October 6, 2022
3 Clear Warning Signs That You Need Prior Authorization Software
by Susan Lawson-Dawson | Healthcare Technology
You’ve probably heard the adage, “Old habits die hard.” Benjamin Franklin penned it. Mick Jagger crooned it. And every day, your staff lives it as they continue to manage prior authorizations manually. What’s holding you back from making the switch to prior authorization software? If you need a list of reasons to forego the status quo, start by checking for these warning signs. Physician & Staff Burnout The U.S. Surgeon General actually pointed to prior authorization paperwork as one of the factors influencing burnout among clinical and non-clinical staff among healthcare providers. Certainly other factors contribute to burnout, including the… 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
September 15, 2022
Smart Ways Prior Authorization Automation Helps You Keep Your Bottom Line Healthy, Despite Surging Labor Costs
by Susan Lawson-Dawson | Healthcare Technology
Back in December 2021, Moody’s Vice President Brad Spielman told Fierce Healthcare that “Labor costs indeed are the challenge that the sector is facing over the next year and will result, in our opinion, in driving expenses at a rate higher than revenue growth.” How can providers reverse shrinking margins and continue to deliver care when patients need it? Prior authorization automation can help. Reduce labor costs (and overcome staffing shortages) by enabling efficiency in your intake process Labor costs, which represent more than 50% of a hospital’s expenses, grew by 19.1% in 2021. Halfway through 2022, it appears that… Read entire article here
“A swelling tsunami of information.” That’s how the Journal of AHIMA described the ongoing surge of legislation and guidance for interoperability. Improving data exchange addresses administrative burdens like prior authorization. During a recent panel discussion with post-acute care providers, we asked for their take on current and proposed laws. What’s promising? What’s not? Let’s start with an approach that’s viewed as a mixed bag. Gold Carding to Reduce Prior Authorization Burden Gold carding refers to the practice of exempting providers from seeking prior authorization of a service IF they have an acceptable approval rating over a specific time period. The… Read entire article here
