Experian Health's State of Claims survey finds 40% of providers have at least 10% of their claims denied, and only 30% recover most of that lost revenue.
News|Videos|March 13, 2024
Congress and health care: Prior authorizations
Author(s)Richard Payerchin
Rep. Greg Murphy, MD, offers a physician’s perspective on health care and Washington, D.C.
Advertisement
Reforming and regulating the prior authorization process has bipartisan support. Rep. Greg Murphy, MD (R-North Carolina) shares his thought on why Congress has not taken definitive action on the bill known as the “Improving Seniors’ Timely Access to Care Act.”
Advertisement
Related to this article
The top news stories in medicine this week.
CMS' 2027 proposal fixes the quality list, but the roster still spins.
Payer enrollment rarely lines up with a new physician’s first day. A week-by-week plan helps practices avoid a revenue gap, handle pending claims and know when the schedule can safely open.
Clinical enthusiasm doesn't equal a purchase order, and device makers need a case that wins over both clinicians and hospital buyers early in development.
Indiana and Michigan are among the states that have released details about new rules for Medicaid coverage.
Medicare's Ambulatory Specialty Model scores specialists one by one on episode costs and quality, with no group average to absorb a weak result.
Advertisement
Advertisement
Trending on Medical Economics
1
Blue Cross and Blue Shield of Texas leaves Medicare Advantage as UnitedHealthcare splits with Florida health systems
2
82% of Americans back a law requiring human review of AI claim denials, survey finds
3
Medicare is still swiping left on your patients
4
Out-of-pocket costs make patients less willing to book recommended procedures, study finds
5