MCG, formerly Milliman Care Guidelines and now part of the Hearst Health network, has integrated its Cite® AutoAuth Module with the Essette® Web-based Care Management platform. This collaboration automates prior treatment authorisation in existing workflows, combining rapid evidence-based utilisation decisions with self-service simplicity to drive inquiry responses in seconds rather than days.
Cite AutoAuth Module links relevant MCG Care Guidelines and payor rules to predetermined procedure and admission authorisation requests and automatically processes those requests, approving or routing for further review as appropriate. Clients agree that the integration provides significant added value in their operations.
Essette's flexible technology platform, combined with MCG's AutoAuth rules engine and the most comprehensive and trusted evidence-based clinical guidelines in the industry, delivers multiple benefits for providers. They experience easy-to-use clinical data entry and effective workflows that generate rapid responses to authorisation approval inquiries.
With this combined resource at their fingertips, providers and their staff are quickly guided through qualifying question-and-answer sessions, allowing them to interact directly with health plans and, as a result, deliver direct responses to the patient—increasing both provider and patient satisfaction.
