AI-Powered Pre-Authorization Advances Administrative Efficiency in Radiology

AI-Powered Pre-Authorization Advances Administrative Efficiency in Radiology

Gravity by Alpha Nodus Automates 80 Percent of Authorizations within Seconds

Sunrise, FL (June 20, 2023) —Alpha Nodus, a leader in advanced AI healthcare solutions, today announced enhancements to Gravity, the company’s prior authorization tool that automates 80 percent of authorizations within seconds, accelerating the patient journey and increasing revenue by automating redundant processes, reducing errors, and eliminating case backlogs.

Gravity for prior authorization automates the time-consuming process of evaluating patient

information for reimbursement, giving providers the ability to advance patient care more

efficiently. What typically takes days to weeks to process is done within seconds, leaving just the exceptions for staff to manually process. Alpha Nodus released its latest version of Gravity with a new user interface and deep analytics, allowing clients to use data to optimize efficiencies. The solution integrates with Radiology Information Systems (RIS) and has a zero-footprint deployment.

Typically, the process for prior authorization is a tedious and manual process. Insurance

companies require prior authorization for costly procedures, such as imaging, before approving reimbursement. Oftentimes staff need to match disparate information sent by referring physicians and insurance guidelines before determining if a patient is eligible to receive the prescribed procedure or treatment. This is an expensive and time-consuming process, delaying patient care and many clinics have significant backlogs of prior authorization orders.

Until now, Gravity was doing all the work silently, pursuing prior authorizations from payors

and updating clients’ RIS statuses and insurance fields. The latest version of Gravity delivers a

user interface designed specifically to enable staff and AI to work cooperatively. The Gravity Cloud portal provides hybrid views of information that both prior authorization and insurance verification teams want. Rather than moving between RIS and payor portals with exploratory workarounds, staff can remain in one application that is honed for their tasks. Not only does Gravity automate obtaining prior authorizations, it also bundles information in new ways. For example, if staff must make a lengthy call to an insurance carrier, Gravity automatically suggests other appointments needing attention from the same carrier. Leveraging AI to aggregate RIS and insurance information into a format that is designed for prior authorization teams is a first in the industry.

Alpha Nodus recently deployed Gravity with the latest user interface enhancements at Houston MRI Diagnostic Imaging, a multi-modality imaging center serving the greater Houston area. “We are very pleased with how easily the new software was deployed and how quickly it integrated with our existing systems,” says Melissa Copeland, Senior Director of Operations. Copeland adds, “We’re really looking forward to the new dashboard functionality to further optimize our efficiency and be able to best integrate the AI functionality with our staff.”

“We have been using AI technology for several years to entirely automate the routine tasks in

prior authorizations, and now it has evolved to put AI tools directly in the hands of staff,” said

Shamit Patel, CEO, at Alpha Nodus. “The automated process significantly reduced workloads

and this new interface targets the remaining exceptions, enabling staff to be more productive in advancing patients to the next step in their imaging process. This type of automation equates to increased patient satisfaction and increased revenue by filling open time slots and improving overall efficiencies.”

About Alpha Nodus

Alpha Nodus was founded in 2015 with the mission of accelerating patient care. The company

uses artificial intelligence to remove barriers that delay prior authorization and patient

scheduling. Gravity removes pain points for both healthcare administrators and patients by

automating time consuming redundant processes, providing deep analytics for identifying

operational efficiencies, as well as making care easily accessible for patients. To learn more

about Alpha Nodus, visit us at www.alphanodus.com.