Prior Authorizations

Transforming Healthcare with Simplicity

Most of us read (and love) the Dilbert cartoons. Scott Adams captures classic workplace inefficiency so masterfully. There’s one that comes to mind, about keeping things simple. It goes like this: Dilbert: “The secret to success is to keep things simple.” Alice: “Do you mean simple in the absolute sense or relative to the alternatives?”
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Automation Provides a Rapid ROI to Common Healthcare Finance Processes

Robotic Process Automation (RPA) empowers healthcare organizations by enabling them to scale common finance initiatives with a proven ROI and minimum investment. There’s no wonder that growing numbers of Chief Financial Officers (CFOs) are automating financial processes. This allows finance teams to refocus time and energy on tasks that require human intervention, while offloading mind-numbing,
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Reduce Healthcare’s Pain Points in 2023

Healthcare organizations are stretched to the limit from illness, stress, burnout, and staffing shortages. The current situation is impeding our ability to provide quality care, by increasing long hours amidst continued staffing shortages. COVID-19 is not over, and as hospitals and health systems scramble to take care of increasing workloads with less people, burnout, anxiety,
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What Can We Expect From Healthcare in the Coming Year?

Healthcare is at an inflection point. Healthcare leaders must look for new ways to deliver efficient and secure care while continuing to adapt to the post-pandemic world. Labor costs and current clinical shortages are causing hospitals to operate with much smaller budgets. Many are easing the financial pain by having clinicians work at the top
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Empower Your Customers to Succeed with Technology

Technology touches nearly every aspect of our daily lives. Yet, powering the new automation age in healthcare requires more effort than merely choosing a vendor. Alongside every successful technology implementation there’s a need for human interaction. Customer success is created and sustained by training, support, and ongoing communication. To empower your customers and your business
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5 Healthcare Revenue Cycle Challenges and How to Overcome Them

Healthcare revenue cycle challenges exist at every stage of the healthcare journey, beginning with patient authorization and extending all the way through claims, billing, payment, and collections. Providers lose billions each year due to inefficient processes, the inability to collect on bills and claims, and the complicated, manual process of claims management. What are the
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Streamlining the Process of Prior Authorizations in Healthcare

From the moment data is entered electronically into a patient chart, the prior authorization process begins. For care to be obtained, prior authorizations have to be identified and submitted with the right codes, approvals, and follow-up. The majority of health plan denials are attributable to prior authorizations, eligibility, and medical necessity rules. Currently, hospitals and
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Prior Authorizations’ Impact on Healthcare

A survey conducted by the American Medical Association (AMA) discussed the impact of prior authorizations on patient care. Out of a sampling of 1,000 physicians, one-third of the respondents stated they have a dedicated staff who work on prior authorizations approximately two business days, or 14 hours, each week with 86% of the physicians surveyed
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