When looking at the cardiology patient access workflow, every aspect creates a piece of the foundation for solid business operations — from verifying insurance details to prior authorizations to facilitating […]

As elective surgeries resume and hospitals begin to operate at full capacity, patient access, and revenue cycle management functions that tend to be problematic will again be an issue. Unless […]

Long a problem in healthcare providers day-to-day operations, prior authorizations (PAs) have seemed impervious to legislative intervention or industry association calls for reform. They seem redundant in the value-based care […]

According to a leading market intelligence group, the number of patients in the US accessing hospital care declined by 54.5% between March 22nd and April 4th of 2020. Hit hardest […]

This was recorded when the deadline to comply was January 2021. Given the pandemic, the deadline has been postponed to 2022. Please keep this in mind while watching this video. […]

CMS proposed the following on July 13, 2021, “CMS is proposing to begin the payment penalty phase of the AUC program on the later of January 1, 2023, or the […]

CMS proposed the following on July 13, 2021, “CMS is proposing to begin the payment penalty phase of the AUC program on the later for the future, or the January […]

These last few months, we’ve seen COVID-19 have an effect on various industries across the world. With the abrupt halt of elective surgeries that are now slowly returning and millions still unemployed […]

With most hospitals and providers squarely aligned in the “no more prior authorizations” camp, insurance companies face strong headwinds. The American Medical Association (AMA) (joined by numerous other healthcare organizations) […]

However you feel about the current response, few people ever really expected to be here. We hold emergency preparedness drills and assign “essential personnel” status, but the scope of what […]