Tag: Administrative Burden

Prior Authorization Changes

Prior Authorization Changes 2027: Insurer API Requirements

In June 2025, hope surged across the healthcare landscape as dozens of leading health insurers jointly pledged to address one of the most frustrating pain points for clinicians: prior authorization. Insurers, via a public commitment, vowed to implement six major reforms, promising to reduce administrative burden and improve patient care. For physicians and practice managers, […]
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CO 22 denial code

CO 22 Denial Code: Expert Guide to Prevention & Resolution in Medical Billing

In essence, the insurance company you billed believes another insurer is primarily responsible for the payment. Understanding and effectively managing CO 22 denial code is critical for maintaining a healthy revenue cycle and ensuring timely reimbursements. This comprehensive guide will break down the CO 22 denial code, explore its common causes, and provide actionable strategies […]
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failing on prior auth reform

Health Insurance Industry Is Failing on Prior Authorization Reform

In theory, prior authorization (PA) exists to ensure that healthcare services are medically necessary and cost-effective. But in practice, it has become a bureaucratic roadblock causing treatment delays, administrative overload, and provider burnout. Despite increasing pressure from physicians, hospitals, patient advocacy groups, and even bipartisan lawmakers, the health insurance industry failing on prior authorization reform […]
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Reducing Quality Measure Overload in Value-Based Contracts for Primary Care Physicians

With the proliferation of quality measures in value-based contracts, many primary care physicians feel overwhelmed and set up to fail. Research conducted at the healthcare system shows that these clinicians are inundated with an excessive number of quality metrics, often leading to administrative burdens and reduced patient care. One of the primary criticisms of value-based […]
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Three Keys to Ease Provider Tension

How Technology Can Help Reduce Physician Burnout

Physicians face many sources of stress. Patient care responsibilities, medical debt, complex healthcare systems, and administrative tasks can all increase pressure. The COVID-19 pandemic added another challenge to an already demanding profession. Healthcare organizations can address some of these challenges by reducing unnecessary administrative work. Technology can help practices improve efficiency while giving physicians more […]
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