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Myndshft Blog

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May 25, 2023

Expanding Horizons: How the Right Prior Authorization Software Integration Boosts Your Market Reach

by Susan Lawson-Dawson | Healthcare Technology, Prior Authorization

Recently, Health Data Management noted that “Automatic processes to achieve prior authorization intersect with every facet of the healthcare industry, so it’s critical to get it right the first time.” And therein lies the challenge. As a healthcare SaaS provider, building out a prior authorization module internally may seem like a viable option. However, the complexities of the prior authorization workflow can be mind-boggling. (Not to mention time and resource intensive.) You can start offering automated prior authorization to your customers much faster if you partner with an experienced prior authorization software provider instead. 

Advantages of collaborating on automated prior authorization

Partnering with a prior authorization software provider allows you to leverage their expertise and deep understanding of the intricacies of the prior authorization process. With years of experience and domain-specific knowledge, a partner enables fast integration that meets security standards, compliance requirements, and industry best practices. That way, you can focus on your core competencies while delivering a more comprehensive and in-demand solution to your customers.

In addition, developing a robust prior authorization module internally takes money and time, not   to mention deep  IT and PA subject matter expertise.  It requires substantial investments in research, development, testing, and ongoing maintenance. By partnering with an established prior authorization software provider, you realize significant time and costs savings compared to building the module from scratch. Not only do you accelerate time to market, you also reduce development and maintenance costs. 

Plus, a partner that is hyper-focused on prior authorization ensures greater flexibility and scalability. As the healthcare landscape evolves, regulatory requirements change, or customer demands shift, your partner takes on the heavy lifting, incorporating updates and enhancements just as you do with your core offering. Talk about future-proofing! 

Benefits that deliver long after the initial integration 

Ask any healthcare provider: Manual prior authorizations are a tremendous pain point, especially with on-going staffing challenges and decreasing reimbursements. The status quo frequently leads to delayed patient care, increased administrative costs, and decreased revenue.

An automated  prior authorization integration in your EHR or other system of record delivers what your customers want, within their existing workflow. It streamlines the prior authorization process  by automating manual tasks, reducing paperwork, and enabling real-time data exchange. For example, our payer policy library and rules engine makes short work of identifying if prior authorization is required and the submission criteria needed. That means fewer phone calls and faxes, ultimately improving operational efficiency and reducing administrative costs.

In addition, a prior authorization software integration has a positive impact on your customers’ patients. Expedited prior authorizations means timely access to necessary treatments and medications, reducing patient frustration, improving overall satisfaction, and enhancing patient health outcomes. 

Happy customers give you a competitive advantage. It doesn’t just help with retention. By solving one of the biggest challenges your customers face, you create advocates for your product. And, by expanding your solution to include automated prior authorization, you differentiate yourself from your competitors. At the same time, you add a lucrative revenue stream with existing customers and a reason for prospects to consider your solution. 

Give customers and prospects the prior authorization solution they need

In the face of mounting administrative burdens and increasing demand for streamlined prior authorization processes, adding prior authorization to your platform can expand your market reach significantly. 

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