Palmetto GBA and partners earn Points of Light Recognition
June 22, 2022
Palmetto GBA, Cedar and Conway Medical Center receive KLAS Research Points of Light Recognition Award
Palmetto GBA, a Medicare administrative contractor and one of the nation’s largest providers of high-volume claims processing, announced it received a KLAS Research Points of Light Recognition Award for a pilot project to streamline prior authorization requests between payer and provider.
The Points of Light Recognition Award is part of the new Payer/Provider Initiative, which focuses on facilitating trust and teamwork among payers, providers, and health care information technology vendors. KLAS’ Points of Light Report features successful efforts and partnerships to reduce cost and inefficiency.
Palmetto GBA Assistant Vice President Robin Free and representatives from partner Cedar presented the pilot project on May 24 and 25 at the KLAS Research Payer/Provider Summit 2022. The team joined forces with Conway Medical Center to reduce the manual work required of health care staff to get prior authorization for certain procedures, imaging and labs done in hospital settings.
“Palmetto GBA is honored to have been recognized by KLAS as part of their Points of Light Awards. Our pilot program reduces administrative burden and allows for faster prior authorization decisions, which stands by our commitment to creating value by continuously transforming ideas into technical and administrative solutions that improve service, quality, and cost, ” Free said.
The project used Cedar’s electronic health records (EHR) interface, Optic, to support Palmetto GBA’s Outpatient Hospital Department Prior Authorization program. With Optic, Palmetto GBA’s nurses can view parts of the medical record of a Medicare beneficiary directly from the provider’s EHR system. Being able to view records eliminates the need for the provider to submit medical records to Palmetto GBA manually for review. This frees up staff for other critical needs. Early results of the pilot program include a reduction in errors, a decrease in manual work needed, and faster decision turnaround times.
A case study on the program is included in the KLAS Points of Light Report. To review the study, please visit www.KLASresearch.com.
About Palmetto GBA
Palmetto GBA is a provider of commercial, government, administrative, and IT services that create value by continuously transforming ideas into technical solutions that improve service, quality, and cost. To learn more about Palmetto GBA, visit palmettogba.com
About KLAS Research
KLAS is a data-driven company on a mission to improve the world’s health care by enabling provider and payer voices to be heard and counted. Working with thousands of health care professionals, KLAS collects insights on software, services, and medical equipment to deliver reports, trending data, and statistical overviews. KLAS data is accurate, honest, and impartial. The research directly reflects the voice of health care professionals and acts as a catalyst for improving vendor performance. To learn more about KLAS and the insights they provide, visit KLASresearch.com.
About Cedar
Cedar is a company focused on its mission to make healthcare more affordable and accessible through our consumer-friendly platform that’s powered by data science, smart product design, and personalization. To learn more about Cedar, visit cedar.com
About Conway Medical Center
Conway Medical Center is a non-profit medical center and trusted leader in healthcare and has serviced the medical needs of Horry County and surrounding communities for nearly a century. It is comprised of approximately 200 physicians, representing 30 specialties. Conway Medical Center specializes in general and vascular surgery, weight loss surgery, joint replacement surgery, spine surgery, and medical care including critical care, telemetry, inpatient dialysis, palliative care, obstetrics, pediatrics, and women’s services. To learn more about Conway Medical Center, visit conwaymedicalcenter.com.
