Tag: Prior Authorization Challenges

healthcare billing regulatory changes

Surviving Regulatory Changes in Medical Billing: A Guide for 2024

The healthcare landscape continues to evolve rapidly, and 2024 will witness a number of significant healthcare billing regulatory changes that will impact medical billing practices. From updates to code standards to new regulatory compliance requirements, it is crucial for healthcare providers, medical billing companies, and RCM professionals to stay informed and proactive. The goal of […]
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Prior Authorization Challenges

5 strategies to address Prior Authorization Challenges

Prior Authorization Challenges are a growing hurdle for medical practices dealing with Medicare Advantage plans. Recent investigations reveal concerning trends: improper denials and a lack of transparency from some insurers. This can significantly delay or even block essential care for patients. The Problem with Prior Authorizations Improper Denials: A government investigation found that Medicare Advantage […]
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Prior-Authorization-Challenges

Prior Authorization Challenges Persist, AMA Survey Reveals

  Prior authorization still presents challenges to physicians, three years after the AMA and other health organizations released a consensus statement urging reform. A recent survey from the American Medical Association (AMA) evaluated the challenges and roadblocks of prior authorization (PA) for physicians and patients three years after a coalition of industry groups led by […]
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