The Only Way to Improve Prior Authorization is to Control, Streamline and Automate It
This blog will review the benefits of automating workflow, and how you can improve your overall workflow by automating your prior authorization process. Imagine the efficiencies that could be achieved if your workflow of manual prior authorizations could be controlled, streamlined and automated.
Major Research Hospital Settles 55,000 Invoices And $15 Million In Outstanding Credit Balance With Billing Specialists
Our client is a major research hospital in California who reached out to us for help with two separate issues in their billing process—a backlog of 55,000 credit balance invoices, […]
One Simple AI-Enabled Function That Can Improve Your Prior Authorization Process
There’s a lot of buzz and hype today around artificial intelligence (AI), and it has definitely become a mainstream term in the healthcare industry.
A Guide to Improving Your Prior Authorization Process
When you optimize the amount of information you have and maximize its timeliness, the result is more accurate claims and fewer denials.
Best Practices in RCM: Having One Vendor
Most healthcare organizations use more than one RCM vendor. They also report higher denial rates than organizations that use only one vendor.
How AI in Healthcare Can Help Cut Costs and Create Opportunities
Anyone in healthcare knows that cutting costs while maintaining quality care is the name of the game. However, outdated methodologies and processes remain embedded deep in some healthcare business functions. […]
New Legislation Reduce the Burden of High Prescription Drug Prices in the United States?
The United States has some of the highest prescription drug prices in the world. New legislation may help make life-saving medications more affordable.
Maximizing Account Receivables Midyear
Examine these four key areas to assess your account receivables (AR) midyear and stay on track to meet 2018 goals.
Finding the Best Fit for Your Denial Management Process
The average claim denial rate is between 5 – 10%. For hospitals and large practices, that can add up to millions of dollars in tied-up revenue.
The Appeals Process in Medical Billing
The costs of medication non-adherence in healthcare can be staggering. Learn howto lower health care costs and improve patient quality of life.