Radiology is among the top three medical specialties with the highest number of services that require prior authorization. Payers request prior authorizations for 91% of radiology services. Prior authorizations are […]

Because specialty pharmacies often deal with new drugs that are subject to more FDA regulation and compliance oversight, they must take special care when completing prior authorizations. Often, these new […]

Integration methods like HL7, API, X12 and FHIR are essential for transferring large volumes of healthcare data and managing administrative workloads between practice management systems and third party solutions. Learn […]

Hospital, health systems, outpatient clinics and physician groups of all sizes are cracking beneath the weight of the current staffing crisis, trying to navigate shrinking patient volume and plummeting revenue. […]

Community oncology is undergoing a significant market shift with a proliferation of M&A activity, heightened competition, fee schedule changes, staffing shortages, and regulatory updates.

In ophthalmology, prior authorizations are particularly troublesome. Payers insist that ophthalmologists take patients through tiered medications or step therapy before qualifying for the most effective medication. Since each step may […]

Community oncology is undergoing a significant market shift with a proliferation of M&A activity, heightened competition, fee schedule changes, staffing shortages, and regulatory updates.

Community oncology is undergoing a significant market shift with a proliferation of M&A activity, heightened competition, fee schedule changes, staffing shortages, and regulatory updates.

Orthopedic practices with a high volume of surgeries and knee injections must code carefully to win reimbursements from payers. With average costs of over one thousand dollars for viscosupplementation drugs […]