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Stanson Health

Modernize UM and PA with ReviewAssist

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Tackle the Hardest Part of UM – the Medical Necessity Review

Prior authorization (PA) and utilization management (UM) practices can be key drivers of member retention and satisfaction and are a significant opportunity to differentiate your plan in the market. At PINC AI™ Stanson, we are focused on tackling the hardest part—the complex medical necessity reviews that can be time consuming and an expensive process for your nurses and physicians. We can help adopt a clinically focused artificial intelligence (AI) solution in a way that can dramatically improve your UM processes and automates your prior authorization, all while gaining the trust of your clinicians and utilization management team. It’s time to demand near-instant approval and proof of every decision with ReviewAssist.

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Did you know?

ReviewAssist can help validate a patient’s eligibility and clinical necessity without delaying care.

REAL-TIME MEDICAL NECESSITY DETERMINATION

Stanson can help increase UM throughput and lower overall expenses by automating medical necessity determination using AI, natural language processing (NLP) and machine learning (ML) to minimize the need for human review on basic submissions and helping to only allocate human review for the most complex cases.

Near-Instant Approval with ReviewAssist

Help validate a patient’s eligibility and clinical necessity without delaying care.

Smart, Innovative AI

Use artificial intelligence (AI), natural language processing (NLP) and machine learning (ML) for fact extraction and rule-based adjudication that can be approved with provenance or proof of why the AI approved the request.

Show Your Work Approach

The AI will show its work or provide proof and a transparent decision trail for auditing purposes that can be both clinically and legally defensible.

Annual Spend Reduction

Help reduce administrative expenses and your per member per month (PMPM).

Full-Service Radiology Benefit Management (RBM) with ImagingAssure

Need help on those complex cases that require human review? ImagingAssure offers RBM services with our very own radiologists on staff to help guide ordering physicians for the best possible outcomes and is accredited by Utilization Review Accreditation Commission (URAC).

Delivering guidance at the point of care and the point of approval.

RESOURCES

How Payers and Providers Can Simplify the Prior Authorization Process with PINC AI™ Stanson Technology

The PINC AI™ Stanson PA solutions use machine learning (ML), and clinician codified and validated PA policies to automate the manual process, which can reduce the wait time from days to less than a minute.


How Long Prior Authorization Timelines Impact Payer CFOs

The harm to patients from long prior authorization wait times is well documented, but patients are not the only ones who would benefit from shortening the time for prior authorizations.

E-book: Automated Electronic Prior Authorization for Patients, Providers and Payers

The on-demand generation can have an instant prior authorization process that rivals the ease of use of their rideshare, food ordering and movie streaming apps that makes their lives more enjoyable and productive.

Modernizing UM

Improve Member Experience and Retention

Automated Medical Necessity Reviews

Guidance at the Point of Approval

Use EHR Data to Transform Prior Authorization from ‘Mother May I’ to Real-Time CDS

Clinical Decision Support (CDS) and artificial intelligence (AI) can help solve the challenges of PA, and Stanson Health offers a tech enabled service that automate and simplifies PA with our radiology benefit management (RBM) solution for both providers and payers.

SEE WHAT OUR CLIENTS HAVE TO SAY