Prior Authorization Management

Selected news for Prior Authorization Management, representing 67% of data collected since 11/2017. We are still establishing shared news links for this healthcare topic.

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Date Headline (link) Source Relevant Snippet
11/17/2020 Industry Voices—Taking the pain out of prior authorization management through automation FierceHealthcare ... can transform an outdated approach into an efficient, cost-effective process that boosts productivity, reduces denials, and increases collections. (Getty/BrianAJackson)If there’s one thing healthcare providers can agree on, it’s that prior authorization management is a heavy administrative burden and only growing heavier. Decades ago, it was created to ensure care standards continuity, improve safety and regulate costs but has become an unwieldy process filled with manual ...
7/14/2020 AccuReg Provides Hospitals Solutions to Federal Price Transparency Regulations PR Newswire ... suite utilizes automation and artificial intelligence to improve revenue capture and the patient financial experience. By combining an exception-based workflow, a top-ranked QA rules engine, intelligent eligibility and benefit validation and complete prior authorization management , AccuReg predicts and prevents denial-causing issues at the front of the revenue cycle where cost is significantly lower than the traditional resource-draining back-end approach. AccuReg also helps hospitals achieve government ...
3/5/2020 AccuReg Appoints Industry Veteran as New CIO and Chief Product Officer PR Newswire ... suite utilizes automation and artificial intelligence to improve revenue capture and the patient financial experience. By combining an exception-based workflow, a continuous learning QA rules engine, intelligent eligibility and benefit validation and complete prior authorization management , AccuReg predicts and prevents denial-causing issues at the front of the revenue cycle where cost is significantly lower than the traditional resource-draining back-end approach. AccuReg also helps hospitals achieve the ...
11/2/2019 Senior Manager Quality Engineer - East Coast Telecommute - UnitedHealth Group - Basking Ridge, NJ insurancejobs.com ... to telecommute as you take on some tough challenges. Primary Responsibilities: The Manager IT Quality Consultant is responsible for overseeing all testing of the solution, in this instance, Medicaid applications involving provider, claims and prior authorization management for the State of Pennsylvania The Test Manager will be responsible for facilitating State involvement in the testing effort, executing testing in a timely manner, resolving defects identified during testing, and providing dashboard ...
5/6/2019 Agadia Systems, Inc. Announces Agreement with MedOne for use of Agadia's Prior Authorization Solution, PAHub. PR Newswire ... the nation's leading Health Plans and PBMs, and MedOne, a national, full-service pharmacy benefit solution, have announced the signing of an agreement for MedOne to utilize PAHub, Agadia's HITRUST certified, end-to-end Prior Authorization management solution. "MedOne is known for taking an outside-the-box approach when it comes to pharmacy benefit management. With the addition of PAHub, MedOne's clients and members will benefit from robust clinical and ...
11/7/2017 Diplomat Pharmacy's (DPLO) CEO Phil Hagerman on Q3 2017 Results - Earnings Call Transcript Seeking Alpha ... Pharmaceutical Services. NPS expands our footprint deeper into direct contracts with midsize and small payers, and brings Diplomat proprietary claim software. By expanding our existing capabilities in the highly customized services, like formulary management, prior authorization management and rebate aggregation, we can build additional high quality patient centric services across the specialty industry and increase our ability to contract directly with health plans. Our strategy to target small to mid ...