Open work queues
Authorizations, equipment orders, scoring and billing items gathered into one view, ordered by age and owner.
SIZ Group builds a sleep clinic practice manager app that puts prior authorizations, equipment orders, study scoring and billing into queues, with staff assignments and a daily report alongside. The first step is a scoping conversation, and the itemized proposal follows.
A sleep clinic's open work sits in several places. Prior authorizations for a study or a therapy device go to an insurer and come back as a letter, equipment orders go to a supplier by email or portal, and scored studies wait in a folder for physician review. The manager often learns about a gap only when a patient calls to ask about a delayed device.
The breaks cluster at the handoffs. A study booked before an authorization is confirmed can be cancelled at the last minute, and an equipment order placed without the right mask size means a second trip. The technologist rota and the booking calendar may also disagree, which leaves a night shift short.
The general manager will want fewer cancelled studies, shorter waits for equipment orders and a clearer view of staff load. We would set the measures together during scoping, for example the studies cancelled because an authorization was not confirmed, the days from equipment order to delivery and the share of scored studies returned within the agreed window.
The second test is trust. The queue must match the booking system and the supplier's status, or staff will go back to their own lists. We would test it against one real week of bookings before the final screens are signed off.
The first release should cover the queues that cause visible delays: prior authorizations waiting on an insurer, equipment orders not yet confirmed and scoring past its due day. Those three views give the general manager a reason to open the app each morning and make early results easy to see.
Multi-site dashboards, detailed productivity reports and payer analysis can wait. We would keep the first build tight, let the manager run it through a real week and then decide which of the later reports the practice needs most.
Authorizations, equipment orders, scoring and billing items gathered into one view, ordered by age and owner.
Follows each study or device request from submission to approval, with the insurer's reply and a named owner for each step.
Shows orders waiting on a supplier, with a flag when a confirmation is overdue and the patient's next visit attached.
Reassign a study, a call or an order in seconds, with cover rules for night shifts, rota changes and sick calls.
A one-page summary of yesterday's open items, today's risks and schedule changes affecting the front desk.
The general manager opens the app before the morning huddle. The authorizations queue shows that a study booked for Thursday has no confirmed approval from the insurer, so she moves the item to the billing lead and the study is held until the reply arrives. The change appears in the booking note, so the front desk sees it before calling the patient.
Next, an equipment order for a patient starting therapy is marked as unconfirmed by the supplier. She checks the order note, reassigns the follow-up call to the admin who handles supplies and sets a same-day deadline. By mid-afternoon the report flags two assignments that moved because a technologist was off, and she adjusts the coverage rule for the week ahead.
We need the work types the manager tracks each day, along with how quickly each item must clear and which roles handle it, including technologists, sleep physicians, billing and supply staff. Authorization deadlines and supplier reply times differ between payers and vendors, so we would write those rules down with you rather than guess.
Access follows a staged path. Read-only data comes first, write access for assignments follows sign-off, and patient-level detail stays with the roles that require it. Patient data falls under HIPAA where it applies, so we settle roles, audit trails and a business associate agreement before any record is connected.
The manager should try the queues on a full working week before anyone else sees them. We would run the new view beside the current spreadsheet for two weeks, compare the lists each morning and resolve any gaps. Once the numbers agree, the old list retires.
Staff need only their own assignments, not the full manager report. Technologists and the admin team can learn the view in a short session, and a reference card at the front desk answers the common questions before they reach a support call.
Custom work begins at $4,500. Queue count, supplier and insurer data sources and the depth of the daily report move the number up or down from that base.
Possibly. Some suppliers share order status through a portal export, others through a daily file, and a few not at all. We confirm which applies during discovery, and the fallback is a short status entry by the admin team.
Usually not directly. Most practices receive insurer replies by letter, portal or fax. The app can track each request and the reply your team records, which keeps the queue accurate without promising a live link we cannot guarantee.
Only the roles that need them. The general manager sees queue items, owners and ages, while clinical detail stays with the technologists and physicians. Access is logged, and the rules are agreed before anything goes live.
A later phase can add a location filter on each queue and a report that rolls up across sites. We would start with a single site, test the rules on a real week and extend once the team has the routine.
Talk through your queues on a free call, and we will send an itemized proposal.