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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
Authorization Advisor
Authorization Advisor

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Categories

Solutions

Description

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.

Product Description:
There’s a wealth of powerful data within your EHR—you just need real-time insights and seamless integration to make it actionable. Our Prior Authorization solution, powered by Waystar’s Hubble: - Automatically verifies, initiates, statuses and retrieves comprehensive authorization details - Enables efficient, intelligent automation by initiating authorizations at twice the speed of manual processes - Integrates directly with all major HIS and PM systems - Provides end-to-end authorization platform, including authorizations submissions for unscheduled admissions, as well as auto-generating ABNs or Notice of Non-coverage forms for Medical Necessity - Adapts to constantly shifting payer rules and requirements - Was built and is maintained by our in-house team of experts
About Waystar:

Waystar delivers innovative technology that simplifies and unifies healthcare payments. The company’s cloud-based platform helps healthcare providers across all care settings streamline workflows, improve financial performance and bring more transparency to the patient financial experience. Waystar solutions have been named Best in KLAS or Category Leader by KLAS Research 16 times (across multiple product categories) and earned multiple #1 rankings from Black Book. The Waystar platform is used by more than half a million providers, 1,000 health systems and hospitals, and 5,000 payers and health plans—and integrates with all major hospital information and practice management systems. On an annual basis, Waystar’s AI-powered solutions process $5B in patient payments, generate $4B in out-of-pocket estimates and process claims representing approximately 40% of the U.S. patient population. For more information, visit www.waystar.com.

Compatibility level

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

Clients

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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:

Prior authorization submissions on payer portals

Pediatric use cases:

Prior auth submissions on payer portals

Users:

Prior auth managers, supervisors, leads, specialists

Description:

With over 300+ payers and a broad array of deployable service lines and patient types, we provide a full cycle automation solution for prior authorization: from pre-scheduled prior auth submission, status checking and denial prevention worklist alerts, as well as medical necessity verification and notification of admission.

Pediatric use cases:

None provided

Users:

Pre-service financial clearance teams, auth cert teams, any prior authorization staff doing medical necessity as well as authorization for services at acute care facilities or OP areas.

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

Required

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

Differentiators

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.
Differentiators vs EHR Functionality:
Many hospitals, health systems, and IDNs have invested in billion dollar EMR/EMRs which are an extraordinary vehicle for clinical and billing functions -- but lack the ability to elevate automation in key business areas such as prior authorization. This is due to their lack of payer connections and the absence of advanced intelligent software. Together, Waystar brings the intelligence that powers today's EMR/EHR platforms and automation efforts.
Differentiators vs Competitors:
With nearly a decade in the business of automating prior authorizations, we are known for our internal expertise when it comes to payers, process change, and technology. We believe pushing the envelope in know-how across all 3 is what gives our clients the edge on automation. With more payer connections, more relationships with payers, and greater flexibility in accessing payer data we can access the best and most timely data. We not only seamlessly integrate with EPIC but offer full-stack integration capabilities or a powerful stand-alone application -- all because each patient access team is different. And powered across our Hubble platform (a blend of RPA, machine learning, NLP, and advanced auth rules) we are well positioned to power your automated enterprise.

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Company Details

Founded in 2000

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