Enable your team to do what they do best with Workflow Automation & Intelligence AugmentationClick For Our 98-second BaseLine® Overview Video. Learn more about BaseLine®
Why Should I Care?
- Digital Evolution
Digital Evolution: Your competitors are using digital technologies to differentiate their service from yours.
BaseLine® is a suite of quickly deployable technologies that can help you evolve into the digital economy with minimal disruption to your existing infrastructure.
Your investment will be rewarded with immediate savings produced by increased efficiency and effectiveness delivered by the operational enhancements.
What can you do in 2 Minutes 25 Seconds?
With a digital workflow you would be amazed…
With our Med Auth Suite, you can…
- Enter & process a request for medical auth.
- Evaluate & process a request for validity, duplicates and DOL.
- Evaluate & process a request for claim compensability, body part acceptance, and in-network provider.
- Record & track all due dates & timelines.
- Review the prior history of an IW related to the current request.
- Review Payer rules related to request.
- Review potential costs associated with request.
- Review pertinent evidence guidelines related to request.
- Authorize & process requests that meet the pre-auth requirements.
- Process questionable requests to higher level review (internal/external).
- Transmit requests to/from UR/Peer providers.
- Process all approved requests to the approved 3rd party service provider
- Integrate BaseLine® pharmacy determinations with your PBM.
- Integrate all BaseLine® determinations with bill review.
- Process all paperwork and audit requirements in complete compliance with business & regulatory rules.
In fact, the Med Auth Suite has…
- Integrated core software products into a digital processing system.
- Eliminated 83% of medical requests adjusters had to review previously.
- Eliminated 50% of the medical requests internal nurses had to review.
- Increased the rate of UR modifications & denials from 30-35% to upwards of 75%.
- Significantly increased compliance with business & regulatory requirements.
- Increased penetration of in-network services from 40% to over 95%.
- Reduced on-boarding time for new 3rd party vendors.
- Enabled performance metric tracking on 3rd party vendors.
- Enabled performance benchmarking of UR Providers
- Reduced the need for manual bill validations by 70%.
- Identified in-network providers associated with high frictional costs.
- Eliminated workflow gaps between the claims and PBM processes.
- Automated the administrative processing duties of communications, audits, reporting, etc.
- Eliminated associated demands on internal IT resources.
- Reduced workloads, improved compliance, and produced better outcomes.
Cut Hours of Wasted Staff Time.
Yes, It's Complicated… But We Have The Answers!
We build digital technologies that handle the complicated details, so your team can deal with the complex human issues that drive claims.
- Integrate disparate software systems & silos
- Automate vertical & horizontal workflow operations
- Create and operationalize integrated business rules
- Deliver broad spectrum analytics & business intelligence
- Package everything on a configurable platform
And That Will Make You More Profitable!
Your digital evolution will make your company far more efficient, effective and responsive to today's rapidly changing business environment.
- Greater Efficiencies
- Improved Compliance
- Better Outcomes
- Early Warnings
- Agile Change Management
Ask us about how we helped clients…
- Virtually eliminate non-compliance with regulations, rules and best practices.
- Automate 90% of the manual tasks associated with medical pre-authorization & UR management.
- Automate 95% of the referral tasks to 3rd parties
- Push in-network penetration to 3rd parties to over 95%.
- Significantly reduce demand on internal IT services while speeding up related IT processes for operations.
- Automate performance tracking of 3rd party partners.
- Automate 98% of the required data collection processes for state audits.
- Achieve a 70% reduction in manual bill validation.
- Identify MPN Providers with high frictional costs.
Launching BaseLine® Is A Safe & Low-Risk Process.
Getting started involves 4 simple steps
Get to know BaseLine®
Discuss BaseLine® and review some examples of how it is being implemented today by companies like yours.
Discuss your workflow management issues; explore opportunities to improve & streamline your system.
Define a Plan
Determine your key requirements and develop a plan to move forward with realistic goals and expectations.
Launch a Pilot
Once everyone agrees on the problems, goals and expectations, we launch a pilot to prove its success.
Our focus is on your requirements and your success…
Call Us: 818-790-2392
Or Email Us to get started.
- Integrate your existing software products and vendors to operate within a smoothly functioning transparent system.
- Automate the related routine tasks and decisions from the daily duties of your claims professionals.
- Deliver insight into performance outcomes that are currently occurring in black boxes.
- Access an agile technology that is capable of meeting today's requirements and evolving as your environment changes.