Met / On Pace
78%
Behind
42
Critical
17
- Met54%
- On Pace24%
- Behind14%
- Critical8%
Authorization Compliance and Forecasting
Which active authorizations are compliant, on pace, behind, critical, or unable to meet requirements with the remaining authorized units?
Intended decision-maker
Clinical operations executives, authorization managers, regional directors
Example KPIs
- Active and scorable authorization groups
- Met or On Pace percentage
- Critical authorizations
- Behind authorizations
- Insufficient units or amendment-needed conditions
- Transition cohorts
Filters
- Region
- Clinic
- Payer
- Authorization manager
- Date
- Status
Source-data requirements
- Authorization header and line detail with effective dates and authorized units
- Service-code level completed or billable activity
- Future scheduled appointments
- Client-to-clinic-to-region hierarchy
- Payer and authorization-manager attributes
Decisions supported
- Which authorizations need an amendment request now
- Where to add sessions before an authorization period closes
- Which authorization managers are carrying the highest at-risk volume
- Which regions need a scheduling intervention this week
Available as live or static reporting.