Patient access challenges

evolving

Evolving processes

As payer systems and requirements — from eligibility to authorization — become more complex, your teams face increased pressure to adhere to them.

burnout

Staff burnout

Patient access teams often experience high turnover due to the intensity of the work involved and the emotional nature of the role.

RisingExpectations

Rising expectations 

Patients want the same modern experiences they get from other industries. But healthcare organizations aren't always equipped for such transformation.

up-trend

Denials trending upward

The average denials rate is up 23% in the last few years, largely due to upstream challenges, and up to 65% of rejected claims are never resubmitted.

automation

Automation built for reliability, resiliency, and accuracy

AKASA offers holistic solutions for automating and monitoring various steps of the financial clearance process. Harnessing advanced artificial intelligence and our team of revenue cycle experts, we help you engage patients and payers to improve the overall experience and ensure appropriate reimbursement. From confirming eligibility and benefits to managing authorizations and calculating patient out-of-pocket costs, we offer products to solve for your unique and specific front-end workflows.

Comprehensive solutions for complex workflows

The future of patient access

Use products purpose-built for the front-end. We can collaborate to automate your workflows, helping you drive efficiency, prevent downstream denials, and free staff to focus on patients.

INCREASED TRANSPARENCY

transparency

IMPROVED PATIENT EXPERIENCE

doctor-patient-relation

REDUCED DENIALS

denials-reduces

Patient access products

ComprehensiveEligibility
Comprehensive eligibility

Verify patients’ eligibility and benefits, update patient records with accurate coverage and plan codes, and perform insurance discovery when no active coverage is found.

AuthorizationManagement
Authorization management

Automate prior authorization holistically, from identifying payer requirements and initiating requests to checking statuses and notifying payers of inpatient admissions.

PatientCostEstimation
Patient cost estimation

Calculate accurate out-of-pocket price estimates by applying patient-specific benefits and your contracted rates to the patient's share of cost.

PriceTransparency
Price transparency

Comply with the CMS Price Transparency Rule and avoid hefty fines with machine-readable files and a consumer-friendly shoppable services portal — in only weeks.

Unified Automation®

Efficient. Consistent. Resilient.

Unified Automation is a platform purpose-built for healthcare. Using artificial intelligence, machine learning, and our team of RCM experts, it creates a seamlessly integrated, tailored solution that helps you see value faster, with virtually no maintenance or exception queues.

automation

Trust and security

Keeping your data safe

We understand your concern and caution about sharing sensitive data. Our HIPAA-compliant security infrastructure is built on a foundation of the highest industry standards. AKASA is HITRUST CSF, SOC 2, NIST-800-53, and CIS certified.

trust-security

Payer changes around preauthorization requirements and increased demand to schedule diagnostic procedures as soon as possible is driving significant volumes for financial clearance. Hiring to handle these volumes can be challenging and isn't always the most strategic solution. Machine-learning-based technologies such as AKASA have been critical to ensuring our teams can provide rapid turnaround for verifying eligibility and securing an authorization.

Cynde McCall   Director of Patient Access and Health Information, Methodist Health System

Explore other solutions

Learn more
icon-business-office

Business office

Make your back office more efficient with our automation solutions that help healthcare providers reconcile claims and accelerate payment.

Flexible automation for unique patient access workflows.