How to Combat the Burden of Prior Authorizations

Prior Authorizations in practice Payers use Prior Authorization to control costs and ensure their members receive only medically necessary care, before providing specific services or items to a patient, providers must obtain payer approval in advance. Providers are now burdened with the process of obtaining prior approval for services. Group medical practice executives cited Prior…

Next Round of Information Blocking Requirements Take Effect October 2022: The 21st Century Cures Act

Determine what impact The 21st Century Cures Act legislation was enacted with the goal of increasing choice and access for patients and providers in 2016. The law authorizes funding to address the opioid epidemic and improve mental health services. Current funding encourages expedited approval of new drugs, devices, and treatments. As of October 6, 2022,…

Top Under-the-Radar HIPAA Violations to Avoid

Although most healthcare employees understand and follow HIPAA basics, violations still occur. Protect your organization by ensuring these common compliance risks are mitigated. Keep up with regular risk assessments Given the stresses of the pandemic, it’s understandable that your annual risk assessment may have fallen off your radar. However, a scheduled organization-wide risk analysis is…

Top Strategies for a Healthy Ortho Practice

A focus on administrative efficiency can positively impact both revenue and patient satisfaction in growing organizations. Orthopedic practices have been expanding, and administrative complexity has grown with them. In 2006, nearly one-quarter of physicians were solo practitioners. The latest statistics from the American Academy of Orthopaedic Surgeons (AAOS) estimates the current number to be 12%. More…