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Oncology Practice · Oncology

Oncology Prior Authorization for Chemotherapy and Imaging

Illustrative Revenue Cycle Automation Scenario. This scenario demonstrates how a healthcare organization could apply revenue-cycle automation. It is not presented as an actual customer result.

The Challenge

An oncology practice faced treatment delays due to prior authorization requirements for chemotherapy regimens, PET/CT imaging, and supportive care drugs. Each regimen required a separate PA with specific clinical documentation. Delays in authorization directly impacted patient care — chemotherapy could not begin until authorization was confirmed.

The Approach

Sarva configured oncology-specific PA requirements for common chemotherapy regimens, imaging studies, and supportive care drugs.

Clinical documentation was auto-retrieved from the EHR and packaged with PA submissions.

Status tracking was automated with escalations for PAs pending beyond 24 hours — critical for oncology where treatment timing matters.

Regimen-specific PA templates were created for the most common treatment protocols.

Illustrative Outcomes

PA turnaround

Illustrative reduction from 5 days to 48 hours

Treatment delays

Illustrative significant reduction

Staff time on PA

Illustrative 70% reduction

Outcomes are illustrative and do not represent actual customer results.

Key Lessons

Oncology PA automation must prioritize speed — treatment delays directly impact patient outcomes.
Regimen-specific templates dramatically reduce PA preparation time.
24-hour escalation thresholds are critical for oncology, tighter than other specialties.

See how this approach could work for your organization.

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