7 Best Prior Authorization Solutions: HEI Global Health

7 Best Prior Authorization Solutions: HEI Global Health

2019 Best Prior Authorization Solutions: HEI Global Health In our prior authorization review of the best solutions for 2019, we’ve ranked seven vendors as the top options to help physician practices automate and speed up pre-authorization for their patients. Fifth on our list of top 7 prior authorization solutions for 2019 is HEI. Here, we provide an in depth review of our #4 choice HEI Global Health Prior Authorization Solution Pros of HEI Authorizations can be worked manually or electronically based on individual...

7 Best Prior Authorization Solutions: CareConnections

7 Best Prior Authorization Solutions: CareConnections

2019 Best Prior Authorization Solutions: CareConnections In our prior authorization review of the best solutions for 2019, we’ve ranked seven vendors as the top options to help physician practices automate and speed up pre authorization for their patients. Fourth on our list of top 7 prior authorization solutions for 2019 is CareConnections. Here, we provide an in depth review of our #4 choice CareConnections Prior Advice/Authorization System (PAS) Pros of PAS CareConnections provides physical therapist with utilization advice and treatment guidelines. Its Clinical...

7 Best Prior Authorization Solutions: Azalea Health

7 Best Prior Authorization Solutions: Azalea Health

2019 Best Prior Authorization Solutions: Azalea Health In our prior authorization review of the best solutions for 2019, we’ve ranked seven vendors as the top options to help physician practices automate and speed up preauthorization for their patients. Third on our list of top 7 prior authorization solutions for 2019 is Azalea Health. Here, we provide an in depth review of our #3 choice Azalea Health Pre-authorization Services Pros of Azalea With prior authorization services from Azalea, you get an experienced partner owning...

7 Best Prior Authorization Solutions: Availity

7 Best Prior Authorization Solutions: Availity

2019 Best Prior Authorization Solutions: Availity It may be impossible to name any task more unpleasant than waiting on hold with an insurance carrier in an attempt to obtain prior authorization for a patient procedure, referral, or medication. In our prior authorization review of the best solutions for 2019, we’ve ranked seven vendors as top options to help physician practices automate and speed up pre authorization for their patients. Second on our list of top 7 prior authorization solutions for 2019 is...

7 Best Prior Authorization Solutions: PracticeSuite

7 Best Prior Authorization Solutions: PracticeSuite

2019 Top Prior Authorization Solutions: PracticeSuite It may be impossible to name any task more unpleasant than waiting on hold with an insurance carrier in an attempt to obtain pre authorization for a patient procedure, referral, or prescription medication. And the only way the situation can be worsened is when after 30 minutes, you’re told that the particular coverage sought is handled by a third-party administrator, or TPA. So you calmly ask for the contact information and start all over...

Biologics and Prior Authorization – A Healthcare Perfect Storm

Biologics and Prior Authorization – A Healthcare Perfect Storm

Physicians trying to prescribe a biologic for a patient often run into a pre authorization perfect storm: A patient excited about a new medication option, a payer less than enthusiastic about the cost of the medication, and clinical staffers frustrated with the prior authorization system. Indeed, in a June article in Practical Dermatology, Dr. Michael Sherling describes a 45-year-old man who suffers from psoriasis so severe he rarely goes out in warm weather. Various topical therapies have proven ineffective, so...

Claims Denied For No Prior Authorization

Claims Denied For No Prior Authorization

When Claims Are Denied For No Authorization   Even as billers work diligently to reduce claims denials, payers are expanding the number of visit types and procedures that require prior authorization—leading to an upswing in denials for some practices. It is estimated that 80% of denied claims have to do with no authorization being obtained, or authorizations being requested improperly. Still, there are types of medicine, such as emergency medicine, who routinely see claims denied for lack of prior approval....

Prior Authorization for Durable Medical Equipment on the Rise

Prior Authorization for Durable Medical Equipment on the Rise

Prior Authorization for Durable Medical Equipment on the Rise   The majority of prior authorization nightmare stories center around patients not being able to receive needed medication, whether for new prescription or because of a change in insurer rules. But medication is not the only thing physicians must submit prior approvals for. Dr. Pierre Manzo recently told the story of a patient trying to replace his CPAP machine because it was falling apart. His insurer wanted him to undergo a...

7 Ways to Speed Up The Prior Authorization Process

7 Ways to Speed Up The Prior Authorization Process

7 Ways to Speed Up The Prior Authorization Process   Obtaining preauthorization is so frustrating and time consuming that many physicians are strongly pushing for complete elimination. Since that scenario is unlikely, we’re pointing out some concrete steps physicians can take to speed up the prior authorization process, making it less costly and exasperating. Hire a prior notification star. Considering how much time your staff spends on precertifications, it makes no sense to put someone inexperienced in charge of this...

Prior Authorization – Solo and Joint Efforts Take Aim at Healthcare’s Pre-authorization Problem

Prior Authorization – Solo and Joint Efforts Take Aim at Healthcare’s Pre-authorization Problem

In the last post in this series, we reported on a pledge taken earlier this year by several payer and provider organizations aimed at improving the prior authorization process. Another, similar effort is under way from the American Academy of Family Physicians (AAFP). It began with a resolution in September 2016 and, after being vetted, was adopted as an official policy in April 2017. In the policy, AAFP says it believes prior notifications should be standardized and universally electronic through...

HIPAA OFFICE – Secure, Compliant Office Productivity Application Suite

HIPAA OFFICE – Secure, Compliant Office Productivity Application Suite

THE PROBLEM HIPAA Office is a secure collaboration platform and suite of office productivity applications that solves two high risk problems faced by physicians today: 1. Doctors have become a primary target for hacking and ransomware attacks, and 2. HIPAA fines are increasing in frequency and severity. HIPAA VIOLATIONS 92% of physicians use text message or inner office instant messaging to communicate among staff and colleagues regarding their patient’s condition, treatment, and order status among other things. Cellular networks are...

Prior Authorization Identified As Top Cause of Physician Dissatisfaction

Prior Authorization Identified As Top Cause of Physician Dissatisfaction

Study Shows That After EHR, Preauthorizations are The Next Factor in Physician Churn   There’s been a great deal of talk in recent years about physician burnout and dissatisfaction. Asked what they’d most like to change, virtually all talk about not being able to spend enough time with patients. But what, exactly, keeps them from that all-important face time? In 2016, the American Medical Association (AMA) sought answers to this question by asking 38 physicians in family medicine, internal medicine,...