Articularis Healthcare Group, the largest rheumatology specialty group in the U.S.
Articularis Healthcare Group needed to implement standardized prior authorization processes across their quickly-expanding organization–23 locations across 8 states–and help staff better navigate prior authorizations for out-of-state and unfamiliar payers.
SamaCare’s solution provides Articularis Healthcare Group (AHG) with one unified platform for all prior authorization activity across their 23 partner practices and locations with easy access to prior authorization (PA) status, history and data. The submission selection tool allows staff to easily navigate PA processes across an increasingly complex payer mix to accurately submit, track and manage timelines and payer responses from a single dashboard and provides visibility at both an individual user and team level. Additionally, SamaCare has helped AHG implement standardized prior authorization procedures and training across their practices, and enable the team to continue process improvement through access to comprehensive and real-time data analytics.
A more efficient process for prior authorizations
Submission selection tool to navigate different payer PA policies; robotic process automation to auto-complete patient, prescriber and location details, and duplicate existing PAs; payer response management
Easy access to real-time information
Centralized platform for PA activity across all 23 practices/locations; weekly reporting on team utilization and speed metrics; automated status updates and notifications on upcoming expirations
Standardized process and procedure for PAs across all locations
One centralized platform with saved workflows and codified processes; 1:1 training for prior authorization team
A more efficient process for prior authorizations
Submission selection tool to navigate different payer PA policies; robotic process automation to auto-complete patient, prescriber and location details, and duplicate existing PAs; payer response management
Easy access to real-time information
Centralized platform for PA activity across all 23 practices/locations; weekly reporting on team utilization and speed metrics; automated status updates and notifications on upcoming expirations
Standardized process and procedure for PAs across all locations
One centralized platform with saved workflows and codified processes; 1:1 training for prior authorization team
In the first two months of using SamaCare, AHG saw an overall 50% reduction in time spent on submitting and tracking PAs, and payer TAT decrease by 56%.
“SamaCare is able to provide key insights into estimated payer turnaround times – used to provide updates to our providers and patients, and saves us time spent on the phone!”
Get in touch today and we’ll walk you through how SamaCare can help your practice streamline prior authorizations.
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