10 Essential Terms You Should Know About Prior Authorization
Dive into our latest insight detailing 10 crucial terms for prior authorization, essential for navigating healthcare effectively.
A Payer’s Guide to Case Management Utilization Review
Explore resolving payer-provider disputes with our guide on case management utilization review for effective dispute management and smoother relations.
Enhancing Collaboration in Medical Necessity Criteria
Collaboration between healthcare providers and payers is instrumental in navigating the complexities of medical necessity criteria. By fostering a cooperative environment, both parties can work together to ensure that medical decisions align with the best interests of the patient.
Importance of Medical Reviews in Healthcare Management
Explore the significance of medical reviews in healthcare management, focusing on informed decision-making and improved patient outcomes.
Navigating a Medical Necessity Review: Process and Considerations
The medical necessity review plays a crucial role in maintaining the quality, efficiency, and cost-effectiveness of healthcare delivery. In this comprehensive guide, we will delve into the intricate process of medical necessity reviews, highlighting their significance, key considerations, and how they influence patient care and reimbursement.
Unlocking the Power of Healthcare Case Management
Nowhere is balance more evident than in the domain of case management, where the thorough examination of patient cases serves as the bedrock of informed healthcare decisions. Unlocking the power of healthcare case management requires optimizing both the efficiency of the process and the effectiveness of patient outcomes.
Advancing Healthcare through Physician Peer-to-Peer Collaboration
The challenges faced by healthcare professionals have become increasingly complex, demanding innovative solutions that go beyond traditional approaches. One such solution gaining traction is physician peer-to-peer collaboration—a concept that holds the potential to revolutionize healthcare delivery and drive advancements across the industry.
Prior Authorization AI and the Future
Prior Authorization AI and the Future - The process of prior authorization can be time-consuming and complicated for healthcare providers.
Psychiatrist Shortage Drives Search for Quick Solutions
Psychiatrist shortage by the numbers: The current workforce of about 45,580 psychiatrists must increase by 2,800 to meet today’s demands for psychiatric care. This works out to a 6.4 percent shortage. By 2025, that shortage could be as high as 6,090 psychiatrists, or 12 percent, according to the U.S. Department of Health and Human Services.
Payer Trends Impacting Reimbursement
There are numerous health-related challenges facing rural areas of the U.S., including geographic isolation, an aging population, and a shortage of providers and hospitals, especially as rural hospitals close at unprecedented rates.