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Prior Advice/Authorization System
Manage Therapy Referrals with Active Controls
CareConnections Prior Advice/Authorization System (PAS) bridges the administrative gaps among patient, therapy provider, and payer while assuring the right care is delivered at the right time within acceptable parameters of quality and coverage.
Features
- Web-based, real-time authorization of services
- Customizable algorithms for treatment expectations
- Quantified, best-practice treatment guideline recommendations
- Authenticated and encrypted security
Authorization of services or advice to the clinician all happens through
Web-based interaction, 24/7, without the costs of the usual paper chase.
Authentication and encryption protect the process, while virtually instantaneous
replies are supplied to caregivers consistent with best practices. Time is
money, and utilization controls are a must to keep the rising costs of healthcare
in check. The right care is the right answer. Link it all together with the PAS system at CareConnections.
Integration with other CareConnections Products
Using PAS, Payers can set up their custom algorithms for advising clinicians of treatment
expectations per patient condition. Then the Therapeutic Associates Clinical Practice
Guidelines and components of the CareConnections Outcomes System (formerly
TAOS) help determine the best practice for a condition, but allow the therapist
the ability to apply care and specific expertise. Provider networks can demonstrate
their value-added services to their customer payers, or payers can better
manage the utilization of services by their contracted panel of clinicians.
Products
Solutions
- Providers physical therapists, occupational therapists
- Health Plans/PPOs medical directors, case managers, network contracting executives
- Employers risk managers, benefit administrators