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At A Glance Claim scrubbing technology helps healthcare providers submit clean, accurate claims from the start – improving accuracy, reducing denials and maximizing reimbursements. Key takeaways: Claim scrubbing is a critical part of claims management, designed to improve claim accuracy and catch errors before submission. Errors on claims are a leading cause for denials and…
At A Glance Automated prior authorization solutions streamline workflows, simplify management across payer systems and offer advanced features to reduce manual effort — helping providers minimize denials and improve overall efficiency. Key takeaways: Prior authorization is a process used by providers and payers to determine if a patient’s insurer will cover a specific treatment before…
Manual prior authorization workflows represent one of the most tedious and expensive aspects of the healthcare revenue cycle. However, despite access to automated prior authorization software, only 31% of providers use electronic prior authorizations, according to the Council for Affordable Quality Healthcare (CAQH). The CAQH predicts that providers who switch to automated prior authorization software…
