Itiliti Health

What makes Itiliti Health different? Our plug-and-play, modular technology streamlines prior authorization and integrates with the tools you already have in place. But that's not all: ➡️️ We've simplified CRD transactions so that a PA submission is no longer necessary to see whether prior auth is required. ➡️️ Our cutting-edge solution ingests your medical policies and organizes them into a structured database, tested and implemented to DaVinci standards. ➡️️ Our solutions seamlessly connect with existing technology and large EMRs. ➡️️ Our solutions require shorter testing periods because they are already proven to work at scale within large payers. Ready to take the next step? Reach out to Steve McLeod today: smcleod@itilitihealth.com #HealthTech #CRDRevolution #EnterpriseSolutions

Check out CMS's proposed guardrails for Medicare Advantage plans' prior authorization practices, including the use of artificial intelligence! Algorithms are being scrutinized for potentially delaying or denying care - reminding us all of the importance of human interventions as part of your prior auth automation processes. Read more 👉 https://lnkd.in/gVWrEFSz #CMS #MedicareAdvantage #AIinHealthcare #HealthcareNews

A recent report by the Senate Permanent Subcommittee on Investigations notes that some insurers have adopted predictive technology tools for prior authorization decisions. The report discusses concerns that these tools might be declining prior auths that should be approved without any human intervention. This is just one of the ways our tools are different – while auto approvals are made using our AI technology, denials are always routed to a human member of your team for review. Read the article, then reach out to learn more. https://lnkd.in/g5fEJdVS

Wishing you and your loved ones a wonderful holiday season, from all of us at Itiliti Health. ❄️️

Many states are introducing gold carding legislation as a short-term solution to address prior authorization challenges. A less frequently discussed aspect of gold carding is its impact on laboratories. These programs can significantly influence patient access, streamline provider workflows, and reduce administrative costs for payers, all while maintaining spending control and preventing abuse. https://lnkd.in/eWWGYxvK

Our newly released white paper is a must-read for anyone with prior auth planning and implementation on their radar. Discover the future of healthcare efficiency with our latest white paper, which explores how a phased approach to automating prior authorization can create better results for payers. Uncover actionable insights and key timelines that support compliance with new regulations, drive substantial ROI, and help organizations work towards a seamless, touchless prior auth experience. https://lnkd.in/dMHizTHt

What makes Itiliti Health different? Our plug-and-play, modular technology streamlines prior authorization and integrates with the tools you already have in place. But that's not all: ➡️️ We've simplified CRD transactions so that a PA submission is no longer necessary to see whether prior auth is required. ➡️️ Our cutting-edge solution ingests your medical policies and organizes them into a structured database, tested and implemented to DaVinci standards. ➡️️ Our solutions seamlessly connect with existing technology and large EMRs. ➡️️ Our solutions require shorter testing periods because they are already proven to work at scale within large payers. Ready to take the next step? Reach out to Steve McLeod today: smcleod@itilitihealth.com #HealthTech #CRDRevolution #EnterpriseSolutions

A recent KFF report reveals that most appeals for previously denied prior authorization requests are eventually approved. Given that such denials can delay essential care and, at times, result in patients abandoning treatment altogether, industry experts are sounding the alarm because of one statistic: on average, only one in ten denials is appealed. Learn more about the data from this report and the AMA's response at the link below. https://lnkd.in/gm-pCk2z

Confused by FHIR implementation requirements? You’re not alone. The industry has advanced interoperability at a rapid pace and regulation deadlines are looming. Yet many payers are still challenged to understand what, exactly, needs to be implemented and tested over the course of the upcoming 24 months. This article from Healthcare Finance News explores how to find a champion for prior auth automation - which has been a key to successfully meeting new regulations for our clients. Read the article, then reach out to start planning your implementation timeline with our team. https://lnkd.in/dAgguRV8

We were thrilled to receive this glowing commendation from another major health tech vendor on a recent customer call. Looking for a better way to streamline every aspect of prior auth, from an easy-to-use medical policy database to our "Is Auth Required?" engine to touchless PAs? 🚀 ➡️ Reach out to Steve McLeod to schedule a demo today: smcleod@itilitihealth.com