CLINICAL SERVICES
Helping Providers
Streamline Prior Auth ProcessingStandardize Clinical WorkflowsImprove Utilization Reviews
Covering prior authorization, clinical summarization,and utilization management review, SHAI delivers end-to-end clinical services that improve compliance, reduce claim denials, and help reduce rising healthcare administrative costs.
End-to-End Clinical Services That Drive Revenue Outcomes Across the US Healthcare Spectrum
Clinical Summarization to Aggregate Patient Data and Synthesize Insights
SHAI utilizes modern technology and processes to consolidate and continually update patient data in your EMR/EHR.
This means you get an accurate, pristine record of patient information at the point of care, every time.
The result? A higher quality of care delivery.
Complete Automation of Prior Auth
Traditional prior authorization workflows are often manual, time-consuming, and error-prone.
SHAI provides tech-enabled prior auth support that standardizes submission processes, shortens approval turnaround times, reduces administrative burden, and improves first-pass approval rates.
Utilization Management (UM) to Reduce Cost and Improve Care Quality
SHAI employs various review models and develops systems to assess medical necessity, appropriateness, and the depth of care required.
So you coordinate care delivery, control cost, and deliver the right care at the right time to the right patient.
Audits-as-a-Service For Clinical Coding
SHAI employs a team of 400+ certified coding experts across multiple specialties to inspect clinical coding, fix errors, and improve accuracy to 98%+.
Clinical Documentation Improvement (CDI) For In-Patient and Out-Patient Scenarios
Improper documentation causes compliance, claims, and reimbursement headaches.
SHAI uses a dedicated team of clinicians and medical coding experts to review documentation, identify errors, and resolve ambiguity, leading to improved accuracy and billing.
How SHAI Handles Transitions and Quality Assurance
Refresher Sessions and 1:1 Training
Weekly EBTs (Error-Based Trainings) and PKTs (Process Knowledge Tests)
RCA, 5 Whys, Fishbone Analysis, Pareto Chart, and CAPA (Corrective Action Preventive Action)
Proactive Daily Team Huddles With Peer Audits
Periodic Calibrations For Continuous Improvement
The Numbers Speak For Themselves
98%+
Transaction Accuracy
40-60%
Payroll Cost Reduction
98%
Financial Accuracy
<5%
AR Time Reduction
20%+
Increase in Collections
99%+
Vendor SLA Compliance
<2%
Denial Rate
90%+
Increase in First Pass Rate
95%+
Claims Adjudicated Within 30 days
Secure. Compliant.
A Hospital Services Provider You Can Trust.
ISO 27001
![HIPAA ,[object Object], compliant](/_next/image?url=%2Fimages%2Fhome%2FsecureSectionImg2.webp&w=256&q=75)
HIPAA
compliant
![PHI Policy Rigor With ,[object Object], Clean Desk Policy](/_next/image?url=%2Fimages%2Fhome%2FsecureSectionImg3.webp&w=256&q=75)
PHI Policy Rigor With
Clean Desk Policy
![Purpose-Built SSO ,[object Object], Login and Cloud Infra](/_next/image?url=%2Fimages%2Fhome%2FsecureSectionImg4.webp&w=256&q=75)
Purpose-Built SSO
Login and Cloud Infra
The SHAI Promise
Not just a Hospital Services provider, but a reliable business partner who works continuously to drive growth & operational efficiency through talent & tech-solutions
STEP 01
Payer Process Audit
STEP 02
Gap Analysis
STEP 03
Solutioning Scope with 24-48 Hours TAT
STEP 04
Systematic Monitoring and Feedback Loop
