Pre-Auth Documents Checker

The Problem

Payers are increasingly introducing a pre-authorization step for several procedures. The result is administrative delays that affect patient care and provider revenues.

The Solution

The AI Powered Documents Checker from Ascendus AI reviews the following:

1. Utilization management / clinical management guideline updates from Payer websites

2. Patient documents from EHR systems like Epic or Cerner

3. Patient policy documents like their EOC (Evidence of Coverage) or equivalent

The system then generates a list of missing documents and other recommendations to improve pre-authorization odds

Example of the Tool in a Bariatric Surgery Case

Benefits

1. Lower denial rates

2. Faster pre-authorization

3. Improved patient care