Tag: Appeals
Prior authorizations should be renamed ‘the Care Avoidance Process’
The widespread use of prior authorizations by insurers delays care, undermines physician-patient relationships, and improperly denies treatment, highlighting the urgent need for collective provider action and stronger protections against these...
Denials by bots: Why providers need to keep an (even closer) eye on claims
Payers increasingly rely on AI and automation to process claims, leading to higher denial rates, lawsuits, and scrutiny, necessitating proactive provider strategies to challenge harmful practices and safeguard revenue.