CVP Physicians, part of EyeCare Partners, the leading clinically integrated network of ophthalmology and optometry providers.
CVP Physicians needed a solution to centralize prior authorization management across their 84 locations and 145 prescribers, reduce payer turnaround time on critical prior authorizations, and decrease denials overall.
CVP Physicians leveraged SamaCare’s prior authorization (PA) management platform to centralize PAs across different regional teams, locations, doctors, and payers. SamaCare’s platform provides CVP Physicians with access to real-time comprehensive analytics they need to streamline their prior authorization process, and reduce prior authorization delays and denials.
“SamaCare is a great tool for submitting authorizations. The portal is easy to navigate. The staff is truly knowledgeable, and they explained the process in great detail.” -Jennifer Van Orden, Prior Authorization Coordinator, CVP Physicians
CVP Physicians offers world-class eye care throughout the Midwest and Mid-Atlantic. With 84 locations and 145 prescribers, CVP needed a scalable platform to unify prior authorization management across their locations, doctors, medications, and payers. CVP Physicians is one of the largest retina groups utilizing the SamaCare platform – submitting 7x more prior authorizations, on average, than other retina practices on the platform. With this scale, both CVP Physicians and SamaCare were excited to see the impact SamaCare’s platform could have on staff resources and patient care for their network.
CVP Physicians needed a scalable process to optimize prior authorization management across their network. Due to slow payer turnaround time, the team allotted two weeks to insurance processing to stay ahead of prior authorizations. However, even with this proactive management, the CVP team was still finding they often needed to reschedule patients due to not receiving authorization prior to intended treatment start dates or they had to start a patient on samples while waiting for authorization resolution. Additionally, the staff was spending an inordinate amount of time on the phone with payers, following up on prior authorizations. However, without unified tracking and management of prior authorizations, it was difficult to glean insights into how to improve their process.
CVP Physicians adopted SamaCare in their Midwest practices first, quickly expanding to their Mid-Atlantic practices after seeing initial success.
Overall centralization for CVP’s prior authorizations across different teams, locations, doctors, payers
Once centralized platform with saved workflows, automated forms, and access to real-time comprehensive data analytics.
An alternative to time spent following up with payers over the phone
Unified prior authorization tracking with automatic status updates on PAs, proactive notifications on potential delays, and upcoming expirations.
A solution to reduce payer turnaround time and eliminate errors that lead to avoidable PA denials
Unified insights into the most common errors that lead to prior authorization delays and denials, combined with support from SamaCare’s team of prior authorization specialists to help navigate issues.
Overall centralization for CVP’s prior authorizations across different teams, locations, doctors, payers
Once centralized platform with saved workflows, automated forms, and access to real-time comprehensive data analytics.
An alternative to time spent following up with payers over the phone
Unified prior authorization tracking with automatic status updates on PAs, proactive notifications on potential delays, and upcoming expirations.
A solution to reduce payer turnaround time and eliminate errors that lead to avoidable PA denials
Unified insights into the most common errors that lead to prior authorization delays and denials, combined with support from SamaCare’s team of prior authorization specialists to help navigate issues.
By leveraging SamaCare, CVP Physicians was able to achieve better prior authorization outcomes, reduce staff time spent on prior authorizations, and gain insight into prior authorization activity across their network. Time to resolution decreased by 59%, while denial rates decreased by 19% within their first year on SamaCare’s platform. In addition, the CVP team cut time spent on prior authorizations in half. Lastly, thanks to the reduction in delays and denials, CVP Physicians is able to offer patients a more predictable and positive experience by reducing rescheduled appointments caused by prior authorization delays.
"Prior to using SamaCare we were calling for most (if not all) authorizations. We were struggling to stay 14 days ahead and allow time for the insurance companies to process. Often our team had to use samples or reschedule patients. Now that we have SamaCare, we are saving so much time that would have ordinarily been spent on hold. We also save time following up on submissions since the statuses are present on the dashboard. It has made our jobs so much easier!"
Get in touch today and we’ll walk you through how SamaCare can help your practice streamline prior authorizations.
Get in Touch
