Tag: prior authorizations
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...
Reimbursement issues in the healthcare industry are complex, but reimbursement is essential for healthcare organizations. Proper reimbursement allows providers to run operations efficiently and...
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...
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...
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...
With millions of healthcare claims to process and millions of dollars at stake each month, getting claims right the first time is a top...
Claims denials are a thorn in the side of any healthcare organization. Even with claims denial mitigation tools and processes in place, denials are...
Patient expectations of their healthcare providers have changed. Today, patients expect providers to offer the same convenience as their favorite e-commerce site, with intuitive...
Healthcare is a challenging profession. Providers understand that their mission of care delivery is fueled by the revenues they capture; after all, it is...