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

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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:

AKASA delivers Authorization Management, powered by our Unified Automation® platform, to holistically automate prior authorizations for providers. Through our unique RPA + ML + experts-in-the-loop approach, AKASA determines if prior authorization is required, gathers the necessary information and clinical documentation from your EHR, submits the authorization request to payers, checks on the status of those requests, and documents the results in your EHR. Additionally, we notify payers of inpatient admissions, attaching medical records as required. The result: more timely reimbursement and patient care, with fewer staff frustrations.

About AKASA:

AKASA is the leading developer of AI for healthcare operations and the revenue cycle. We scale human intelligence with leading-edge AI and ML trained on customer data to learn unique systems, continuously adapt to changing environments, and deliver comprehensive automation for complex workflows. Our platform is used by more than 475 hospitals and 8,000 outpatient facilities. Step into the future of healthcare with AKASA. 

Compatibility level

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Clients

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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:

None provided

Pediatric use cases:

None provided

Users:

None provided

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:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

None provided
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:

None provided

Differentiators vs Competitors:

What makes our prior authorization solution unique?

  • It’s a holistic prior authorization solution: Our automation identifies payer requirements, submits requests, checks statuses, and notifies payers of inpatient admissions — freeing your staff from tedious prior authorization tasks. 
  • Our AI intelligently navigates complex auth processes: Our AI intelligently navigates complex auth processes, payer rules and portals, ensuring tasks get done.
  • Our machine ensures auth requests are thorough and accurate: Reduce back and forth with payers by ensuring all required information, such as clinical documentation and supplemental CPT codes, are submitted the first time. 
  • No disruption to your current workflow: Our AI works alongside your existing systems and third-party tools, optimizing prior authorization processes.

Keywords

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Company Details

Founded in 1979

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