Two Provisions to Watch in the CMS Prior Authorization Rule
CMS is leveraging prior authorization transactions to improve interoperability [...]
The High-Speed Intelligent Prior Authorization Information Path
Health plans are hyper-focused on compliance right now as [...]
Seven Things You Need to Know About Episodic Authorizations
Nearly three quarters of physicians (74%) report that prior [...]
So Long Chicken Scratch! How OCR is Transforming Prior Authorization Intake and Decisioning
Optical Character Recognition (OCR): What’s old is new again [...]
Answering Frequently Asked Questions About Green Lighting
How green lighting solves the limitations of gold carding [...]
How Prior Authorization Supports Value-Based Care Under the Quintuple Aim
When the “Triple Aim” was developed in 2007, the [...]
Four Things You Need to Know About the CMS Medicare Advantage Rule
Regulatory compliance with CMS’s Medicare Advantage and Part D [...]
6 Questions to Kickstart Your CMS Prior Authorization Rule Compliance Conversations
Now is the time to develop your CMS prior [...]
Three Ways You Can Improve Prior Authorization Decisioning with AI
Automated decisioning is a key capability of intelligent prior [...]
The Secret to Reducing Physician Burden in Prior Authorization
As a physician, I have been taking care of patients [...]
