Late last year, Fierce Healthcare noted that “...nearly a third of healthcare resources are tied up in administrative costs, taking focus away from patient care.” The research, published by Health Affairs in 2018, reveals that billing complexity remains a source of payer-provider abrasion that must be addressed. If you want to uncomplicate the path to timely patient care, prior authorization software can help. 3 Factors that Contribute to Physician and Member Abrasion Dealing with healthcare payers—whether as a provider or a member—often results in frustration. What are the biggest hurdles to more satisfying (or at least, less irritating) experiences? Complex… Read entire article here
February 15, 2023
Benefits & Barriers: How Can You Unlock the Value of HIE for Your Organization & Where Does Prior Authorization Software Fit In?
by Susan Lawson-Dawson | Healthcare Technology, Prior Authorization
“Our vision is better health enabled by data.” Those words are front-and-center on HealthIT.gov, the official website of the Office of the National Coordinator for Health Information Technology (ONC). In fact, in its “Playbook” for Health Information Exchange (HIE), the ONC explains, “Facilitating electronic exchange of this health information is critical to easing burden by ensuring that clinicians have the best information possible when making decisions about patient care.” So what is it, why should care and how does automated prior authorization support it? What is HIE? HIE, or Health Information Exchange, refers to sharing of electronic health information in… Read entire article here
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
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
