Stanson Health
Radiology Benefit Management with ImagingAssure
Helping Ensure the Right Care is Delivered Faster
Connecting Payers and Providers to Automate Prior Authorizations
According to a physician survey by the American Medical Association (AMA), 94 percent of surveyed physicians reported that prior authorization (PA) delays led to delays in patient’s care and 88% reported that burdens with PA were high or extremely high1.
Stanson Health’s cutting-edge prior authorization technology seamlessly embeds into the existing provider workflow to ensure a smoother, faster and more efficient approval process by analyzing the medical necessity and appropriateness for the patient’s current clinical situation. ImagingAssure combines artificial intelligence (AI) technology with a refined, supportive RBM process to ensure reduced administrative burdens for providers, faster approvals and improved patient outcomes through timely and accurate decision making.
Why ImagingAssure?
Embedded In the Workflow
Supports providers on payer documentation requirement with guidance at point of order, providing real time clinical decision support to help limit unnecessary initial claim denials
Payer-Provider Collaboration
Solution designed to connect payers and providers by automating the prior authorization process to ensure the more appropriate imaging tests for members/patients.
Faster Turnaround Times
Added benefit of prior authorizations managed primarily within the electronic health records (EHRs), PAs are processed much sooner from order to decision than the legacy RBM model.
Resources
How Payers and Providers Can Simplify the Prior Auth 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.
E-book: Automated Electronic Prior Authorization for Patients, Providers and Payers
With artificial intelligence (AI) using natural language processing (NLP), machine learning (ML), and clinician codified and validated prior authorization policies, we have the content and technology designed to make PA easier, faster and less painful.
Modernizing Utilization Management to Improve Member Experience and Retention
Stanson will discuss the major factors to adopting clinically focused AI in a way that dramatically improves your utilization management processes, and at the same time retains the goal of appropriate utilization.
Features & Benefits
CMS-compliant Electronic Prior Authorization
Stay compliant with recent regulatory changes that aim to reduce the burden of prior authorization with automation that allows for quick prior authorization approvals.
Dynamic Approval Engine
With a full picture of pertinent clinical data through and after an encounter as well as an ongoing review of provider history, the system uses artificial intelligence to rapidly approve procedures that clearly indicate value-based care.
Control Costs
Designed to manage image utilization and reduce costs with advanced tech that delivers utilization management (UM) services at a lower cost than the traditional human review.
Tracking and Management
Track and manage prior authorizations in one centralized system via the EHR instead of numerous portals.
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. Watch the full webinar here.
Proud to be URAC Accredited
Premier Healthcare Solutions, Inc. has Full URAC HUM Certification for the following modules: Pre-Review Screening + Initial Clinical Review + Clinical Review Criteria Certification, Version 1.0 Program, valid from September 1, 2024 to September 1, 2027.
Premier achieves NCQA accreditation
Premier was accredited by NCQA in Utilization Management. This program evaluates clinicians and practices that use teamwork and technology to deliver coordinated and patient-centered primary care. NCQA has reviewed and accredited Premier's Utilization Management functions only. For complete details on the scope of this review, visit www.ncqa.org
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