Prior authorization and it’s outsourcing benefits

Pre Authorization OR Prior Authorization is the process of obtaining prior approval from the payer (insurance company) before a healthcare provider provides services to a patient; also known as prior approval or pre-certification, it is the health insurer’s confirmation that a health care service, treatment plan, prescription drug, or durable medical equipment is medically necessary.…

The 5 Key areas where RPA is transforming the Healthcare Industry

The healthcare industry has always been reluctant to use robotic process automation (RPA) to investigate new possibilities. With the implementation of different healthcare reforms, many firms have begun to use RPA and other creative technology to remain compliant and competitive. With its promise of delivering more intelligent operations by carrying out rules-based tasks at fast…

9 steps to Restrict Revenue Leakage in Medical Billing

Healthcare revenue cycle management is the financial process that facilities use to manage the administrative and clinical functions associated with claims processing, payment, and revenue generation. The process encompasses the identification, management, and collection of patient service revenue. The industry-wide transition from fee-for-service to value-based care reimbursement will bring changes to traditional revenue cycle management.…