PLANO, Texas, Aug. 20, 2025 /PRNewswire/ -- ZeOmega®, the leading population health management organization, today announced the launch of Smart Auth Optimizer, a machine learning-powered prior ...
Christine Migliaro of Northwell Health offers a reality check on prior auth automation, detailing the challenges from ROI and user adoption to the emerging threat of payer "bot blockers." While ...
Recently two members of our family had to obtain prior authorization from their health insurance. One person wanted a knee replacement by an orthopedic surgeon and his request was approved; the other ...
Payer updates and policy changes delay reimbursement; Leaders say automated solutions can help fight back. The tug-of-war between providers and payers over prior authorizations is a consistent and ...
Everyone’s talking about AI in healthcare — but in revenue cycle management, confusion remains about what it actually does. For RCM and finance leaders, the key question is: What makes an AI solution ...
Smart Data Solutions, a leader in healthcare process automation, faced a challenge common across the healthcare industry: streamlining the prior authorization process to meet stringent regulatory ...
An AI-powered solution that automates prior authorizations from eligibility detection to appeals, helping health systems reduce admin burden, accelerate patient care, and prevent denials. Innovaccer ...
The new Medicare initiative would apply to claims for procedures such as steroid injections for pain management, electrical nerve stimulator implants, skin and tissue substitutes, devices for ...
Staff at Arkansas' Harmony Park Family Medicine have been excited about streamlining the prior authorization process with the goal of improving patient access to high-quality care. Prior authorization ...
Please provide your email address to receive an email when new articles are posted on . Health insurance companies use prior authorization processes to lower payer costs. Jason P. Brinton The problem ...
In this episode, Jakob Emerson, Associate News Director at Becker’s Healthcare, breaks down the latest voluntary prior authorization reforms from major insurers and explores how emerging insurance ...