Charles Darwin, father of the theory of evolution, wrote, “It is not the strongest of the species that survives, nor the most intelligent, but the one most responsive to change.” While he may have been talking about flora and fauna, Darwin’s theory seems quite relevant to Software as a Service (SaaS) providers in today’s rapidly-evolving healthcare landscape. Integrating prior authorization software in your existing solution can transform it. How? Adding prior authorization automation can make your platform “stickier” with your current customers. In addition, it can make you more attractive to prospective customers who are increasingly frustrated by burdensome prior… Read entire article here
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
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
