You can’t deny that acronyms, abbreviations, and unusual lingo abound in healthcare. Add technology to the mix, and you’re wading into a confusing alphabet soup of terms. We tackled a few in our blog about the Da Vinci standards. Today, we’ll expand on words you may run across when exploring prior authorization software options. Key Players in the Interoperability Arena CMS: In addition to being the “payer” for millions of Americans, the Centers for Medicare and Medicaid, aka CMS, plays a central role in advancing interoperability and reducing the administrative burdens. Those administrative burdens contribute an estimated 15-25% of total… Read entire article here
Recently the Association for Clinical Oncology (ACO) released the results of a 2022 survey on prior authorization and cancer treatments. The findings support what we already know: prior authorizations create an administrative burden for providers and impede critical care for patients diagnosed with cancer. Take a closer look at the challenges uncovered by the survey and learn how prior authorization software addresses barriers to optimal cancer care. Prior Authorizations Demand Full-Time Attention In an article about the survey results, OncLiveⓇ explains, “Settings of the participants were well balanced across community or hospital-based health network (35%), private practice (34%), and academic… Read entire article here
A few decades ago, healthcare lagged well behind banking, retail and other industries when it came to digital transformation. Passage of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2010 put healthcare providers on the path for adoption and meaningful use of health IT. According to the Office of the National Coordinator for Health Information Technology (ONC), only 9% of non-federal acute care hospitals and 17% of office-based physicians had adopted EHRs in 2008. By 2021, those numbers hit 96% and 78% respectively. The journey has not been easy. When healthcare providers began making the switch… Read entire article here
“The definition of insanity is doing the same thing over and over again and expecting different results.” It may be one of the most famous quotes that Albert Einstein never said (surprised?), but it came to mind recently. The reason?: A tip in Medical Economics for limiting the impact of prior authorizations on primary care, physical therapy, and other provider practices. Here’s the tip in its entirety: “Assign a staff member to each payer. This person can become an expert on the payers for which they are responsible, learning their specific expectations and what to avoid. They can also build… Read entire article here
