prior authorization.
Prior authorization processes are increasingly cumbersome and time consuming, negatively affecting both the revenue cycle and patient access. You need a better, more streamlined way to secure prior authorization for your patients and improve their overall care experience. At Janus Health, we’re leading the way in helping healthcare organizations prevent authorization denials before they occur. Transform your processes with our prior authorization automation that seamlessly integrates with your existing electronic health record (EHR).
It’s estimated that health systems could benefit from close to $450 million in cost savings annually from implementing electronic prior authorization, yet only 28% have fully done so.
Source: 2022 CAQH INDEX®, page 22
key benefits of prior authorization.
Reduce write-offs from the start, increase your team’s satisfaction and productivity, and ensure clean claims. Key benefits of our prior authorization solution include:
Focus On Providers
At Janus Health, we develop our solutions with providers in mind, not payers. This enables us to offer extensive service line coverage (beyond diagnostics), including radiology, cardiology, and surgery, with connectivity to up to 80% of your payer market volume.
A More Efficient Prior Authorization Process — From Start to Finish
Our intelligent automation runs unattended in the background, allowing your team to see determination, initiation, and status updates within their existing EHR workflows.
Seamless Integration
Our solution seamlessly integrates into your EHR, eliminating the need for staff to navigate between native systems and cumbersome add-ons.
Transparency
We provide determination and status screenshots back to the EHR, equipping your team with essential documentation to navigate unforeseen challenges from payers.
Accuracy
In the complex prior authorization workflow, our solution stands out by incorporating multiple quality checks throughout the process. Our approach to constructing and maintaining automations is superior, utilizing a componentized framework that optimizes speed, value, and maintenance.
Hassle-Free Setup
Connect effortlessly to multiple payers as Janus Health manages payer, portal, and connection routing seamlessly through a single 278R and 278I feed.
why choose our prior authorization solutions?
Maximize Efficiency With Every Interaction
Our platform can save you an average of 10 minutes per authorization, reclaiming thousands of hours annually. Imagine what your team could achieve with this extra time.
Confidence in Coverage
With connectivity to up 80% of your payer market volume, our prior authorization solution can provide comprehensive support for your operations. Gain the confidence that comes with knowing you have robust backing, regardless of the payer involved.
Boost Financial Outcomes
Our goal is to help you achieve a notable 15-25% reduction in avoidable authorization write-offs, directly enhancing your bottom line.
Seamless Integration With Teleport
Our Teleport initiation feature allows you to bypass unnecessary portal navigation steps, accelerating the prior authorization process.
how prior authorization works.
Determination
This feature rapidly identifies upcoming patient accounts that need prior authorization. While other solutions require you to manage and maintain a cumbersome rules-based system, with Janus Health, an unattended automation runs when a visit is scheduled or order is placed in the EHR for a supported service line. Our prior authorization automation logs into the payer site to retrieve prior authorization requirements and return them to the EHR with a screenshot, so staff are only reviewing visits where an authorization is required.
Initiation
It starts with one click from within your team’s existing EHR workflow. The intelligent automation logs into and navigates the payer site, prompting the user for input to complete the submission. Responses are stored and returned to the EHR.
Status
There’s no need to waste time searching for prior authorization status. Our automation goes to the payer site to retrieve status details, with increasing frequency as the service data approaches. When a status changes, it returns the information to the EHR, updating work lists and escalating as needed.
key features of prior authorization solutions
Our prior authorization solution offers:
Rapid portal navigation
Dynamic API integration with key industry partners
Unified HL7 and portal screenshot integration
EDI integration for efficient data exchange
what our customers are saying.
“Janus Platform has been a really nice tool, and it has made me comfortable with prior authorizations. We tried to do prior authorizations with another company, and after a few years, we called that effort a failure because the vendor just couldn’t do what we needed.”
—Healthcare Executive, KLAS survey response (anonymous)
key features of prior authorization solutions.
Our prior authorization solution offers:
- Rapid portal navigation
- Dynamic API integration with key industry partners
- Unified HL7 and portal screenshot integration
- EDI integration for efficient data exchange
what our customers are saying:
“Janus Platform has been a really nice tool, and it has made me comfortable with prior authorizations. We tried to do prior authorizations with another company, and after a few years, we called that effort a failure because the vendor just couldn’t do what we needed.”
—Healthcare Executive, KLAS survey response (anonymous)
key features of prior authorization solutions.
Our prior authorization solution offers:
- Rapid portal navigation
- Dynamic API integration with key industry partners
- Unified HL7 and portal screenshot integration
- EDI integration for efficient data exchange
what our customers are saying.
“Janus Platform has been a really nice tool, and it has made me comfortable with prior authorizations. We tried to do prior authorizations with another company, and after a few years, we called that effort a failure because the vendor just couldn’t do what we needed.”
—Healthcare Executive, KLAS survey response (anonymous)
invest in prior authorization solutions today.
Powerful automation, domain expertise, and an unwavering focus on improving the revenue cycle make Janus Health the go-to partner for long-term success. Experience the future of prior authorization and prevent denials before they occur.
