Tag: prior authorizations

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Prior authorizations continue to challenge healthcare organizations as payer authorization requirements expand and change. Automated prior authorizations can bring new efficiency and consistency to...

Published: January 15, 2025 by Experian Health

Patients expect clear information about their insurance coverage when they visit their healthcare provider, but too many leave feeling confused and financially underprepared. Experian...

Published: November 4, 2024 by Experian Health

Health payers created the prior authorization system as a cost and quality control strategy, ensuring patients receive only the most necessary, evidence-based, cost-effective and...

Published: October 1, 2024 by Experian Health

Reimbursement issues in the healthcare industry are complex, but reimbursement is essential for healthcare organizations. Proper reimbursement allows providers to run operations efficiently and...

Published: September 26, 2024 by Experian Health

Healthcare claim denials persist as a significant challenge, impacting the efficiency, affordability and timeliness of healthcare delivery and hospitals’ financial well-being. They contribute a...

Published: August 1, 2024 by Experian Health

With over $220 billion in medical debt, patients in the U.S. are burdened by substantial financial obligations. These numbers also distress healthcare providers, who...

Published: July 25, 2024 by Experian Health

If there’s one topic that’s sure to elicit groans from claims and billing teams, it’s prior authorizations. Despite promising improvements overall, Experian Health’s most...

Published: June 24, 2024 by Experian Health

With millions of healthcare claims to process and millions of dollars at stake each month, getting claims right the first time is a top...

Published: May 28, 2024 by Experian Health

Claims denials are a thorn in the side of any healthcare organization. Even with claims denial mitigation tools and processes in place, denials are...

Published: April 3, 2024 by Experian Health

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