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Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
Health equity
Keywords
Media
Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
Health equity
Keywords
Media
Company details
Prior Authorization
Prior Authorization

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Categories

Solutions

Description

Product Description:
  • Janus Health Prior Authorization supports the full auth process, from determination to statusing.
  • Seamless EHR integration enables your team to operate within their established workflows, maximizing efficiency and boosting employee satisfaction. Intelligent automations allow staff to avoid unnecessary follow-up, working only those auths that demand attention. Plus, cover more of your specialties like radiology, cardiology, surgery, and more, across ~80% of your payer mix.
  • Experience enhanced operational efficiencies that support employee retention, save valuable staff time, and reduce authorization-related denials, increasing revenue and reducing cost-to-collect.

About Janus Health:

Janus Health is fundamentally transforming the future of revenue cycle work with our groundbreaking end-to-end artificial intelligence platform. Our rich history in healthcare and technology allows us to instinctively understand what it is about revenue cycle management that creates significant challenges for healthcare organizations. We’ve developed Operational Intelligence and Intelligent Automation solutions to aid revenue cycle teams in optimizing their workflows, so they can do more with less and ultimately collect more cash.

Product Description:

DataMartrix Medical's prior authorization services are perfect for those practices backed up by the burden of prior authorizations and are not reimbursed promptly. We will handle PAs throughout the entire process. We can work alongside current staff to support orders, submissions, approvals, and the denial/appeal process or handle the whole process to free up time for you and your staff.

Our HIPAA-compliant and secure service is EHR and EMR agnostic, so we can work with any system with a minimum setup cost that is, on average, 70% less than AI-centered RCM tools and 50% less than an hourly employee. DataMatrix is 99+% accurate and offers 24/7 capabilities, so there is no downtime. The prior authorization service by DataMatrix Medical accommodates all private insurance, no-fault, and worker's comp.

For over 25 years, DataMatrix Medical has been a leader in healthcare business process support. The prior authorization product can work seamlessly with other products, such as medical scribing, document indexing, and medical credentialing.

Try the DataMatrix Medical prior authorizations service risk-free and no long-term contracts; cancel anytime.

About DataMatrix Medical:

DataMatrix Medical is a leader in medical scribing and prior authorization outsourcing

Our BPO services, like proofreading, insurance eligibility verifications, voicemail to EHR transcription, document management, charge posting, billing, and coding services, have boosted productivity for over 250 medical practices and hospitals nationwide. We adhere to the highest standards and have excellent references from clients of 20+ years. 

Our clients love our 24-hour customer service, rapid turnaround, and the convenience of easily customized service

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

An unattended automation is initiated from the EHR, determines whether an auth is required, and returns the response to the EHR. From there a user can initiate the submission workflow, if needed.

We leverage real-time automations instead of relying on a quickly outdated rule library, allowing us to keep up with the payer landscape and prior authorization changes. We can develop some client-specific rules per automation.

Leveraging Janus Health Teleport, Prior Authorization automates navigation to the authorizing payer or portal to the point where human intervention (clinical documentation upload and submission) is required.

An unattended automation checks the status of submitted authorizations and returns it to the EHR.

Use Cases

Description:

Prior Authorization automates auth determination at scheduling, so patient access staff only touches those accounts requiring authorization submission.

Pediatric use cases:

None provided

Users:

Patient access specialist

Description:

The DataMatrix Medical prior authorization product is used by small to mid-size practices and as large as those that will do hundreds of PAs weekly. The service is medical specialty agnostic so that DataMatrix can support orthopedics, pediatrics, cardiology, and more. We specialize in authorizations for Radiology, DME, Injections, Surgeries, and more. This service is best for practices that need to cut overhead costs while working to increase reimbursement rates. 

Pediatric use cases:

The application is the same across all medical specialties, taking into account the obvious rules and appropriate restrictions. The PA service is HIPAA-compliant and audited regularly under gregarious scrutiny. 

Users:
  • Office Administrators
  • VP of Operations
  • Operations Managers
  • Office Managers
  • Clinical Coordinators
  • Any Medical Practices with PA Needs

EHR Integrations

Integrations:

Acute care EMR

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic

Hardware Compatibility:

None provided

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care

Hardware Compatibility:

None provided

Client Types

Differentiators

Differentiators vs EHR Functionality:
  • Broad payer and specialty coverage, driven by providers' needs (not payer sponsorship)
  • >80% of payer mix
  • Teleport streamlines auth initiation
Differentiators vs Competitors:
  • Broad payer and specialty coverage, driven by providers' needs (not payer sponsorship)
  • >80% of payer mix
  • Teleport streamlines auth initiation
Differentiators vs EHR Functionality:

DataMatirx Medical can support ALL EHR systems and functionality 

Differentiators vs Competitors:
  • Minimus is 70% Less than leading RCM tools
  • Hourly rates are 50% of the cost of full-time specialist
  • Hybrid module so that service is more accurate than AI-centric SAAS competitors
  • EHR agnostic meaning all EHRs or EMRs are supported 

Health Equity

Keywords

Images

No images provided

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Prior Authorization Team at AAOE 2024

Videos

No videos provided

1 of 3

As Per Month.mp4

Downloads

No content provided

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DataMatrix Solutions Booklet 24.pdf

Alternatives

Company Details

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