From the moment data is entered electronically into a patient chart, the prior authorization process begins. For care to be obtained, prior authorizations have to be identified and submitted with the right codes, approvals, and follow-up. The majority of health plan denials are attributable to prior authorizations, eligibility, and medical necessity rules. Currently, hospitals andContinue reading “Streamlining the Process of Prior Authorizations in Healthcare”
Tag Archives: Boston WorkStation
Addressing Burnout by Optimizing Healthcare Processes
The Washington Post-Kaiser Family Foundation polled frontline workers in April 2021 and revealed, ”3 out of 10 healthcare workers are thinking of changing professions.” While this may sound surprising, it makes total sense. Nearly half (49%) of healthcare workers reported they had suffered burnout in 2020, while 43% reported feelings of work overload. And it’sContinue reading “Addressing Burnout by Optimizing Healthcare Processes”
Artificial Intelligence (AI) is Not Ready for Prime Time in Healthcare, Yet
Sometimes we read what others are saying and, because we want it to be true, we imagine it is true. It’s important to break down false promises and inaccurate information about Artificial Intelligence (AI). Healthcare has not even begun to realize the potential of AI, as we are merely at the infancy stages of applyingContinue reading “Artificial Intelligence (AI) is Not Ready for Prime Time in Healthcare, Yet”
Key Strategies to Improve Revenue Cycle Processes in 2021
2020 was an especially difficult year for most rural hospitals and health systems, who lost an estimated 70 percent of their income due to delayed and deferred visits and procedures. Although billing and claims might seem like a pretty linear process, there are detours and bumps that challenge even the best revenue cycle management teams.Continue reading “Key Strategies to Improve Revenue Cycle Processes in 2021”
A Decades-Long History in RPA
Robotic Process Automation (RPA) has a decades-long history. Screen scraping started during the early days of the Internet to help users extract data from the web. It referred to the practice of reading text data from a computer display terminal’s screen. Simple scenarios involved automation navigating through a series of steps in an application usingContinue reading “A Decades-Long History in RPA”
Uninsured Patients HRSA Claims Reimbursement for COVID-19 Testing, Treatment, and Vaccine Administration
As part of the Cares Act legislation, The Department of Health and Human Services (HHS), will provide claims reimbursement to health care providers for testing, treatment, and vaccine administration to the uninsured patient population. More than $5.6 billion dollars have been paid to date and over 238,000 health care providers have enrolled in the program.Continue reading “Uninsured Patients HRSA Claims Reimbursement for COVID-19 Testing, Treatment, and Vaccine Administration”
Unlocking Patient Access: The Cures Act Information Blocking Provisions
On April 5th, 2021, the National Coordinator for Health Information Technology (ONC) finalized the Cures Act’s information blocking provisions. These new rules focus on data exchange and patient information blocking. The Department of Health and Human Services (HHS) states: “Putting patients in charge of their health records is a key piece of patient control inContinue reading “Unlocking Patient Access: The Cures Act Information Blocking Provisions”
Staying On Track with Digital Initiatives
This has been one tough year for healthcare, and like other parts of life, progress isn’t always linear. What we find more valuable than simply acknowledging the outcome of progress is in recognizing the value of the experience itself. And this applies well to digital technology. We Embraced Digital Technology We made great strides inContinue reading “Staying On Track with Digital Initiatives”
Prior Authorizations’ Impact on Healthcare
A survey conducted by the American Medical Association (AMA) discussed the impact of prior authorizations on patient care. Out of a sampling of 1,000 physicians, one-third of the respondents stated they have a dedicated staff who work on prior authorizations approximately two business days, or 14 hours, each week with 86% of the physicians surveyedContinue reading “Prior Authorizations’ Impact on Healthcare”
Applying The Lessons of Digital Technology in a Post-Pandemic World
Automation has proven to be a digital ally in hospitals and health systems over the last year. The trends around Robotic Process Automation (RPA) were accelerated during the pandemic, and there is no reason to believe the surge in adoption will slow down. Hospital and health system CEOs are leading their organizations by implementing toolsContinue reading “Applying The Lessons of Digital Technology in a Post-Pandemic World”