Task status can be constantly monitored so that work can be reassigned as deadlines approach or change. Workgroup communication Interdepartmental notes may be used to generate requests, reminders and messages. Referrals can be sent to another staff member for review or a specific action may be requested as part of the records. Pended cases, denied services and case reviews may be sent to management for review and follow-up action. Authorizations Electronic authorization forms and templates reduce paperwork, increase efficiency.
Medical codes are instantly accessible electronically.
Authorizations are automatically loaded into the core claims system and may be used to approve or pend claims for payment. Multiple authorizations for a member can be established by using a single template. Also, because code ranges can be user defined, authorizations for specific diagnostic-related groups and treatment plans can be more easily defined and regulated. These templates are simple to use and maintain or modify. Automation of correspondence Automatically generate user-defined letters confirming or denying referrals and authorizations.