- Fast, Accurate Approvals for Better Care
Pre-Authorization & Insurance Verification
Prior Authorization Verification (PAV) process from a roadblock into a catalyst for healthcare excellence.
- Revolutionizing
Prior Authorization Verification
At Bridgeway Global Solutions, we’re on a mission to transform the Prior Authorization Verification (PAV) process from a roadblock into a catalyst for healthcare excellence. PAV is not just a formality; it’s your gateway to optimizing revenue while delivering exceptional patient care. We’re committed to making this critical step efficient, streamlined, and beneficial for both providers and patients.
The Power of Prior Authorization Verification:
Decoding PAV
Prior Authorization Verification (PAV) is the process through which healthcare providers secure advance approval from health insurance plans before delivering specific procedures, services, devices, supplies, or medications. This ensures that services are covered, and both the provider and patient are financially protected.
Provider's Time Dilemma
Imagine healthcare providers spending an average of 20 hours a week navigating the Prior Authorization Verification maze. Mishandling this complex process can result in costly delays, impacting both revenue and the quality of patient care. It’s clear that optimizing this system is crucial for operational efficiency and financial health.
At Bridgeway Global Solutions, we aim to simplify and expedite PAV, allowing healthcare providers to focus on what truly matters: delivering exceptional care to their patients.
- Streamlining the Prior Authorization Process
Ensuring Efficiency and Cost-Effectiveness in Healthcare
Medical Necessity Validation
Payers require Prior Authorization Verification (PAV) to confirm that the proposed treatment or service is medically necessary. This ensures that patients receive only those treatments that are clinically appropriate, reducing unnecessary procedures.
Assessing Treatment Effectiveness
PAV serves as a critical tool in evaluating the effectiveness of initial treatments. It helps determine whether ongoing care is required based on clinical outcomes, ensuring that continued treatment is beneficial and aligned with the patient’s needs.
Preventing Service Redundancy
In today’s healthcare environment, patients often consult multiple specialists. PAV plays a key role in eliminating redundant services, ensuring that different healthcare providers are not duplicating tests, treatments, or procedures, thereby enhancing coordination of care.
Cost Control and Efficiency
Payers utilize Prior Authorization Verification to maintain cost efficiency by ensuring that services provided are medically necessary and cost-effective. This process helps to minimize unnecessary expenses, thereby promoting better financial health for both healthcare providers and payers while maintaining high-quality patient care.
Simplify Prior Authorization Verification
Speed up approval processes and ensure timely treatment with efficient prior authorization verification services.
- Efficient Authorization Management
Ensuring Quality Care and Cost Efficiency
At Bridgeway Global Solutions, we see Prior Authorization Verification (PAV) as a crucial step to ensuring quality care while maintaining financial efficiency. PAV ensures that treatments, services, and medications are necessary and covered, optimizing care delivery and reimbursement.
In emergencies, the prior authorization process is not required, and retro-authorization is available for post-care situations. This allows healthcare providers to focus on delivering the best care while minimizing unnecessary costs and redundant services.
Insights from the American Medical Association
A recent survey from the American Medical Association sheds light on the significant impact Prior Authorization Verification (PAV) has on healthcare delivery:
93% of physicians report treatment delays caused by PAV.
24% of physicians have seen cases where PAV led to patient hospitalization.
82% acknowledge that PAV can sometimes result in patients abandoning essential treatments.
2 in 5 physicians have dedicated staff solely for managing PAV processes.
- These Statistics Highlight
How Prior Authorization Verification Directly Impacts Care Quality and Financial Health.
An efficient Prior Authorization process translates to:
- Fewer claim denials due to accurate and timely submissions.
- Reduced write-offs by ensuring coverage is verified before services are provided.
- Lower patient financial responsibility by confirming eligibility and coverage up front.
- Decreased provider liability as a result of fewer disputes with insurers.
- No need for additional resources to handle complex and time-consuming authorization tasks.
Let's Talk
info@bridgewaygs.com
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