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Category: Prior Authorization

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January 24, 2023

HITRUST Certification: What It Means & Why You Want a Prior Authorization Software Partner Who Has It

by Susan Lawson-Dawson | Prior Authorization

As the future of health becomes increasingly linked to digital technologies and cloud computing, organizations across the healthcare industry aggregate, generate and share a tremendous volume of data. At the same time, cyberattacks are on the rise.  In just a decade, reports the HIPAA Journal, the number of healthcare industry data breaches of 500 records or more climbed from 218 in 2012 to 707 in 2022—a 224% jump. As a result, healthcare providers and payers need a clear way to see how entities you do business with—including your prior authorization software provider—handle data security.  What Is HITRUST CSF? HITRUST stands… Read entire article here

January 23, 2023

Acronym Anxiety? Get the FAQs About Top Terms Related to Prior Authorization Software

by Susan Lawson-Dawson | Healthcare Technology, Prior Authorization

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

January 16, 2023

How Prior Authorization Software Takes Your Patients’ Intake Experiences to a New (Nicer) Place

by Susan Lawson-Dawson | Prior Authorization

The transition from patients to healthcare consumers has been underway for a while, but in the wake of the pandemic, the process accelerated. By the end of 2021, the tide had shifted in favor of consumerism. Reporting on a survey by healthcare experience analytics firm Press Ganey, Forbes noted that results revealed “... the ascendance of consumer shopping behavior—and its potential importance to healthcare providers.” Adopting digital solutions like prior authorization software can help to set the right tone from the start. But first, let’s take a look at why and how patient expectations have changed.  Providers face a higher… Read entire article here

January 10, 2023

How Prior Authorization Software Can Help Oncologists Connect Cancer Patients to Needed Treatments Faster

by Susan Lawson-Dawson | Healthcare Technology, Prior Authorization

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