Prior authorization

MedLever and Legion Healthcare Providers Release New Prior Authorization Workflow Automation Solution for Radiation Oncology and Proton Therapy

Retrieved on: 
Thursday, July 2, 2020
Health, Medical physics, Articles, Health insurance in the United States, Healthcare in the United States, Managed care, Prior authorization, Therapy, Proton therapy, Radiation therapy

To bring this unique offering to market, MedLever partnered with Legion Healthcare Providers and incorporated Legion's center development know-how, patient acquisition, and prior authorization expertise.

Key Points: 
  • To bring this unique offering to market, MedLever partnered with Legion Healthcare Providers and incorporated Legion's center development know-how, patient acquisition, and prior authorization expertise.
  • This specific MedLever solution is geared to support the administrative and revenue cycle needs of radiation oncology and proton therapy from the time of referral through insurance approval.
  • "The insurance authorization process is labyrinthine and forces an undue hardship upon clinicians and their teams," said MedLever Founder and CEO, Jacob Philip.
  • "Using MedLever, Legion designed a comprehensive multi-stage workflow to model, track, and monitor patients through the complex and often nonlinear referral and prior authorization process.

Health Insurance Industry Failure to Adopt Prior Authorization Reforms Requires Federal Response

Retrieved on: 
Tuesday, June 23, 2020
Health, Healthcare in the United States, Health insurance in the United States, Managed care, Prior authorization, Articles, Healthcare quality, Health informatics

3107 , to rein in prior authorization practices that adversely affect patient health.

Key Points: 
  • 3107 , to rein in prior authorization practices that adversely affect patient health.
  • However, only 7% of physicians report contracting with health plans that offer programs that exempt providers from prior authorization.
  • However, almost seven in 10 physicians (67%) report that it is difficult to determine whether a drug or service requires prior authorization.
  • Patients can share their own personal experiences with prior authorization and send a message to Congress supporting H.R.

Verata Health Receives AVIA Recognition for Frictionless Prior Authorization® Platform

Retrieved on: 
Tuesday, June 16, 2020
Computer access control, Health insurance in the United States, Healthcare in the United States, Managed care, Prior authorization, Verata, Avia, Authorization, Health

MINNEAPOLIS, June 16, 2020 /PRNewswire-PRWeb/ -- Verata Health, an artificial intelligence-powered prior authorization software platform, was awarded both the AVIA Vetted Badge in 2020 for prior authorization (for successfully addressing prior authorization challenges based on the needs and criteria of AVIA Members), and the AVIA Market Validated Badge in 2020 for having proven traction in the market.

Key Points: 
  • MINNEAPOLIS, June 16, 2020 /PRNewswire-PRWeb/ -- Verata Health, an artificial intelligence-powered prior authorization software platform, was awarded both the AVIA Vetted Badge in 2020 for prior authorization (for successfully addressing prior authorization challenges based on the needs and criteria of AVIA Members), and the AVIA Market Validated Badge in 2020 for having proven traction in the market.
  • Prior authorization teams and staff can access the Verata Health platform remotely and work prior authorizations entirely from home.
  • Verata Health's Frictionless Prior Authorization empowers practices, hospitals, and health systems to take control of their prior authorizations with artificial intelligence.
  • Supporting both simple and clinically complex prior authorizations, Verata Health provides visibility across the entire prior authorization process, reducing the administrative burden and accelerating patient access.

ScriptSender and Infinx Healthcare Form Partnership to Expedite Prior Authorization Requests

Retrieved on: 
Tuesday, June 16, 2020
Articles, Business, Information technology management, Business process, Groupware, Workflow, Business process management, Prior authorization, Economy

Infinx streamlines the prior authorization and CDSM workflow by leveraging automation and artificial intelligence (AI).

Key Points: 
  • Infinx streamlines the prior authorization and CDSM workflow by leveraging automation and artificial intelligence (AI).
  • The Infinx CDSM Solution is fully integrated with the Infinx Prior Authorization Software, and are both cloud-based solutions designed to preserve and increase revenue by streamlining the complete CDSM and prior authorization workflow while improving the overall patient experience.
  • Infinx verifies the patient's insurance benefits, determines whether a prior authorization is needed or not, and initiates the process in real-time.
  • "In our partnership with Infinx, we're combining interoperability, prior authorization, and CDSM into a competitive, value-based radiology service line.

ACMA Launches First CRM Designed Exclusively for Medical Affairs/MSLs in the Life Sciences Industry

Retrieved on: 
Wednesday, June 3, 2020
Business intelligence, Healthcare in the United States, Service industries, Articles, Customer relationship management, Services marketing, Predictive analytics, Professional certification, Prior authorization, Economy

NEW YORK, June 3, 2020 /PRNewswire/ --TheAccreditation Council for Medical Affairs (ACMA) today announced the public availability of its medical CRM, ACMA Engage .

Key Points: 
  • NEW YORK, June 3, 2020 /PRNewswire/ --TheAccreditation Council for Medical Affairs (ACMA) today announced the public availability of its medical CRM, ACMA Engage .
  • The company designed the new customer relationship management platform based on input from medical affairs and technology leaders across the life sciences industry.
  • The system is focused entirely on the goals and activities of field medical and headquarters-based medical affairs teams.
  • The ACMA also provides medical CRM, AI-powered predictive analytics, medical information outsourcing, prior authorization certification, and medication safety and regulatory affairs services.

Accreditation Council for Medical Affairs launches accredited Prior Authorization Certified Specialist program

Retrieved on: 
Thursday, May 21, 2020
Healthcare in the United States, Health, Articles, Electronic health records, Professional certification, Standards, Prior authorization, Board certification, Picture archiving and communication system

NEW YORK, May 21, 2020 /PRNewswire/ -- TheAccreditation Council for Medical Affairs (ACMA), an organization exclusively dedicated to raising industry standards surrounding medical affairs has announced a newly accredited professional certification called the Prior Authorization Certified Specialist (PACS) program.

Key Points: 
  • NEW YORK, May 21, 2020 /PRNewswire/ -- TheAccreditation Council for Medical Affairs (ACMA), an organization exclusively dedicated to raising industry standards surrounding medical affairs has announced a newly accredited professional certification called the Prior Authorization Certified Specialist (PACS) program.
  • The Prior Authorization Certified Specialist (PACS) program provides a comprehensive view on Prior Authorizations, how they came to be, and their purpose in modern healthcare.
  • They provide a full suite of solutions for the life sciences industry such as medical affairs/MSL CRM platform, predictive analytics, medication safety, certification & training such as the Board Certified Medical Affairs Specialist (BCMAS) and Prior Authorization Certification Specialist (PACS) programs.
  • To learn more about how you can become a Prior Authorization Certified Specialist, visit, www.priorauthtraining.org .

BestRx Announces the Release of Real-Time Prescription Benefit Check for Pharmacies

Retrieved on: 
Tuesday, April 14, 2020
Health, Articles, Pharmacy, Pharmaceuticals policy, Clinical pharmacology, Medicinal chemistry, Medical prescription, Pharmacist, Prior authorization, Online pharmacy, Co-pay card

In addition, the Real-Time Prescription Benefit tool allows pharmacists to identify details about: prior authorizations, lower-cost alternative medications and patient's out-of-pocket costs.

Key Points: 
  • In addition, the Real-Time Prescription Benefit tool allows pharmacists to identify details about: prior authorizations, lower-cost alternative medications and patient's out-of-pocket costs.
  • "The Real-Time Prescription Benefit tool is going to be a game-changer for pharmacies" says Hemal Desai, President of BestRx.
  • The days of blindly sending test claims to find the right treatment are over, and Real-Time Prescription Benefit is the future."
  • For two generations, BestRx has studied the unique needs of independent pharmacies to create tools that benefit pharmacy owners, patients and communities.

ScanSTAT and DataFile Merge to Expand Health Information Services

Retrieved on: 
Friday, April 3, 2020
Articles, Nature, Natural environment, Environment, Environmental chemistry, Environmental protection, European Union, Restriction of Hazardous Substances Directive, Regulatory compliance, Prior authorization, Regulatory agency, Health informatics

ALPHARETTA, Ga., April 3, 2020 /PRNewswire-PRWeb/ --ScanSTAT Technologies and DataFile Technologies, leading providers of Health Information Management solutions, announce the merger of the two companies - creating the largest founder-owned Release of Information company in the nation.

Key Points: 
  • ALPHARETTA, Ga., April 3, 2020 /PRNewswire-PRWeb/ --ScanSTAT Technologies and DataFile Technologies, leading providers of Health Information Management solutions, announce the merger of the two companies - creating the largest founder-owned Release of Information company in the nation.
  • "DataFile offers an exciting opportunity for ScanSTAT to strengthen and expand its service offerings further into Document Filing, Prior Authorization and more," explains Matt Rohs, President of ScanSTAT.
  • "The combined companies will bring unparalleled levels of compliance and security while supporting the increasing regulatory challenges faced by hospitals, clinics, patients and related consumers of health information."
  • More information about the Kansas-based company and its services can be found at http://www.datafiletechnologies.com .

Verata Health Expands Offices, Hires SVP of Growth and Commercial Operations

Retrieved on: 
Tuesday, March 10, 2020
Computing, Companies, Digital technology, Tailevu Province, Verata, Health insurance in the United States, IBM, Watson, Prior authorization

To support continued expansion, Verata has hired Jim McDonnell to oversee sales operations and commercial partnerships.

Key Points: 
  • To support continued expansion, Verata has hired Jim McDonnell to oversee sales operations and commercial partnerships.
  • Jim joins Verata from IBM Watson Health and arrives as the customer base among providers and health systems is rapidly expanding across the country.
  • "Verata is the only company that has a true end-to-end solution for solving prior authorization," says Jim McDonnell, newly hired Senior Vice President of Growth and Commercial Operations.
  • Verata Health is a physician-led company helping medical practices and hospitals overcome the challenges of obtaining prior authorization.

Allscripts announces Veradigm AccelRx™ to help reduce patient wait times for specialty medications

Retrieved on: 
Wednesday, March 4, 2020
Other Health, Software, Mobile, Wireless, General Health, Professional services, Pharmaceutical, Data management, Technology, Other Professional Services, Insurance, Other Technology, Health, Health, Medicine, Clinical pharmacology, Electronic prescribing, Medical terminology, Medical prescription, Pharmacy, Prior authorization, Allscripts, Veradigm™, Allscripts

View the full release here: https://www.businesswire.com/news/home/20200304005064/en/

Key Points: 
  • View the full release here: https://www.businesswire.com/news/home/20200304005064/en/
    Veradigms AccelRx is designed to simplify meeting the requirements needed to dispense the increasing number of specialty medications being prescribed.
  • For a specialty medication prescription to be filled, it must pass through a broad cross-section of healthcare stakeholders, including payers, specialty pharmacies and specialty Rx hubs.
  • Combining one of healthcares largest prescriber bases with broad industry partnerships built over decades of e-prescribing and prior authorization leadership, Veradigm AccelRx delivers a solution designed to streamline specialty medication fulfillment and reduce patient wait times.
  • Allscripts, the Allscripts logo, and other Allscripts marks are trademarks of Allscripts Healthcare, LLC and/or its affiliates.