Intended outcome
Translate clinical level-of-care needs into tracked approvals, units, dates, continued-stay reviews, and appeals.
Translate clinical level-of-care needs into tracked approvals, units, dates, continued-stay reviews, and appeals.
Authorization is a clinical–revenue bridge
PRISM develops payer requirement matrices and tracks requested level of care, diagnosis, rationale, dates, units, reference numbers, approvals, expiration, next review, denial rationale, peer review, and appeal deadlines.