HealthLeaders Survey Reveals Pre-Auth Pain Points, Ways To Streamline Authorization

HealthLeaders Survey Reveals Pre-Auth Pain Points, Ways to Streamline Authorization

  • October 21, 2016

Pre-service authorization is a tedious, time consuming, and costly process for most providers. And issues related to pre-authorization are a major source of claims denials.

Those are just some of the pre-authorization pain points reported by HealthLeaders Media in a new survey of 158 senior clinical, operations, marketing, and financial leaders from non-profit and for-profit providers nationwide.

The study, commissioned by RelayHealth Financial, ranks pre-service authorization pain points and helps identify areas where improved processes and technology could help streamline payment and reduce denials.

Read the research

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McKesson Health Solutions Unveils ClaimsXten Policy Management

McKesson Health Solutions Unveils ClaimsXten Policy Management

  • October 17, 2016

McKesson Health Solutions launched a new clinical and payment management solution, ClaimsXten Policy Management, to help streamline and automate advanced policy rules and clinically sourced edits. The solution helps promote fast, accurate payment on the first pass, reducing the potential of retrospective recovery and third-party audits and appeals. Read the article

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Learn How To Move Authorizations Into The Fast Lane

Learn How to Move Authorizations into the Fast Lane

  • October 13, 2016

Prior authorizations don't have to be a costly, tedious, or manual process. What if we could automate and streamline authorizations, so clinicians could request and receive an authorization in minutes if not seconds, without touching paper, phone, or a fax machine--and without ever leaving their preferred care management platform? We can now stop asking "what if?" McKesson and ZeOmega are bringing automated authorization with medical review to the forefront, because now ZeOmega's Jiva population health platform interoperates with McKesson’s InterQual Connect. See how it works. Discover how this partnership delivers on the promise of exception-based UM. And learn why it…

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InterQual Connect A Fierce Innovation Awards Finalist

InterQual Connect a Fierce Innovation Awards Finalist

  • October 7, 2016

Today, the editors of FierceHealthcare, FierceHealthIT, and FierceHealthPayer named McKesson’s InterQual Connect as a Fierce Innovation Award 2016 finalist in the Clinical Information Management Innovation category.The award recognizes technologies, tools and programs that are driving improvements and transforming the healthcare industry. Read the news release

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RelayClearance Authorization Surpasses 635,000 Policy Screening Rules From 549 Payers

RelayClearance Authorization Surpasses 635,000 Policy Screening Rules from 549 Payers

  • October 4, 2016

Today RelayHealth Financial announced that its RelayClearance Authorization solution now includes more than 635,000 payer-specific authorization policy screening rules from 549 commercial, managed care, and government health plans. That means providers using RelayClearance Authorization have access to updated screening rules from payers covering more than 90% of covered lives. Read the news release

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58% Of Payers, Providers Adapt Value-Based Care Reimbursement

58% of Payers, Providers Adapt Value-Based Care Reimbursement

  • September 27, 2016

Two healthcare surveys point to a trend showing that value-based care reimbursement models are becoming a more common payment arrangement. And yet the quick pace in adoption of value-based care reimbursement holds some significant challenges for healthcare providers, many of whom are struggling to meet certain quality metric goals. Read the article

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Healthcare Leaders Connect At The 29th Annual McKesson Health Solutions Conference

Healthcare Leaders Connect at the 29th Annual McKesson Health Solutions Conference

  • September 26, 2016

Payers and providers are connecting at the 29th annual McKesson Health Solutions Conference (MHSC) in Orlando. The week-long conference brings McKesson customers together to discuss their challenges, best practices, and strategic objectives. Marilyn Tavenner, President and CEO of America's Health Insurance Plans (AHIP), will deliver the keynote: “The Role of Health Plans in Strengthening Partnerships with Providers, Consumers, Government, and Other Essential Stakeholders.” Read the news release

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