Prior authorization (PA) volumes soared by 30% in the last five years. The most laborious task — appealing denials — still predominantly rests with providers. Organizations are tackling this challenge by refining their upstream PA workflows to prevent denials including pinpointing denial causes, creating specialized teams, and automating clinical decision support. Organizations that deploy these solutions see positive results. One organization that deployed specialized prior authorization teams, Valley Key Healthcare (a pseudonym), saw an 85% approval rate within three days.
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