9 Proven Strategies to Ease the Prior Authorization Burden in Healthcare



Prior authorization (PA) is a growing challenge in healthcare, often causing care delays and administrative headaches. In fact, 94% of physicians report delayed care due to PA requirements, according to the AMA. This guide offers nine proven strategies to ease the prior authorization burden and streamline your revenue cycle. Learn how to centralize your PA process, integrate electronic prior authorization (ePA) tools, align workflows with your EHR, and stay up to date with payer requirements.

Discover how to use data to identify high-volume services, train your staff effectively, and leverage outsourcing when necessary. You’ll also gain tips on tracking key metrics and advocating for long-term policy reform. By embracing smart technology and standardizing internal processes, practices can reduce delays, minimize denials, and improve patient care. Start optimizing your prior authorization workflows today and transform a frustrating process into a manageable, efficient system.

Read more: https://www.allzonems.com/9-ways-for-prior-authorization-burden/

Comments

Post a Comment

Popular posts from this blog

2023 Scary ICD-10 Halloween codes For Physician

Image
  With Halloween right around the corner, be on the lookout for some of these incidents that may require new ICD-10 codes. ICD-10 CM Code W49.01 – HAIR CAUSING EXTERNAL CONSTRICTION W49 . 01XA  is a billable ICD  code  used to specify a diagnosis of hair causing external constriction, initial encounter. A ‘billable code’ is detailed enough to be used to specify a medical diagnosis. ICD-10 CM Code X99.2 – ASSAULT BY SWORD OR DAGGER X99.2 is a non-billable ICD-10 code for  Assault by sword or dagger . It should not be used for HIPAA-covered transactions as a more specific code is available to choose from below. More specific codes – 7th Character selection: The appropriate 7th character is to be added to each code from category X99 Use X99.2XXA for initial encounter Use X99.2XXD for subsequent encounter Use X99.2XXS for sequela ICD-10 CM Code R44.1 – Visual Hallucinations R44.1  is a billable ICD code use...
Read more

Medicare ASC Payment System 2024 Update: New HCPCS Codes & Changes

Image
  Get ready for new codes , updated categories , and a few surprises : Pass-through power:  Five new devices (C1600-C1603) join the pass-through party, while some old friends (C1825, C1052, etc.) say goodbye. Remember to use the January 2024 ASC code pair file for billing. Biology guides the beam:  A new code (C9794) shines a light on radiation therapy guided by biology, including PET and CT scans. Dentists get dialed in:  104 new dental codes (CDT) are now accepted in the ASC system, with special indicators for ancillary services and non-office procedures. Don't forget code G0330 for facility fees on dental rehab, but keep it separate from medical billing  charges. In short, there's plenty to keep you busy in the new year!  This update gives you more options for billing various procedures and devices, so be sure to brush up on the details to ensure smooth sailing with Medicare. Key changes: More engaging and accessib...
Read more

Medicare Billing Update: Boost Reimbursement with G2211 Add-On Code

Image
To capture Medicare reimbursement for complex Medicare patient visits, you must know when to use this add-on code. To report the additional time, effort, and related practice expenses associated with caring for Medicare patients across the continuum of care, qualified healthcare providers can begin billing  HCPCS Level II codes  on Jan. 1, 2024. Evaluation and management of G2211 visits are complex due to the fact that they serve as the focal point for all the health care services the patient requires or because they are part of the ongoing care for a single, serious or complex condition. Consider This There are a few things to consider before you begin billing for this service: Medical Billing providers  are required to provide patients with longitudinal care. In the case of urgent care, consultants, second opinions, etc., providers who are not intending to maintain an ongoing relationship with the patient should not bill G2111. The add-on code may be billed by general p...
Read more