Streamline Prior Authorizations with Klivira on Epic Orchestrate
Klivira leverages Epic Orchestrate to embed prior authorization automation directly within your existing Epic workflows, reducing clicks and accelerating approvals.
For revenue cycle directors and prior authorization coordinators, managing prior authorizations within Epic can be complex. Klivira integrates with Epic Orchestrate to provide a native, seamless solution that automates key steps, minimizing administrative burden and improving turnaround times. This integration ensures your teams operate efficiently within the familiar Epic environment.
Optimizing Prior Authorization Workflows via Epic Orchestrate
Epic Orchestrate, an Epic-native workflow surface, provides a powerful framework for embedding third-party applications and automating complex tasks. Klivira capitalizes on this capability to place prior authorization automation directly where your clinical and administrative teams work, eliminating the need to toggle between systems. This integration enhances efficiency by automating data retrieval, submission, and status checks within the Epic ecosystem.
Key Benefits of Klivira's Epic Orchestrate Integration
- **Native Workflow Integration:** Prior authorization tasks are embedded directly into Epic Orchestrate, reducing context switching and enhancing user experience.
- **Automated Data Exchange:** Leverage SMART on FHIR to pull patient and clinical data from Epic, pre-populating authorization requests and reducing manual entry.
- **Real-time Status Updates:** Receive and display real-time prior authorization status updates directly within Epic, keeping care teams informed.
- **Reduced Denial Rates:** Improve accuracy and completeness of submissions through automated checks and guidance, mitigating common reasons for denials.
- **Enhanced Operational Efficiency:** Free up prior authorization coordinators to focus on complex cases by automating routine, high-volume tasks.
Technical Integration: SMART on FHIR and Da Vinci PAS
Klivira's integration with Epic Orchestrate is built on robust, industry-standard protocols. Utilizing SMART on FHIR, Klivira securely accesses relevant patient and clinical data within Epic, ensuring data integrity and compliance. This approach supports the Da Vinci PAS (Prior Authorization Support) implementation guides, facilitating standardized electronic prior authorization (ePA) exchanges via X12 278 and NCPDP SCRIPT where applicable, streamlining communication with payers.
Seamless Experience for Prior Authorization Coordinators
Prior authorization coordinators experience a significant reduction in administrative burden. The integration automates the identification of services requiring prior authorization, gathers necessary clinical documentation, and facilitates submission without leaving the Epic environment. This allows coordinators to manage their workload more effectively, focus on appeals, and interact with payers on complex cases, rather than repetitive data entry.
Data Security and Compliance Considerations
Integrating with Epic Orchestrate means Klivira operates within Epic's secure environment, adhering to stringent data security protocols. All data exchange involving PHI and ePHI is conducted in compliance with HIPAA regulations. Organizations should discuss specific data governance and access controls with their compliance teams to ensure alignment with internal policies and regulatory requirements.
Frequently asked questions
What is Epic Orchestrate and how does Klivira leverage it?
Epic Orchestrate is an Epic-native workflow automation layer that allows for the integration of third-party applications directly into Epic workflows. Klivira leverages Orchestrate to embed prior authorization automation, enabling seamless data exchange and task management within the familiar Epic user interface, minimizing disruption to existing clinical and administrative processes.
How does Klivira's integration with Epic Orchestrate improve prior authorization turnaround times?
By automating data retrieval, pre-populating authorization forms, and facilitating electronic submission via standards like X12 278, Klivira significantly reduces the manual effort and time required for each prior authorization request. This efficiency gain, combined with real-time status updates, directly contributes to faster turnaround times and quicker patient access to care.
What technical standards does Klivira use for Epic Orchestrate integration?
Klivira's integration relies on SMART on FHIR for secure, standardized access to patient data within Epic. This aligns with industry efforts to promote interoperability, including the Da Vinci PAS implementation guides, which facilitate electronic prior authorization exchanges with payers, ensuring robust and compliant data flow.
Is Klivira's Epic Orchestrate integration compatible with all Epic modules?
Klivira's integration is designed to work seamlessly within the Epic Orchestrate framework, which supports various clinical and administrative workflows across Epic modules. The specific touchpoints and data access are configured to align with your organization's Epic environment and prior authorization processes, ensuring broad compatibility.
How does Klivira ensure data security and HIPAA compliance within Epic Orchestrate?
Operating within the Epic Orchestrate environment, Klivira adheres to Epic's robust security architecture and protocols. All handling of PHI and ePHI is conducted in accordance with HIPAA regulations, ensuring data privacy and security. Organizations maintain control over data access and permissions through their existing Epic security configurations.
Related coverage
Ready to ship this workflow?
See how Klivira automates prior authorizations for your team.
Request a demo