Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model

Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model

  • June 27, 2016

Pre-authorizations can be costly, time-consuming, frustrating for all involved, and can account for a large percentage of denials. It's no surprise that health care networks are increasingly turning to technology to automate the process. Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model lays out how automation and other necessary components can transform the pre-auth process to be faster, more efficient, and more economical. Read now or download and read later

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RelayClearance Authorization Surpasses 200 Payers

RelayClearance Authorization Surpasses 200 Payers

  • May 31, 2016

Today, RelayHealth Financial announced that its RelayClearance Authorization solution now connects to 203 commercial, managed care, and government health plans representing nearly 80% of covered lives in the U.S. RelayClearance Authorization helps streamline the pre-authorization verification process to reduce the associated time and cost. Read the news release

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Moving Patient Payment Upfront

Moving Patient Payment Upfront

  • May 21, 2016

Hospitals are getting creative and using new revenue cycle management tools, processes, and patient advocacy services to help patients with high deductible plans manage their co-pays. Read the article

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Inventing The Mid-Cycle With Patient Self-Service

Inventing the Mid-Cycle with Patient Self-Service

  • March 1, 2016

As healthcare moves rapidly to incorporate measures of value into payment models, according to a study by McKesson Health Solutions, providers need to pay more attention to the mid-cycle—and use technology to manage the intersection of clinical, revenue cycle, and patient access processes and data. An article in the Journal of AHIMA discusses how. Read the article

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Getting In Front Of The Problem: How Can Hospitals Empower Denial Prevention And Management?

Getting in Front of the Problem: How Can Hospitals Empower Denial Prevention and Management?

  • November 22, 2015

Claim denials are a significant financial drain, costing healthcare organizations roughly 3% of their net revenue stream. The white paper, Getting in Front of the Problem: How Can Hospitals Empower Denial Prevention and Management? delves into three key strategies for reducing denials -- and how hospitals have used them effectively. Learn how to take steps to prevent denials on the front-end, manage denials through efficient workflows and processes, and analyze data for common causes of denials. Read now or download and read later

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