How Augmented Intelligence Solves the Prior Authorization Revenue Bottleneck for Orthopedic Practices
With an estimated 182 million prior authorization transactions processed per year, according to MGMA, it is easy to see where issues are bound to arise related to the sheer volume. […]
Has COVID-19 Helped to Improve Payer-Provider Cooperation? 3 Areas Where Automation Proved Essential
Though no one initially anticipated it, COVID-19 has brought innovation and collaboration throughout the healthcare industry and accelerated the adoption of high-tech solutions much more quickly than expected. In the […]
Is There a Tradeoff in the Healthcare Revenue Cycle Between Amount and Speed of Collections?
As we near the last quarter of 2020, the healthcare system has gone through shock waves from the COVID-19 pandemic, not the least of which is the financial tsunami with […]
Essential RCM Solutions for a Pain Medicine Practice’s Payment Lifecycle
Executive Summary Industry-wide, pain medicine practices are impacted by an onslaught of changing governmental regulations, insurance payer modifications, and transitioning patient expectations. Our evaluation of the revenue cycle management (RCM) […]
A Fresh Look at the Appeals Process in Denials Management: Automated Appeals
Key Takeaways: According to the MGMA, 50% to 65% of denials are never worked, leaving earned money on the table. With an automated appeals process, ARs are optimized through an […]
Tame Prior Authorizations in PT and OT
With the insurance industry unrelenting on reducing or streamlining the prior authorization process, Physical Therapy and Occupational Therapy (PT and OT) practices continue to struggle with the operational implications of […]
Has COVID-19 Further Amplified the Truth About Prior Authorization Care Delays?
It’s no secret, the American Medical Association (AMA) notes in their 2019 Prior Authorization Survey that 91% of doctors report that prior authorizations delay care while risking potential treatment abandonment […]
How Your Organization Can Support the AMA in Efforts to Streamline Prior Authorizations
“Our patients are suffering because insurers, even during a pandemic, are choosing profits over patient care—this must stop….because insurers will not change their ways despite their rhetoric, policymakers have an […]
Successfully Automating Patient Access Processes in Physical and Occupational Therapy
You hear a lot about automation today—artificial intelligence (AI), machine learning capabilities, and predictive analysis. But how do you effectively initiate these game-changing technologies while enhancing your physical therapy or […]
Successful RCM Solutions for the Billing Lifecycle in Physical and Occupational Therapy
Executive Summary Industry-wide, physical and occupational therapy practices are impacted by an onslaught of changing governmental regulations, insurance payer modifications, and transitioning patient expectations. Our evaluation of the revenue cycle […]