Prior Authorization | Page 13 of 27 | Infinx

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What We Do
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  Get patients the care they need fast by automating financial clearance and authorizations prior to service.
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  Eligibility Verifications & Benefits Checks
  
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  Convert patient encounters to maximum recoverable revenue by ensuring all possible charges get captured before claims get submitted by leveraging AI, charge auditors, billing specialists and payer compliance experts.
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  Accelerate maximum claim reimbursements, overcome denials and reduce future denials with AI, automation, intelligent workflow management, advanced analytics and billing specialists.
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  Full Service RCM Optimization
  Need help with it all? Our revenue cycle experts will audit, advise, and optimize your organization's EHR system and revenue cycle workflows so that cash flow improves in a matter of months.
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  Revenue Cycle Automation
  Leverage robotic process automation to quickly execute simple patient access and revenue cycle activities, data entry and process large amounts of data in multiple, disparate systems.
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  Automation Platform Flexible cloud-based technology platform with minimal setup, configuration and maintenance costs.
  
  Use Cases Automating repetitive update and status check tasks involving EHR systems, payer portals, eligibility verifications, prior authorizations, credentialing, claim status and more.
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Revenue Cycle Managed With Intelligence & Automation
Accelerate patient access, improve claim accuracy and charge integrity, reduce denials, and maximize reimbursements with the latest revenue cycle technology leveraged by specialists with RCM, clinical and compliance expertise.
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  Optimize healthcare payment lifecycle workflows and increase reimbursements with a comprehensive technology platform powered by AI, automation, analytics, integrations and intelligent workforce management.
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  Connected with 1400+ payers using APIs as well as partnerships with clearinghouses and benefit managers for seamless data exchange to support eligibility to claims.
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Supercharge RCM With Technology
Leverage our comprehensive revenue cycle platform technology to augment your EMR system, supercharge your team’s performance and maximize reimbursements for your organization.
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Who We Help
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  Tackling RCM Challenges Unique To Specific Specialties
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- LTC Pharmacies
  
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  Capture more revenue for your LTC pharmacy with prior authorizations, Rx processing, billing and mail order support.
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  Dental Practices
  Increase dental practice revenue by 20% and reduce overhead by 25% with automation and billing specialists.
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We Work With All Provider Types & Specialties
We continue to expand our revenue cycle technology platform and in-house team capabilities to handle unique needs of specific provider types and specialties. Contact us to see how we can help your organization.
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  We have a variety of plans depending on the solution you choose. Plans are annual and start at $3000 a month.
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Custom Plans Created For Maximum ROI
Every healthcare organization is different making tackling revenue cycle management issues more complex. We have extensive experience helping providers of all sizes from small practices to large health systems.
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Resources
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Resources
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  Webinars
  Watch sessions with our executives and solution experts on topics that matter to our clients. Below are a few that were recently posted online.
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  The Secret to Scaling Patient Access: When to Lean on Vendor Partners
  
  RCM Outsourcing Myths Busted: Why You’re Still the Boss
  
  How AAOE’s CEO Addy Kujawa Is Bridging The Gaps In Orthopedic Practice Management
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  How We Help Our Clients
  Learn how we our revenue cycle management work helps our clients become more efficient and profitable.
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  How OSS Health Tackled Staffing Shortages and Streamlined Prior Authorizations with Infinx
  
  Texas Cardiology Clinic Increases Monthly Collections to $300K by Streamlining Patient Access and RCM Processes
  
  How Tennessee Orthopedic Alliance Cut Authorization Delays by 75% with Infinx AI
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  Articles
  Access helpful information designed to educate your staff to overcome revenue cycle challenges they may be facing.
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  Infinx Welcomes Three Strong Women Leaders to Champion Diversity and Excellence in Healthcare
  
  The Cost of Manual Claims Status Checks in Healthcare A/R
  
  5 Reasons Revenue Cycle Automation is Essential for Every Healthcare Provider
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  White Papers
  Deep dives into specific topics requested by our clients.
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  Implementing a Successful Appropriate Use Criteria and CDSM Strategy for Advanced Imaging Procedures
  Implementing A Successful Appropriate Use Criteria And CDSM Strategy For Advanced Imaging Procedures Executive Summary Recognizing the challenges brought by Covid-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) […]
  
  Positively Impact Orthopedic RCM With Artificial Intelligence And Automation
  Bringing Industry-Leading Automation to Improve RCM While it’s the generating of healthcare revenue that gets a lot of the spotlight, billing and collecting that revenue can be the real workhorse. […]
  
  A Guide to Robotic Process Automation in Patient Access & Revenue Cycle Management
  Robotic Process Automation (RPA) has the potential to transform major industries by increasing their productivity and efficiency levels across the entire billing lifecycle. Businesses within the healthcare sector are now […]
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  Revenue Cycle Optimized Podcast
  Check out our podcast on iTunes for actionable insights on the latest revenue cycle challenges.
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  How NLP Can Improve Coding Efficiency And Reimbursement Learn how natural language processing (NLP) helps providers achieve coding accuracy, improve processes, and avoid revenue loss.
  
  The Latest in Prescription Revenue Cycle With constantly changing payer guidelines around prescription coverage, it can be challenging for providers to keep up and ensure documentation supports the medication. Learn what’s new in prescription billing.
  
  Extracting Value From Unstructured Data In Healthcare Between disparate systems, variation in provider communication, and the quantity of unstructured clinical data; providers struggle to streamline patient care. Learn how technology bridges the gap by tapping into the potential of unstructured data.
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  Free Tools
  
  Clinical Guidelines
  
  Prior Authorization ROI Calculator
  
  A/R Recovery Calculator
All Of Our Resources In One Place
We continue to prepare helpful content for our clients and make them available to our community. Feel free to contact us if you would like more information on any revenue cycle topic.
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Events
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  Trade Shows
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  HFMA Western Symposium 2025 January 19–22, 2025
  
  SC HFMA Webinar January 29, 2025
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  Weekly Office Hours
  Join us in a weekly virtual session with our executives. We’ll discuss latest challenges and developments in the healthcare revenue cycle space, as well as answer any questions about our AI-powered patient access and RCM solutions.
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We’re Always Available To Answer Your Questions
Find out where we’ll be next and come talk to us in person, or sign up for one of our seminars and get a deep dive on a particular topic or how our solutions can help your organization become more profitable.
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About Us
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  Our Mission
  We work closely with healthcare providers to overcome their revenue cycle challenges by leveraging automation and intelligence to increase reimbursements for patient care delivered.
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  We are a fast-growing company that offers technology solution and services to healthcare providers across the United States. We are always looking for talented individuals to join our team to help providers overcome their patient access and revenue cycle challenges.
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With the insurance industry unrelenting on requirements impacting the prior authorization process, pain medicine practices continue to struggle with burdensome and redundant system’s operational implications. With many pain studies and [...]

Can Virtual Intake Management Using Augmented Intelligence Improve the Patient Experience?

Key Takeaways: Consumers of all ages are tech-savvy and expect convenience and easy access in their dealings with healthcare providers and hospitals. By using an augmented intelligence solution, prior authorizations [...]

3 Types of Denials to Avoid in Orthopedic Billing

Today, the US healthcare system spends an extraordinary amount of total healthcare dollars on administrative costs; billing, insurance management, and hospital/practice administration. Estimates suggest as high as 30% industry-wide, and [...]

Struggling with Inefficiencies in Healthcare Operations? Here are 8 Solutions that Have an Impact

Healthcare operations — It’s a broad category that includes everything from patient onboarding to the financial reimbursement process. One thing is for sure, constant stewardship is required to maximize current [...]

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