Payers and difficulties with eligibility and prior authorizations keep patients from getting the care they need.
Seth Jeremy Katz (VP Revenue Cycle and HIM, University Health KC) discusses the difficult, and often frustrating, process of working with payers on eligibility and prior authorization claims.
Jasmyne Ray is the revenue cycle editor at HealthLeaders.
KEY TAKEAWAYS
Katz explained that his team has tried using some automated solutions, yet stilled struggled when it came to more complex denials because of payers.