Prior Authorization | Page 20 of 27 | Infinx

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What We Do
- Patient Access
  
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  Patient Access
  Get patients the care they need fast by automating financial clearance and authorizations prior to service.
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  Prior Authorization
  
  Eligibility Verifications & Benefits Checks
  
  Intelligent Payer Mapping
  
  Patient Pay Estimates
  
  Insurance Discovery
  
  Patient Access Analytics
  
  Referral Management & Document Capture
  
  Prior Authorization Support For Referring Physicians
  
  Clinical Guidelines Search Tool
  
  Clinical Decision Support Mechanism (CDSM)
  
  Patient Scheduling
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  HIM & Medical Coding
  Ensure patient encounters get coded accurately on time with AI, OCR, automation and workforce management leveraged by document capture experts and coding specialists with the right clinical expertise.
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  Medical Coding Support
  
  Medical Coding Accelerator
  
  Clinical Documentation Improvement (CDI)
  
  Provider Credentialing
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  Revenue Integrity
  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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  Charge Capture Optimization
- Medical Billing
  
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  Medical Billing
  Reduce billing errors and improve cash flow with accurate payment posting and credit balance resolution leveraging billing experts and automations.
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  Payment Posting
  
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  Soft Patient Collections
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  Revenue Acceleration
  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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  A/R Recovery & Denials Management
  
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  Healthcare Contact Center
  Optimize patient interactions with specialized support for scheduling, patient inquiries, and soft collections to enhance practice efficiency and patient experience.
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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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Our Platform
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  Healthcare Revenue Cloud
  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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- RCM Analytics Platform
- EMR, EHR, PMS, LIS, RIS Integrations
  
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  EMR, EHR, PMS, LIS, RIS Integrations
  Direct integration with provider systems using HL7, X12, APIs and upcoming FHIR standards.
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  Payer, Clearinghouse & Benefit Manager Integrations
  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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  Digital Health Integrations
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  Powered by AWS For Health Built on the latest version of AWS For Health cloud giving provider types of all sizes the ability to scale without the need for more hardware or licenses.
  
  HITRUST Infrastructure
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  Custom Solutions
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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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Who We Help
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  Tackling RCM Challenges Unique To Specific Specialties
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  Radiology
  
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- Ambulatory Surgery Centers (ASC)
  
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  Ambulatory Surgery Centers (ASC)
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- Acute Care Hospitals
  
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  Acute Care Hospitals
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- Rural Hospitals
  
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  Rural Hospitals
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- Physician Groups
  
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  Physician Groups
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- LTC Pharmacies
  
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  LTC Pharmacies
  Capture more revenue for your LTC pharmacy with prior authorizations, Rx processing, billing and mail order support.
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  Our Solution
- Dental Practices
  
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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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  Our Solution
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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Pricing
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Pricing
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  Pricing Options
  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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  ROI Assessment Tools
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  Prior Authorization Calculator
  
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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
- Webinars
  
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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
- Articles
  
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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 […]
- Podcast
  
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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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Events
- Trade Shows
  
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  Trade Shows
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  Becker’s Webinar January 17, 2025
  
  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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News
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News
About Us
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About Us
- Our Mission
  
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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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  Why Us
  
  Our Team
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  Careers
  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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  Our Partners
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  Our Results
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Learn Why Infinx Is A Valuable Partner
We nurture our relationships with our clients, partners as well as our employees. Learn more about how this culture helps us be a better partner.
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Can Educating Referring Providers on CDSM Help Resolve Financial Concerns for Advanced Imaging?

The Centers for Medicare and Medicaid Services’ (CMS) Appropriate Use Criteria (AUC) Program is well into the education and operation testing period lasting until the end of 2021, per the [...]

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The key to maximizing orthopedic reimbursements and striving for healthcare payment lifecycle excellence is perfecting the patient access onboarding game. Orthopedic Patients present for treatment with an often-limited understanding of [...]

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