prior authorization
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Revenue Cycle
How Rev Cycle Leaders Leverage Automated Prior Auth Solutions
Payer updates and policy changes delay reimbursement; Leaders say automated solutions can help fight back.
Revenue Cycle
States Are Tackling Prior Authorization Reform
While progress at the federal level is slow, state legislatures are passing bills aimed at improving the prior authorizations process...
Revenue Cycle
2 Strategies That May Improve Prior Authorizations
The back and forth between providers and payers over prior authorization data exchanger is approaching its peak. Here are two...
Revenue Cycle
Prior Authorization Delays Are Driving Patients Away From Providers
Almost 80% of physicians surveyed by the AMA say patients are skipping care because of delays in prior authorizations.
Revenue Cycle
HL Shorts: Rev Cycle Leader on Tackling Eligibility and Authorization
Payers and difficulties with eligibility and prior authorizations keep patients from getting the care they need.
Payer
Infographic: 5 Prior Authorization Updates For Payers
Many health systems and patients have struggled with prior authorization procedures.
CFO
Yay for MA? System CFOs Bittersweet on New CMS Rules
Medicare Advantage rate cuts are coming next year, but prior-auth provisions slated for 2026 could tide palmier payer partnerships.
Payer
Humana Expands Prior Auth. Partnership With Cohere Health
The platform is giving physicians faith in quick prior authorization turnaround.
Payer
Infographic: Nine States Cover Wegovy Through Medicaid
Some states are hesitant to cover the popular drugs.
Revenue Cycle
Private Payers Retain Profits by Denying, Delaying Claims: What Rev Cycle Leaders Can Do About It
While health systems are doing their best to maintain financial stability, payers are doing their best to protect their profitability.
Payer
Feds Pressuring Payers to Increase Assistance Efforts After Change Attack
U.S. officials are putting the pressure on payers to take more targeted action.
Technology
Timeline of the Change Healthcare Attack
The Change Healthcare ransomware attack has affected health systems nation-wide for almost a month now.