Objective: To evaluate the effectiveness of an automated prior authorization (PA) system (SmartPA) in reducing use of and expenditures for cyclooxygenase-2 (COX-2) inhibitors. Study Design: Before and ...

A new study from researchers at CVS Health finds that an automated prior authorization process may drive lower cost, more efficient cancer care. The research, released for the American Society of ...

BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company and Empowered-Home, today announced a partnership to provide automated prior authorization to ...

In a notable example, within six months of deploying the Recondo solution, Bon Secours Mercy Health improved authorization approval days out from one to two days to ten days prior to service, and ...

BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company and VirtualHealth, an industry-leading medical management technology company, today announced ...

This year, prior authorization will become less of a pain point as more prescribers adopt automated prior authorization technologies, predicts Dr. Andrew Mellin, vice president and chief medical ...

Danielle Pieloch and Kumar Aditya will offer more detail during the HIMSS23 session "Automating and Optimizing Prior Authorizations the Right Way." It is scheduled for Tuesday, April 18 at 3 p.m. – 4 ...

For years, hospital billing has proven to be one of the most challenging and costly operational burdens for healthcare facilities. Medical claims that should receive payment often require extended ...

Prior authorization (PA) is a widely used insurance mechanism intended to ensure cost-effective, evidence-based care. However, in practice, it often imposes significant administrative and clinical ...

Health and Law flat lay. Judge gavel, medicine and doctor coat on blue, background, top view. Medical malpractice, personal injury attorney. Prior authorization has caused significant frustration for ...