# Prior Authorization Submission for Orthopedic Practice Managers

> AI checks payer-specific PA requirements, pulls the chart from Epic, submits the PA with clinical justification, and tracks status — turnaround drops from 7 days to under 48 hours.

- **Role:** [Orthopedic Practice Manager](https://calish.com/workflows/for/orthopedic-practice-manager/)
- **Category:** [Operations & Workflow](https://calish.com/workflows/category/operations-and-workflow/)
- **Specialty:** [Orthopedics](https://calish.com/workflows/specialty/orthopedics/)
- **Action:** Prior Authorization Submission
- **Canonical URL:** https://calish.com/workflows/prior-authorization-submission-for-orthopedic-practice-manager/

## The Problem

Prior auths for Orthopedics procedures sit in Epic queues for days — the patient reschedules, the surgeon's OR time goes unused, and the practice eats the margin.

## What We Build

AI checks payer-specific PA requirements, pulls the chart from Epic, submits the PA with clinical justification, and tracks status — turnaround drops from 7 days to under 48 hours.

## Tools & Integrations

- Epic
- NextGen
- Modernizing Medicine
- Phreesia
- Zapier

## How It Works

1. **Discovery call.** We map your current prior authorization submission process and identify where AI saves the most time.
2. **Build & integrate.** We build the workflow and connect it to the tools you already use — no software changes required.
3. **Review & refine.** You review the results, we fine-tune until it matches your standards, then it runs on autopilot.

## Tool-Specific Implementations

- [Epic](https://calish.com/workflows/with/prior-authorization-submission-for-orthopedic-practice-manager-with-epic/) — Prior Authorization Submission built natively in Epic
- [NextGen](https://calish.com/workflows/with/prior-authorization-submission-for-orthopedic-practice-manager-with-nextgen/) — Prior Authorization Submission built natively in NextGen
- [Modernizing Medicine](https://calish.com/workflows/with/prior-authorization-submission-for-orthopedic-practice-manager-with-modernizing-medicine/) — Prior Authorization Submission built natively in Modernizing Medicine
- [Phreesia](https://calish.com/workflows/with/prior-authorization-submission-for-orthopedic-practice-manager-with-phreesia/) — Prior Authorization Submission built natively in Phreesia

## Related Workflows

- [Surgical Case Scheduling for Orthopedic Practice Managers](https://calish.com/workflows/surgical-case-scheduling-for-orthopedic-practice-manager/)
- [Claim Denial Appeal for Orthopedic Practice Managers](https://calish.com/workflows/claim-denial-appeal-for-orthopedic-practice-manager/)
- [Referral Management & Loop Closure for Orthopedic Practice Managers](https://calish.com/workflows/referral-management-and-loop-closure-for-orthopedic-practice-manager/)
- [No-Show Reduction & Recall for Orthopedic Practice Managers](https://calish.com/workflows/no-show-reduction-and-recall-for-orthopedic-practice-manager/)
- [Chart Closure & Encounter Documentation for Orthopedic Practice Managers](https://calish.com/workflows/chart-closure-and-encounter-documentation-for-orthopedic-practice-manager/)
- [Coding & CDI Quality Check for Orthopedic Practice Managers](https://calish.com/workflows/coding-and-cdi-quality-check-for-orthopedic-practice-manager/)

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