Deep Analytics Enhancement Made to Gravity Prior Authorization Tool

Alpha Nodus announced enhancements to Gravity, the company’s prior authorization tool that automates 80% of authorizations within seconds. With Gravity, providers can accelerate the patient journey and increase revenue by automating redundant processes, reducing errors, and eliminating case backlogs.

Gravity 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. Staff often needs 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 for enabling 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.

“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 at Houston MRI & Diagnostic Imaging, a multi-modality imaging center serving the greater Houston area.. 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.”

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