Prior Authorization - Medical Necessity

Prior authorizations are the latest in a series of payer requirements that have placed a significant burden on healthcare providers.     Waveland and our data partners have developed data automation that can streamline the prior authorization process by enabling providers to screen prior authorization requirements consistently across the organization to achieve cost savings and improve patient satisfaction.    

• Standardize workflow by embedding data checkpoints into the staff’s workflow to confirm whether prior authorization is required and ensure the team utilizes the same rules across facilities
• Reduce costly verification phone calls to payers with real-time online access to the most up-to-date prior authorization requirements
• Re-allocate staff time to more critical tasks by prioritizing only procedures that require follow-up phone calls to payers
• Prevent downstream denials and rework that can result from missing prior authorizations