When planning for Medicaid in-patient services, obtaining prior authorization from the state or the state’s contracted provider is complex and time consuming. Adreima saves hospital case managers’ valuable time. Our centralized team of skilled clinicians, registered nurse auditors and certified coders conducts medical necessity reviews concurrently to coordinate authorizations. In addition, the team conducts retrospective reviews to appeal denied days or secure authorizations on newly covered Medicaid recipients.
The results are quicker access to cash and a decrease in denials.