Widespread Electronic Prior Authorization Standards – Are We Getting Closer?
While electronic prior authorization standards are a great idea, in theory, they have been much more illusory in practice. Insurance payers have developed their processes independently and have been reluctant […]
Confused by Insurance Company Prior Authorization Forms? Consider an Electronic Solution
One question that comes up a lot is how to fill out prior authorization forms for the various insurance payers. Until there is one standardized process that is, hopefully, mandated […]
East Coast Orthopedic Group Achieves $55K Increase In Quarterly Revenue With Automated Prior Authorizations
A large orthopedic group on the east coast with over 70 providers at 11 locations provides orthopedic, imaging, rehabilitative, pain management, and primary care services. They offer various studies at […]
Can Automated Insurance Verification Directly Impact Claims Denials?
In healthcare reimbursement, the first and most critical step is collecting patient demographic and insurance information and verifying that those benefits are indeed available to the patient. Whether care is […]
Automation Software Supports EHR and Reimbursement
When you use your local ATM or the self-checkout at the grocery, you realize that automation has been a part of our existence for many years, and deploying its use […]
Improving the RCM Lifecycle in Hospitals
Industry-wide, hospitals are impacted by an onslaught of changing governmental regulations, insurance payer modifications, and transitioning patient expectations. Our evaluation of the revenue cycle management (RCM) process points to four […]
Three Significant Values in Outsourcing Your Revenue Cycle Management
The decision to outsource your revenue cycle management (RCM) functions can be stressful and complicated, impacting staff, patient flow, and, ultimately the bottom line. RCM, including medical coding, medical billing, […]
Innovative Solutions for the RCM Lifecycle in Sleep Medicine
Industry-wide, sleep medicine groups are impacted by an onslaught of changing governmental regulations, insurance payer modifications, and transitioning patient expectations. Our evaluation of the revenue cycle management (RCM) process points […]
Addressing the Hospital Prior Authorization Burden
Addressing the Hospital Prior Authorization Burden With the insurance industry unrelenting on reducing or streamlining the prior authorization process, hospitals and healthcare systems continue to struggle with the operational implications […]