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prior authorization


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Revenue Cycle
Infographic: 4 Quick Quotes from the April Rev Cycle NOW Summit
Luke Gale | May 09, 2025
See what revenue cycle leaders had to say during the April 2025 Revenue Cycle NOW Online Summit, a 2-part webinar...
Revenue Cycle
Communication Strategies Help to Overcome Prior Authorization Tech Hurdles
Luke Gale | May 08, 2025
Technology hurdles, particularly lack of standardization and interoperability, often hinder the prior authorization process. Robust communication strategies can address those...
Revenue Cycle
HL Shorts: Northwell Health VP Shares Vendor Assessment Strategy for Prior Auth
Luke Gale | April 29, 2025
Before selecting a vendor to aid in prior authorization management, health systems should conduct their own "needs assesment," according to...
Revenue Cycle
Rev Cycle Leaders Tackle Patient Engagement, Prior Auths
Luke Gale | April 22, 2025
Revenue cycle leaders today are tasked with improving patient engagement, while they're facing frustrating prior authorization requirements that lead to...
Revenue Cycle
Infographic: A Quick Guide to the Reducing Medically Unnecessary Delays in Care Act of 2025
Luke Gale | April 11, 2025
The House of Representatives is considering legislation that would reform the way payers use prior authorization. Which payers would the...
Revenue Cycle
Congress Considers Legislation to Restrict Prior Authorizations
Luke Gale | April 10, 2025
A bipartisan group of physician legislators has introduced legislation in the House of Representatives to reform payer use of prior...
CFO
HL Shorts: The AI Impact On Payers and Providers
Marie DeFreitas | March 27, 2025
Is AI helping or hurting the payer-provider relationship?
CFO
Bridging the Payer-Provider Divide: Excerpt from March Cover Story
Marie DeFreitas | March 24, 2025
The growing tension between payers and providers is no secret. And it's forcing CFOs to take action.
CEO
The Winning Edge: How Providers Are Battling Medicare Advantage
Jay Asser | March 21, 2025
Medicare Advantage is exacerbating providers' financial and operational problems, making the current path almost untenable, say hospital CEOs.
CEO
How Hospital CEOs Are Strategizing to Lessen Medicare Advantage's Onerous Impact
Jay Asser | March 19, 2025
Providers' frustration with the private program is palpable, but there are actions they can take to alleviate its consequences.
Revenue Cycle
No Denying There's a Claim Denial Problem
Luke Gale | February 27, 2025
As claim denials continue to rise, state governments start to take notice while revenue cycle leaders find new ways to...
Revenue Cycle
Let's Get Digital: How 2 RCM Leaders Are Tapping Tech to Improve Patient Access
Delaney Rebernik | January 07, 2025
All eyes on prior authorization and scheduling.
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