While prior authorization delays & denials are bad for your bottom line, the American Medical Association released a survey that indicates poor prior authorization outcomes negatively affect US Health.

With advanced laboratory testing becoming the pacesetter for care in much of the healthcare community, prior authorizations (and their requisite denials) are continuing to rise as insurance payers struggle with […]

While many of the patient access workflow processes have been automated with great success, prior authorization automation has remained largely an aspiration. Insurance verifications and eligibility modules have been successfully […]

The healthcare payment lifecycle for laboratories begins with prior authorization. Providers rely on laboratories to provide them with accurate and vital information often critical to determining a course of treatment […]

In healthcare practices today, there are opportunities to improve the entire billing lifecycle through the use of Artificial Intelligence (AI) driven software that reduces the redundant administrative workflow and improves […]

More is spent on healthcare per capita in the US than in any other country in the industrialized world. Recently published in JAMA, researchers estimated that over $3.5 trillion is […]

UPDATE: CMS proposed the following on July 13, 2021, “CMS is proposing to begin the payment penalty phase of the AUC program on the later of January 1, 2023, or […]

UPDATE: The 2% Payment Adjustment (Sequestration) that was extended through March 31, 2021, for Medicare patients as part of the CARES Act has been further extended through December 31, 2021, […]

UPDATE: The 2% Payment Adjustment (Sequestration) that was extended through March 31, 2021, for Medicare patients as part of the CARES Act has been further extended through December 31, 2021, […]

As healthcare has evolved over the last several years, so has the position of CFO in both hospitals and health provider organizations.  Today’s CFO is responsible for ever-widening areas of […]