How a GI Biologics Coordinator tripled her PA throughput
How an overloaded biologic coordinator jumped from <10 to as many as 30 prior authorizations a day after moving from manual ePA tools to Forus' automated workflow.
As the primary biologics coordinator at Digestive Health Specialists, a GI practice with more than 20 prescribers, Ashley Flowers manages a high volume of daily prior authorizations (PAs). Every biologic, specialty drug, hub enrollment, and financial assistance form flows through her.
Before Forus, she underwent a manual process for each PA:
- Matching patients to the right insurance plan
- Locating and updating the right PA and enrollment forms
- Calling pharmacies and insurers to confirm coverage
- Fixing denials caused by missing documentation
Even working nonstop, Ashley could only complete a fraction of the PAs she was managing on a given day, once she factored in all of the calls, uploads, and back-and-forth.
A step-function increase in output
Today, Ashley’s end-to-end prescription process runs through Forus – and her throughput has multiplied.
"Before Forus, I could maybe do 10 PAs a day, but that’s not including all the legwork. Realistically, it felt like 5 fully worked-up PAs."
Now?
"With Forus, I’m knocking out a good 15 to 30 PAs a day."
Moving beyond traditional ePA tools
Before Forus, Ashley spent a lot of time manually navigating PA form websites, like CoverMyMeds and PromptPA. She dug around for the right forms, uploaded chart notes individually, and typed lengthy explanations into small text boxes.
With Forus, everything she needs is pulled automatically from her EHR. Forus manages finding and autofilling the right forms and ensures PAs don’t go out with missing pieces.
Ashley’s routine is now focused and efficient:
- Admin Automated: Forus submits prior authorizations, flags any missing information, drafts appeals, and texts patients updates along the way.
- Effortless Task Prioritization: With a clear task dashboard, Ashley can quickly prioritize and tackle time-sensitive action items, with nothing falling through the cracks.
- Complete Process Visibility: She gets full visibility into Forus’ outreach to plans, pharmacies, and her patients, as well as the real-time status of each PA.
- Paperwork Streamlined and Always Current: Forus centralizes paperwork and reminders, so she no longer needs to maintain separate portals or track updates manually.
A platform worth recommending to everyone
After seeing her workload lighten and her patients get access to medicine faster, Ashley found herself recommending Forus to anyone who would listen.
"I recommend Forus to everybody that walks through my door."
For gastroenterology practices looking to stay efficient as they grow, Ashley’s takeaway is simple: Forus is a biologics coordinator’s superpower, helping them accomplish more.
Supporting your practice
If your gastroenterology or specialty practice is ready to streamline prior authorizations and accelerate access to therapy, sign up your practice for Forus today or book a demo to learn more.
