How FQHCs Can Use Technology to Track Referrals and Close the Loop

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The Prior Auth Reckoning, Part 8: The Appeals Maze

After a prior authorization is denied, providers are pushed into an opaque appeals process with vague explanations, inconsistent rules, and uncertain odds of success. In Part 8 of The Prior Auth Reckoning, Dr. Steve Kim explores why appeals are so resource-intensive—and how organizations can take a more strategic, data-driven approach.

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The Prior Auth Reckoning, Part 7: Authorization Status Limbo

After a prior authorization is submitted, providers expect a clear path to decision. Instead, authorizations often fall into a black hole—forcing staff into manual status checks, delaying care, and increasing denial risk. In Part 7 of The Prior Auth Reckoning, Dr. Steve Kim examines why authorization status tracking breaks down and how providers can regain control.

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