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
RelayHealth Financial has created an expansive pre-authorization network of more than 200 payers to help speed authorizations, patient care, and payments for its clients. The health plans using RelayHealth represent nearly 80% of covered lives in the U.S. Read the article
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
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
Today RelayHealth Financial announced that, once again, it achieved full accreditation with the Healthcare Network Accreditation Program (HNAP) for Electronic Health Networks from the Electronic Healthcare Network Accreditation Commission (EHNAC). This was the 16th consecutive year that RelayHealth received this accreditation. Read the news release
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
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
Today RelayHealth Financial announced that its new ConnectCenter revenue cycle management portal now helps users easily confirm patient benefit and insurance information online, to help speed eligibility validation. Read the news release here.