Authorization Management

CERECONS consists of a full-featured base platform ‘Foundations’ providing a web based window into your organization’s business activities for you, your managerial staff and your providers alike. Additional modules manage distinct business processes such as; authorizations, performance reporting, claims administration and inpatient activities, as well as a patient personal health record (PHR). These modules integrate seamlessly into a robust, end-to-end solution for your organization that aid in business decision making and coordinate departmental activities.

The CERECONS Authorization Module is designed to manage and streamline the entire referral process, from initial request to final decision; while reducing turnaround times, improving provider satisfaction, and with better control.

• Providers are not required to fill out lengthy forms. Patient specific fields are pre-filled.
• Reduced dependencies on the telephone and fax machines.
• Secure messaging insures all comments are recorded for audits and improves time management
• Attachments such as images, reports, EMR documents and scans can be permanently linked to an authorization.
• Interactive task lists improve productivity and allow better management oversight.
• Patient eligibility can easily be seen before initiating a request.
• Providers are able to view the status of any authorization.
• Requests you always approve, based on your rules, can be automatically approved without staff intervention. A trusted provider requesting a simple referral need not wait for an open phone line.
• Letters of approval can be printed by the provider’s office.
• Notifications of approvals can be automatically sent to an email account and/or provider dashboard.
• Required fields and coding assistance helps insure requests are complete and compliant.
• Guide or limit referrals to preferred specialists
• Improve care with clinical intelligence rules based on your standards.

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