See how to facilitate this process and other procedures, such as Extension, SP/SADT, Exams and consultations!
The procedure for authorization admission to healthcare providers can be endless bureaucracy. The list of documents, guides and papers involved in this process has the potential to delay (a lot) the service contracted by customers and leave them dissatisfied. This in addition to demanding resources that could be used in other spheres to boost the company's growth.
If your insurance carrier still handles these processes manually, they are wasting precious time and resources. Automating medical bills is the ideal way to simplify bureaucratic processes and allow your team to focus on other issues.
Ensuring that these processes are as fast and automated as possible is good for everyone. The user of the healthcare provider feels safe, which leads to loyalty; the operator is able to invest in new areas and hospitals, clinics and laboratories are able to better serve their patients.
Authorization processes
Each and every health service provider has the responsibility to report to the Ministry of Health about its processes. In other words, both private and public providers and those affiliated with the SUS must send information guides Hospital Admission Authorization (AIH), Exams, Consultations, Extensions and the Professional Service and Auxiliary Diagnostic and Therapy Service Guides (SP/SADT).
The guides are standardized by the National Supplementary Health Agency (ANS), which is the regulatory agency for health plans in Brazil. They come with numbered fields, with white areas — mandatory for each patient — and shaded areas.
Copies of these documents are not accepted by ANS, which requires the original Guides, filled out without erasures. In other words, both patients and employees of healthcare providers cannot make mistakes when filling them out.
All of these processes require time that the user is not willing to spend when dealing with a health problem. And this strains the relationship between him and the operator. See how the authorization system SAUDI can help with this work.
SAUDI and its tools
SAUDI is a software medical bill audit. Therefore, the AIH, SP/SADT, Extensions, Exams and Consultations processes could not be left out. In addition to ensuring that the operator's financial health is up to date, the system also facilitates all these transactions in day-to-day work.
Request analyzes are no longer carried out manually, but through SAUDI. Thus, it provides simplicity and speed to individually analyze each of the Guides, with several support features.
It is possible to enable SAUDI to pre-analyze and pre-authorize requests for procedures, materials and medicines — based on a series of definitions that it can automatically identify in the standardized guides.
In this way, only special case guides go to manual online authorization, through a pre-defined workflow and supported by historical information from both the patient, the supplier and the services, materials and medicines involved.— significantly reducing the wait . Furthermore, all documents are available online, confirming the security and speed of the processes and also for the audit team.
The advantages of having available technology
Smartphones and the technology available today are not just for people to connect through social networks. They are useful for thousands of services, and one of them is hospitals.
SAUDI brings this “mobile world” facility to external auditors. They can, through Mobile Audit, record information about medications, fees and procedures directly from the medical network.
Health service providers also have the facility to send all Authorization Forms directly through the system. And it is also customizable. This means that, if your operator requires a service that SAUDI does not yet provide, it can be developed and integrated especially to meet your needs.
Contact us and find out how SAUDI and its modules can help you position your healthcare provider to grow in a healthy way while you receive praise for your excellent results at the forefront of the management processes. medical bill audit! ; )
