Editor's Note: Co-written by Scott Herbst, Senior Vice President and General Manager of Provider Solutions and Ryan Miller, Senior Vice President of Strategy & Corporate Development at Availity.Prior authorizations may be as popular among providers as ants at a picnic, but they have become a common and necessary part of the reimbursement process. As a result, being able to manage prior authorizations efficiently is critical to maintaining a healthy revenue cycle and avoiding issues such as
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Prior Authorization
Chilmark: New Prior Authorization Solutions Can Address Provider-Payer Friction
Prior Authorization is often viewed as the poster child for throwing the Quadruple Aim off balance with its pursuit of cost reduction at the expense of provider experience, but the latest research from Chilmark Research shows that new PA models and maturing PA technology solutions could benefit both providers and payers.Traditionally, primitive PA and its associated impacts account for the great divide in provider-payer relationships. The sheer volume of PA requirements is getting increasingly
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Report: Reducing Manual Business Transactions Could Save Healthcare $9.4B
Reducing manual business transactions could save healthcare $9.4 billion in savings, according to new data released today in the fourth annual 2016 CAQH Index. The index reveals that conducting resource-intensive manual transactions are costing U.S. health plans and healthcare providers as much as $11 more per transaction and on average $6 more than when conducted electronically. CAQH Index Overview The fourth annual CAQH Index measures adoption, costs and, for the first time, provider labor
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Cerner, CoverMyMeds Integrate to Accelerate Electronic Prior Authorization Process
Cerner and CoverMyMeds are announcing this morning an agreement to integrate CoverMyMeds’ ePA within Cerner’s Millennium EHR. The advanced functionality will provide more than 350,000 e-prescribing end-users the ability to accelerate the prescription review process by removing manual processes and helping to reduce transaction costs. CoverMyMeds will provide Cerner physicians the capability to process requests electronically in seconds and receive notification of a patient’s authorization status
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