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Slashing Prior Authorization Turnaround from 6 Days to 12 Minutes for Complex Spine Procedures
< 15m
Average Turnaround
Down from 6.2 business days
94.8%
First-Pass Approval Rate
Minimizing peer-to-peer appeals
0%
Surgery Cancellations for Auth
Over 6 consecutive months
18 FTE hrs
Weekly Clinic Hours Saved
Redirected to patient navigation
The Clinical & RCM Challenge
Orthopedic and spine surgeries suffered a 19% cancellation rate due to delayed commercial payer authorizations. Clinic staff spent an average of 42 minutes per case on payer web portals and repetitive phone calls.
The Nousvia Autonomous Solution
Deployed Nousvia Prior Authorization Automation. Nousvia automatically extracts MRI findings, conservative physical therapy records, and surgeon clinical indications to file 278 authorization requests electronically within minutes of surgery scheduling.
“Our surgical schedule is full, our patients get timely surgeries, and our staff no longer spends their afternoons listening to insurance hold music. Nousvia is transformative.”
Dr. Gregory B., MDManaging Partner & Chief of Spine Surgery • Summit Orthopedic & Spine Institute