Prior Authorization

Need Help Calculating Your Organizations Prior Authorizations Burden, Get our downloadable spreadsheet. "How big is your organization's prior authorizations burden?"  More often than not, when I ask this of patient access teams at medical practices, hospitals, and...

Looking to Improve Prior Authorization Workflows? There are 3 basic things to consider when striving to improve prior authorization workflows; The What, The How, and The Who. Let's first talk about the what. The What The first thing to consider when setting out to...

Automated submissions of prior authorizations and referrals are more achievable than you might think. Here's what to know about effective prior authorization implementation. In today’s environment, the future for prior authorization automation is critical and has...

Why Are Prior Authorizations So Manual? So why are prior authorizations so manual?  Whether it’s the joy of filling out paper fax forms, the carpal-tunnel-inducing manual entry of data into payer web portals, or being on endless hold on the phone, prior authorizations...

Why are Prior Authorizations so Painful? So why are prior authorizations so painful?  As a young pediatric surgeon trying to build a practice back in 2012, this was precisely the question I asked myself every month as I looked through my accounts receivable (AR)...

Run time changeable for dummies: “liveware” Does anyone else get frustrated when you have to stop work in progress because some application needs to upgrade itself?  Lost all hope that the key feature you want will miraculously show up in some future product release? ...