Tag: Healthcare Prior Authorization

Prior Authorization Automation

Can Automation Solve the Prior Authorization Problem in Healthcare?

In today’s healthcare ecosystem, prior authorization (PA) remains one of the most burdensome administrative processes, creating delays, denials, and dissatisfaction among providers and patients alike. Originally designed to ensure appropriate care and control costs, the process has become a major pain point due to its manual, repetitive, and inconsistent nature. But with the rise of […]
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Prior Authorization Burden

9 Ways to Ease the Prior Authorization Burden and Reclaim Your Time

Prior authorization (PA) is a necessary but often frustrating part of the healthcare reimbursement process, and the prior authorization burden it creates is substantial. While insurers use it to manage costs and ensure medical necessity, the administrative burden it places on physicians, billing staff, and patients is immense. A 2022 American Medical Association (AMA) survey […]
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Streamline Prior Authorizations and Reduce Stress for Your Patients

Streamline Prior Authorizations and Reduce Stress for Your Patients

Streamline Prior authorizations can be a real pain, but with a few adjustments, you can make the process smoother and save yourself and your patients some stress. Here are 5 tips to streamline prior authorizations: Know Your Triggers: Become familiar with medications and procedures that frequently require prior authorization. Identify alternative options, like generics, that […]
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The Impact of CMS-0057-F on Streamlining Prior Authorization Processes

Interoperability & Prior Authorization Final Rule: Impact on US Healthcare

The healthcare landscape in the United States is poised for a significant transformation with the implementation of the Interoperability and Prior Authorization Final Rule (CMS-0057-F). This landmark rule, finalized by the Centers for Medicare & Medicaid Services (CMS) on January 17, 2024, directly tackles the often-cumbersome prior authorization process, aiming to alleviate administrative complexities for […]
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