When Claims Are Denied For No Authorization Even as billers work diligently to reduce claims denials, payers are expanding the number of visit types and procedures that require prior authorization—leading to an upswing in denials for some practices. It is estimated that 80% of denied claims have t...

Prior Authorization for Durable Medical Equipment on the Rise   The majority of prior authorization nightmare stories center around patients not being able to receive needed medication, whether for new prescription or because of a change in insurer rules. But medication is not the only thing ph...

7 Ways to Speed Up The Prior Authorization Process Obtaining preauthorization is so frustrating and time consuming that many physicians are strongly pushing for complete elimination. Since that scenario is unlikely, we’re pointing out some concrete steps physicians can take to speed up the prior a...

In the last post in this series, we reported on a pledge taken earlier this year by several payer and provider organizations aimed at improving the prior authorization process. Another, similar effort is under way from the American Academy of Family Physicians (AAFP). It began with a resolution in S...

Study Shows That After EHR, Preauthorizations are The Next Factor in Physician Churn   There’s been a great deal of talk in recent years about physician burnout and dissatisfaction. Asked what they’d most like to change, virtually all talk about not being able to spend enough time with pati...