Case Study: Transforming Financial Clearance and Prior Authorization Processes

With 15 hospitals in three states and almost four million patient visits per year, UCHealth needed to transform its processes for financial clearance and prior authorization in preparation for its next phase of growth.
 
Manual, high touch payer interactions, lack of payer authorization rules, and decentralized processes continued to negatively affect staff capacity, wasting up to 70% of staff time. This led to a near-constant need to hire more employees, higher than- necessary delays in securing authorization and increased denials and write-offs.
 
In this case study, learn how UCHealth was able to:
 
  • Save up to $720,000 in FTE salaries
  • Improve speed of prior authorizations by 340%
  • Significantly decrease ‘no authorization’ write-offs
  • And more!

 

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