Availity Blog

Availity Blog

Actionable insights for medical business professionals

In January of 2018, the American Medical Association, along with stakeholders from many other payer and provider organizations, released a consensus statement on the importance of reforming the prior authorization process. Almost two years later, however, the news doesn’t seem to be improving. A recent report published by Medical Group Management Association (MGMA) found that medical group practice leaders believe their regulatory burden, particularly prior authorizations, is getting worse, not better.

Amidst Toy Story movies, superheroes, baby dolls, monster trucks, and a play kitchen, day-in and day-out, Jami manages Availity’s Data Product and Services, while also juggling caring for her 4-year-old son, Christopher and the determined mini-boss, two-year-old daughter Madi.

As Product Line Manager, it’s my job to try different approaches for gathering better feedback from our users. That’s why, when I was first tasked with redesigning Availity’s Remittance Viewer tool, I started with a customer advisory board. This insider channel helped me elicit raw feedback from my target audience. Additionally, daily reports and in-person provider usability studies have helped increase my understanding of our users’ pain points. The result is a redesigned, shiny new Remittance Viewer Tool.

1,270 miles and 25 hours— That is the mileage and travel time Genevieve “GG” Nabritt spent per week commuting back and forth from her home in Dunnellon, Florida to Jacksonville to work as a customer service representative three and a half years ago.

The father-daughter duo both play important roles in their respective departments. Fred is a 19-year veteran and the Director of Strategic Alliances for HCSC, one of Availity’s owner health plans. Availity was the first company to help Christine to “get her foot in the door” as a Client Services Representative after graduating UF in 2014 with a degree in Marketing.

Chelsea graduated from Florida State University with a degree in Business Marketing. After graduating, she landed a job as a health IT recruiter for a consulting company in Jacksonville and Availity was one of her clients. Working closely with Availity, Chelsea soon accepted an offer for a full-time Senior Staffing Consultant position.

Availity helps healthcare providers and health plans connect, making it easier to share clinical, financial, and administrative information. We value your business and respect the security of your patient data, which is why we’re introducing additional authentication measures.

We may never completely eliminate denials, but there are ways to proactively prevent them, particularly recurring denials caused by your claim workflow. From small practices to large Epic health systems, we see a surge in customers working to dramatically reduce error rates, improve cash flow, and reduce write-offs.

Even in the most technology-savvy provider offices, there may be lingering paper-based manual processes eating away at your bottom line. Perhaps you work with a payer that only accepts paper forms for secondary or Worker’s Comp claims. Or maybe your business requires regular printing and faxing of documentation to support your electronic claims.