- By: Natalie Schibell, MPH
At Zyter|TruCare, we are dedicated to equipping healthcare payers with sophisticated tools that enhance care management and elevate the quality of patient care. The TruCare 24.1 release introduces substantial enhancements to the ODAG (Organization Determinations, Appeals, and Grievances) Authorization module, aimed at optimizing coordination and navigation in value-based care.
Empowering Care Management with Advanced Tools
Utilization Managers often grapple with the complexities of compliance-heavy processes necessary to meet CMS’s ODAG requirements. These manual procedures are time-consuming and prone to errors, detracting from the primary focus of patient care. The TruCare 24.1 release directly addresses these challenges with targeted improvements in the ODAG Authorization module.
Key Enhancements:
- New Out-of-the-Box Line-Item Fields: Utilization Managers at BHPs (Business Health Plans) can now leverage new out-of-the-box and configurable line-item fields at the BHP (Business Hierarchy Profile) level in TruCare 24.1. These enhancements ensure precise coordination and navigation in value-based care, offering greater control and customization to meet specific needs.
- Precise Tracking with Line-Item Source Dropdown: Authorization Coordinators can utilize the new Request Source dropdown available at the line-item level. This feature allows for more precise tracking and management of authorization requests. BHP administrators can configure this for display at the line-item level, enhancing the overall control over the authorization process.
- Streamlined Authorization with AOR Validity Capture: Authorization Specialists will find the authorization process further streamlined with the capture of AOR validity within the line-item section for each request. This improvement ensures that all necessary information is readily available and accurately recorded. Multiple new AOR-related fields can be configured at the BHP level, including:
- AOR Request (Yes/No): Indicates whether an AOR request has been made.
- AOR Receipt Date: Captures the date when the AOR request was received.
- Form Required (Yes/No): Identifies if a specific form is required for the AOR.
- Form Type (Dropdown): Allows users to select the type of form needed from a dropdown menu.
Enhance Your Authorization Processes with Zyter|TruCare
These enhancements are part of our ongoing commitment to modernizing utilization management workflows, reducing manual errors, and improving overall efficiency. By providing more detailed and configurable fields, TruCare 24.1 empowers healthcare providers to enhance coordination, streamline navigation, and ultimately deliver better care to their patients.
Zyter|TruCare remains steadfast in delivering solutions that address current authorization challenges and anticipate future needs. Experience the future of authorization management with TruCare 24.1 and start your transformation today by booking a demo with us!