ABN Assistant Description
Providers can lose thousands to millions of dollars each year due to medical necessity denials. This is in addition to the time and effort required to appeal denials and respond to patient concerns. Payers face the same problem at the other end of claim management. They have to pay for unnecessary medical procedures and treatments, as well as the time spent on denial appeals. This increases costs but doesn't improve outcomes. Patients can also be subject to unnecessary copays or other out-of pocket costs. This can lead to poor patient experiences and costly care that they don't need. ABN Assistant™, a Valenz®, Assurance product, provides the prior authorization tools providers require to validate medical necessity, create Medicare-compliant ABNs and estimate cost. This allows them to stop more than 90 percent of medical necessity denies by verifying that the patient is in need of the care.