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careviso's 2024 Audit: Unveiling the Burdens of Prior Authorizations in Diagnostic Testing

In a groundbreaking release, careviso, a prominent player in healthcare technology, has unveiled the results of its 2024 audit which highlights persistent challenges in the realm of prior authorizations (PA) within the U.S. diagnostic testing landscape. The audit involved in-depth analysis of nearly one million lab-based cases, revealing significant inefficiencies and escalating denial rates that necessitate immediate reform.

The Findings of the Audit

The audit's findings accentuate what healthcare professionals and patients have long suspected: while prior authorization was intended to streamline service use and control healthcare costs, its current application often creates administrative obstacles that impede timely patient care. The audit reported that a substantial 75% of requests were either approved or deemed unnecessary for PA, underscoring the importance of proper documentation and effective communication with payors. However, the remaining 25% faced denials often requiring further administrative follow-ups, contributing to already cumbersome workflows.

Despite an average resolution time of 5.5 days—considerably quicker than industry averages—this delay can still lead to postponed patient treatments and increased stress for healthcare teams. Among the most common reasons for denial included:

• - Services rendered were not initiated by network providers (Codes 242-243).
• - Essential information was missing from the provider's request (Code 226).
• - Treatments were classified as investigational or not covered by benefit plans (Codes 55-204).

These findings highlight a troubling reality: even valid care requests can be denied due to incomplete data, insurance restrictions, or payer policies, creating ripple effects for both healthcare providers and patients.

The Financial Burden on Patients

With healthcare costs increasingly placed on patients, the need for solutions that reduce administrative hurdles is more pressing than ever. careviso’s seeQer platform aims to address these issues by streamlining the prior authorization process, thus allowing providers to dedicate more time to patient care rather than paperwork. The platform ensures secure connections with payers through established partnerships, enhancing operational efficiency without compromising accuracy.

Andrew Mignatti, CEO of careviso, emphasizes, "Our focus has always been on supporting healthcare providers and facilities. We strive to automate and simplify the prior authorization process, achieving growth without sacrificing transparency or accuracy."

The Call for Reform

While healthcare price transparency has received widespread attention, careviso's audit underlines that the administrative processes associated with prior authorizations are equally in need of reform. Delays in PA not only hinder care delivery but also diminish patient trust during critical health journeys. A survey conducted by careviso in April 2025 revealed that 81% of 2,500 participants experienced delays or disruptions in accessing care due to PA requirements.

While there have been legislative moves toward transparency, this audit underscores the necessity for comprehensive modernization that incorporates digital solutions capable of tackling both financial clarity and operational efficiency.

A Vision for the Future

careviso’s mission is to modernize the prior authorization landscape by centering its efforts on provider support rather than merely complying with payer demands. The proprietary seeQer platform facilitates real-time updates, enhances the accuracy of documentation, and expedites workflows, thus empowering clinicians and labs to provide care with confidence devoid of administrative ambiguity.

As the healthcare system evolves, careviso remains steadfast in its commitment to eliminating the complications that plague operational efficiency, enabling providers to navigate payer protocols while concentrating on their primary goal: delivering high-quality and timely care to patients.

About careviso

Founded in 2018, careviso is dedicated to redefining the healthcare experience by simplifying prior authorizations and improving financial transparency. With a focus on innovation, careviso’s platform supports healthcare providers in overcoming the complexities of access and cost issues. The organization boasts impressive achievements so far, having successfully processed over 2 million prior authorizations and 1 million financial transparency transactions.

For more information about careviso, you can contact:
Justin Baronoff
Merit Mile
Phone: 561-362-8888 (office) 407-340-2247 (mobile)
Email: [email protected]