Seamless Scheduling: How Prior Authorization Services Improved Pediatric OR Utilization

  • The Problem: Pediatric surgeries were delayed due to slow insurance prior authorizations, causing stress for families, reduced OR efficiency, and lower staff satisfaction.
  • The Impact: Over one-third of surgeries were delayed, with typical approval times taking 5–7 days—too long for urgent pediatric cases.
  • The Solution: The hospital partnered with Practolytics to manage prior authorizations end-to-end, from eligibility checks to insurer follow-ups.
  • Faster Approvals: Approval times dropped to 1–2 days, with 90% of urgent cases approved the same day.
  • Improved Efficiency: OR utilization improved by 28%, and surgery cancellations due to PA issues decreased by nearly 60%.
  • Better Coordination: Schedulers and doctors planned more effectively, reducing back-and-forth with insurers.
  • Higher Satisfaction: Families experienced fewer reschedules, and patient satisfaction increased by 15% in just two months.

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      • The Problem: Pediatric surgeries were delayed due to slow insurance prior authorizations, causing stress for families, reduced OR efficiency, and lower staff satisfaction.
      • The Impact: Over one-third of surgeries were delayed, with typical approval times taking 5–7 days—too long for urgent pediatric cases.
      • The Solution: The hospital partnered with Practolytics to manage prior authorizations end-to-end, from eligibility checks to insurer follow-ups.
      • Faster Approvals: Approval times dropped to 1–2 days, with 90% of urgent cases approved the same day.
      • Improved Efficiency: OR utilization improved by 28%, and surgery cancellations due to PA issues decreased by nearly 60%.
      • Better Coordination: Schedulers and doctors planned more effectively, reducing back-and-forth with insurers.
      • Higher Satisfaction: Families experienced fewer reschedules, and patient satisfaction increased by 15% in just two months.