Large Orthopedic Practice uses Prior Authorization AI to Streamline Prior Authorizations and Reduce Turnaround Times

Background

Pro Sports Orthopedics’ 11 board-certified orthopedic surgeons practice across three locations in the Greater Boston Area and have served some of the country’s most prestigious athletic institutions, including the Boston Celtics.

Challenge

While Pro Sports uses Athenahealth as their EMR, prior authorizations were done manually. Surgical Coordinators faced a cumbersome and time-consuming process of obtaining prior authorizations. Desks were cluttered with printouts, folders, and post-it notes. Each surgical coordinator had a different workflow for handling prior authorizations. Because all work was done manually, managers had no tracking system, no transparency, and no visibility into productivity or outcomes.

“Verata is a game-changer for us. Pathway keeps us organized and provides me with the much-needed visibility and insight into all of our prior authorizations.”

−Jen Rockett, Surgical Coordinator Supervisor

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