Objective: To evaluate the effectiveness of an automated prior authorization (PA) system (SmartPA) in reducing use of and expenditures for cyclooxygenase-2 (COX-2) inhibitors. Study Design: Before and ...

A new study from researchers at CVS Health finds that an automated prior authorization process may drive lower cost, more efficient cancer care. The research, released for the American Society of ...

BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company and Empowered-Home, today announced a partnership to provide automated prior authorization to ...

In a notable example, within six months of deploying the Recondo solution, Bon Secours Mercy Health improved authorization approval days out from one to two days to ten days prior to service, and ...

BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company and VirtualHealth, an industry-leading medical management technology company, today announced ...

Danielle Pieloch and Kumar Aditya will offer more detail during the HIMSS23 session "Automating and Optimizing Prior Authorizations the Right Way." It is scheduled for Tuesday, April 18 at 3 p.m. – 4 ...

Prior authorization (PA) is a widely used insurance mechanism intended to ensure cost-effective, evidence-based care. However, in practice, it often imposes significant administrative and clinical ...

For years, hospital billing has proven to be one of the most challenging and costly operational burdens for healthcare facilities. Medical claims that should receive payment often require extended ...

CHARLESTON, S.C., July 21, 2020 /PRNewswire-PRWeb/ -- ReferralMD, a leader in referral management and patient access, has announced that its care coordination platform now includes prior authorization ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. Health insurer prior authorization has increased considerably in ...