Prior Authorization RCM: Why 7 Out of 10 Claims Get Stuck

Prior authorization directly affects whether claims move forward or pause before billing begins. As payer requirements grow more detailed, gaps in authorization workflows often delay claims early in the process. This blog explains where claims get stuck, why delays occur, and how providers and billing teams can reduce denials and support predictable reimbursement.

Read More

From Denial to Approval: Your Guide to Mastering Prior Authorization Appeals

Prior authorization denials cost billions in lost revenue and delay care. This step-by-step guide shows how to deconstruct denial letters, craft airtight appeal packages, and use data and automation to boost approvals in your revenue cycle.

Read More

Defeating the Prior Authorization Nightmare: A Checklist for ABA Providers

Prior authorization slows down ABA therapy and frustrates providers and families. This checklist explains how to verify coverage, gather documents, track renewals, and use tech or outsourcing to defeat delays—so your patients get timely care and your practice avoids revenue loss.

Read More

Top 5 Reasons for Clinical Denials and How to Address Them

Clinical denials drain billions from healthcare each year, often due to preventable errors. From lack of medical necessity to documentation gaps and authorization issues, small mistakes cause major revenue loss. This guide highlights the top five denial reasons and proven strategies providers can use to prevent denials and protect financial health.

Read More