Pennsylvania Hospital Group achieves 95% prior authorization approval rate with Infinx via Epic PMS integration
“Pennsylvania Hospital Group achieves 95% prior authorization approval rate with Infinx via Epic PMS integration” documents a Medical Coding & Revenue Cycle deployment in Hospital & Health System at Pennsylvania Hospital Group. www.infinx.com reports prior authorization success rate: 95%; this directory has not independently verified that result.
Evidence at a glance
- Evidence status:
- Automated evidence gate passed
- Deployment timeframe:
- Not reported by source
- Reported outcome metrics:
- 1 cited below
- Directory entry published:
- Source link checked:
The source-link check confirms reachability, not independent re-verification of every claim.
Source-reported figures — cited source: www.infinx.com
The Challenge
The Pennsylvania hospital group was struggling with a low prior authorization success rate, creating delays in patient care and revenue cycle inefficiencies. Managing prior authorizations manually within their Epic PMS environment was time-consuming and created PHI exposure risk.
The Solution
The hospital group deployed Infinx's AI and automation-powered prior authorization solution integrated directly with their Epic PMS. The solution automated authorization submission workflows while maintaining HIPAA-compliant PHI protections across all payer connections.
Results
The organization achieved a 95% successful prior authorization rate, significantly reducing denials and delays. PHI was protected throughout the automated workflow, satisfying compliance requirements while improving operational throughput.
Key Takeaways
- Integrating prior auth automation natively within Epic PMS reduces staff burden without requiring workflow changes.
- Maintaining PHI protections in automation pipelines is achievable and necessary for compliance-sensitive hospital groups.
- High authorization approval rates directly reduce downstream denials and accelerate revenue collection.
Explore Related
Details
- Industry
- Hospital & Health System
- Use Case
- Medical Coding & Revenue Cycle
- AI Technology
- Robotic Process Automation
- Company Size
- MidMarket
- Company
- Pennsylvania Hospital Group
- Evidence status
- Automated evidence gate passed
- Deployment timeframe
- Not reported by source
- Directory entry published
- Source link checked
Cited source
www.infinx.comHave a similar implementation?
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