omni pictures 46

Chosen by leading healthcare teams

Prior Authorization
Stop losing approvals you should win

Omni runs the full prior authorization workflow inside your systems. A dedicated team intakes requests, confirms payer requirements, assembles the clinical documentation, submits and tracks every case, and appeals denials with peer to peer support. 

omni pictures 67

95%+

First Pass Submission Accuracy

<24 Hrs

Submission Turnaround Time

$22

Per Completed Authorization

The step between access and payment

Prior authorization sits between the front desk and the claim. When requirements are missed or documentation is thin, the denial lands later in billing. Omni handles authorizations with the same team that runs your patient access and revenue cycle, so the front, middle, and back office work as one.

IMG 5736 2 scaled 1
IMG 5847 scaled 1

The full prior authorization workflow, handled inside your systems

Five connected steps, run by one dedicated team, from the first request to the final appeal. One prior authorization operation, not scattered tasks.

Request Intake

Every authorization request is received and reviewed for the procedure, patient, and payer details, so nothing starts with a gap.

Eligibility & Requirements

Coverage is verified and each payer's specific authorization requirements are identified up front, so the request meets the rules before it goes out.

Clinical Documentation

Supporting clinical records are gathered and reviewed to confirm medical necessity, so the submission is complete the first time.

Submission & Tracking

Authorizations are submitted and monitored continuously, with follow up on every pending case, so nothing stalls in a payer queue.

Decision & Appeals

Decisions are recorded, and denials are appealed with additional documentation and peer to peer support, so approvals are not lost to a first "no."

How Patient Access Support Works

Step 1: Discovery and Workflow Mapping

We analyze your current administrative bottlenecks and map our support directly to your practice’s Standard Operating Procedures (SOPs).

Step 2: Training and Secure EHR Access

We deploy a dedicated, vetted team that logs securely into your existing EHR via least-privilege access, eliminating the need for costly software overhauls.

Step 3: Live Support and Optimization

Our team begins handling calls, scheduling, and patient access tasks. You gain immediate visibility into performance through our Omni Workflow Intelligence reporting from day one.

Discovery and Workflow Mapping e1784211486182
Discovery and Workflow Mapping e1784211486182
Discovery and Workflow Mapping e1784211486182

How patient access support works

69caccd9572a5b3c4a133998 Schedule a Free Consultation

Discovery and workflow mapping

Before a single call is answered, the team learns your scheduling rules, call-handling expectations, and EHR setup, so the support is built around how your front office already works.

1

69caccd9572a5b3c4a133998 Schedule a Free Consultation

Training and secure EHR access

Your staff train ours using a train-the-trainer approach, and the team is granted secure access to your live systems. There is no separate platform and no data migration. The team works where your own staff work.

2

69caccd9572a5b3c4a133998 Schedule a Free Consultation

Live support and ongoing optimization

The team goes live handling calls, scheduling, and access tasks in your workflow, with performance visible through Omni Workflow Intelligence from the first day. Most engagements are running in about three weeks.

3

Why healthcare organizations choose Omni for prior authorization

Right the first time, before it reaches the payer

Right the first time, before it reaches the payer

We verify payer requirements, gather the necessary clinical documentation, and submit complete authorization requests from the start. This prevents avoidable delays and denials before they disrupt care.

A denial isn't the end of the process

A denial isn't the end of the process

When an authorization is denied, we identify the reason, strengthen the documentation, and manage the appeal. We pursue every viable path to approval.

Less time chasing. More time for care

Less time chasing. More time for care

Our team manages submissions, payer follow ups, status checks, and appeals within your existing workflows. This gives your internal staff back the time lost to administrative back and forth.

Prior Authorization Creates Real Challenges

High volumes, complex requirements, and inconsistent payer policies make prior authorization a major burden for healthcare organizations. The numbers show why many providers are struggling, and why a dedicated partner makes a difference.

39

Prior Authorizations Per Physician Per Week

2 days

Of Staff Time Spent On Prior Authorizations Per Week

93%

Of Physicians Report Prior Authorization Causes Care Delays

29%

Of Physicians Report Prior Authorization Has Led To Serious Adverse Event

Is Omni prior authorization support right for your team?

This fits if you are experiencing

omni pictures 31 1

This fits if your goals are

What Changes When Authorizations Are Handled Right

When authorizations are worked right, care moves and revenue follows.

01

Patients get to care sooner

Requirements and documentation are ready up front, so approvals come back faster and treatment is not left waiting.

02

Fewer denials reach billing

Authorizations go out complete and correct, so fewer claims are denied later for a missing approval.

03

Winnable denials get won

Denied requests are appealed with the right records and peer to peer support, instead of being written off.

04

Your team gets time back

The intake, follow up, and appeals move to Omni, so your staff stop living in payer portals.

The Work Behind Care

Get authorizations off your team's plate

Book 30 minutes. We will review your authorization volume, denials, and turnaround, and map what Omni can take on.

What is prior authorization?
Prior authorization, also called preauthorization or precertification, is a payer’s approval that a service or medication is covered before it is provided. Without it, the claim can be denied and the cost falls to the practice or the patient. Omni manages that approval process for providers, end to end.

You see authorization volume, turnaround time, approval and denial rates, and appeal outcomes, reported on a regular cadence.

Omni handles authorizations across the services your practice performs, from imaging and procedures to specialty medications, each managed according to the specific payer’s requirements.

Omni works inside your EHR and payer portals the same way your staff does, under credentials and permissions you control.

Denials are appealed with additional clinical documentation. When the payer requires it, Omni also coordinates a peer to peer review with your provider. Most appealed denials are overturned, so winnable approvals aren’t lost.

They connect but are different. Prior authorization happens before care, to secure approval. Revenue cycle work happens after, to get the claim paid. The same Omni team can handle both, so an authorization gap does not become a denial in billing later.

No. Omni handles the payer communication from intake through appeal, and loops in your provider only when a peer to peer review is needed.

Frequently Asked Questions

Book a meeting

Talk to Our Team

Book a time or call us. Either way, you reach a real person.

Book a Meet

Call us now