Authorization and Pre-Certification


Smart Patient Access Reduces Hospital Debt & Improves Clean Claims Rate

How do hospitals ensure they get paid? Patient access processes need to be streamlined, consistent, and smart in order to maintain healthy hospital revenue cycle management. Combining intelligent patient access software with properly trained registration staff dramatically reduces errors, helping hospitals get paid..

How do hospitals ensure they get paid? Patient access processes need to be streamlined, consistent, and smart in order to maintain healthy hospital revenue…

Full Post

Is Prior Authorization Getting Faster?

Sometimes preauthorizations are denied and rules vary in different states. There are inconsistent rules for prior authorization of claims, inclucing long waits.  What’s going on with prior authorization in healthcare? We take a look at delays, frustrations, and proposed solutions.

Sometimes preauthorizations are denied and rules vary in different states. There are inconsistent rules for prior authorization of claims, inclucing long waits.  What’s going on with prior…

Full Post

Patient Access Management Challenges, News, and Progress

From providing hospital pricing transparency to patient collections to revenue cycle management and patient access to information, hospitals are currently facing an array of access management challenges. Join us as we explore the current news and updates about patient access management.

From providing hospital pricing transparency to patient collections to revenue cycle management and patient access to information, hospitals are currently facing an array of access management challenges. Join us as we explore…

Full Post

Hospital Pricing Transparency Challenges Continue

Why is it so hard for hospitals to provide accurate procedure costs up front to patients?  In hospital pricing transparency news we find that while state legislatures are attempting to address the issue, most hospitals and even mandated state websites are failing to provide meaningful cost reporting for even common procedures.  We look at some recommended solutions.