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Why are prior authorizations so manual?

So why are prior authorizations such a manual process?  Whether it’s the joy of filling out paper fax forms, the carpal-tunnel inducing manual entry of data into payer web portals, or being on endless hold on the phone, prior authorizations today remain the bane of most practices: The American Medical Association estimated that $31 billion is spent annually […]

Why are prior authorizations so painful?

So why are prior authorizations so painful?  As a young pediatric surgeon trying to build a practice back in 2012, this was precisely the question I asked myself every month as I looked through my accounts receivables (AR) reports.  Prior authorizations were consistently my largest source of denied payments and write-offs.  On top of that, […]

FQHCs: Falling behind on specialty referrals?

We are currently working with FQHCs that had huge backlogs with specialty referrals due to the manual nature of obtaining prior auths and putting together referral packets. What we have done is to integrate their EHRs (NextGen, Intergy) with payer web portals and have digitized specialty referral fax forms to nearly automate the referrals process. […]