prior authorization submissions on payer portals

Pediatric use cases:

Prior auth submissions on payer portals

Users:

Prior auth managers, supervisors, leads, specialists

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic, Cerner

Hardware Compatibility:

None provided

Integrations:

None provided

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Cerner

Hardware Compatibility:

None provided

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:

Prior Authorizations Accelerated by AI and Automation

Our cloud-based, AI-powered prior authorization software provides a complete patient access solution for healthcare providers by leveraging the latest machine learning, artificial intelligence and automation technology with exception handling by our experienced billing specialists.

Requests requiring a prior authorization are initiated electronically to the appropriate payer. Complex requests and exceptions are handled by our team of certified specialists to provide you with complete coverage of your prior authorization claim.

Status notifications are communicated in real-time through automated follow-ups by robotic process automation (RPA). Our RPA bots repeatedly check requests under review for status change updates.

We provide you with complete coverage of your prior authorization requests with a 98+% accuracy and 99.5% adherence to turnaround times. No more auth requests getting kicked back to you due to lack of information. We take care of it for you.

Differentiators vs Competitors:

Provider Integration

Submit and update your prior authorization requests directly from your local EHR/EMR using either an API or HL7 based bi-directional integration.

Authorization Determination Engine

Determine if your request requires a prior authorization using the Authorization Determination Engine, built using machine learning.

Unified Workflow Experience

Perform all prior authorization related functions on a unified web portal, built to offer you an intuitive and seamless experience.

Automated Authorization Follow-up

Keep up with the status of an initiated prior authorization claim using automated authorization follow-up.

Analytics and Reporting

Obtain full transparency into your prior authorization process using detailed and robust analytics and reporting.

Alerts and Notifications

Receive constant alerts and notifications pertaining your prior authorization claim, which includes all updates and payer communications

Differentiators vs EHR Functionality:

See below. 

Differentiators vs Competitors:

What makes our prior authorization solution unique?

  • Efficiently extracting and presenting key information from your EHR in an interactive browser sidebar: Our sidebar connects to your EHR via FHIR integration to access data needed to help auth specialists quickly fill in patient details and accurately attach relevant documentation, speeding up prior auth submissions.
  • Intelligently suggesting relevant clinical documentation using powerful generative AI: Authorization Advisor reviews relevant medical information and recommends documents to include in auth requests — providing evidence‐based justifications.
  • Seamlessly supports any payer portal or service line, and most EHRs: Stay on top of increasing prior auth requirements and minimize team training by utilizing this integrated and flexible tool designed to handle a higher volume of requests.
  • Dramatically supercharging human performance with AI: In a study, AKASA generative AI empowered staff to find 15% more relevant documents than staff alone in auth requests.

Keywords

Images

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Authorization Advisor Image

Videos

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AKASA Authorization Advisor Preview Video

Downloads

https://www.infinx.com/white-paper/positively-impact-orthopedics-revenue-with-artificial-intelligence-and-automation/
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AKASA Authorization Advisor Brochure

Alternatives

Company Details

Founded in 1979

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