Field reimbursement and patient access continues to be at the forefront of everyone’s mind as we approach 2021. The politicians are noticing how healthcare can make a lasting impact on Americans and they will continue to push for healthcare legislation. Patient advocacy and ensuring patient access will be bigger than ever in 2021. Therefore, field […]
Category Archives: blog
ROI of a Prior Authorization Specialist
Prior authorizations (PAs) can be a costly step that gets in the way of patient access. Data from EviCore Healthcare shows that on average, each prior authorization costs $11 for providers and that it has a detrimental impact on patient adherence where approximately half of patients struggling to adhere, especially with specialty products. So, why […]
Calling All Patient Advocates!
Have you been working with patients to re-evaluate their commercial health plan or Medicare plan? As a patient advocate, now is the time. Open enrollment for 2021 is underway and ends in a few short weeks! For Medicare patients and all patient advocates helping during this time, the enrollment deadline is December 7th! For commercial […]
5 Mistakes Field Reimbursement Teams Cannot Afford to Make
1) Not Listening to HCP needs Health care providers have direct patient interaction and drive the access to medications. Therefore, field reimbursement teams should be in tune with their needs and their frustrations as the first gatekeeper to the medication is the provider. Education and assistance are keys to having the support system for the […]
Importance of the HIPAA Security Rule
Patient confidentiality is one of the most important aspects between a healthcare provider and a patient. Confidentiality strengthens the trust of a patient-physician relationship and ensures the quality of care and patient autonomy. Prior to the implementation of HIPAA, the healthcare industry lacked a set standard or requirements regarding the protection of health information. Simultaneously, […]
A Look into Peer to Peer
What is Peer to Peer? Peer to Peer (or P2P) is essentially the patient’s doctor justifying a patient’s medical order, prescription, or inpatient status to the insurance company’s medical director. These interactions occur when the payer denies a claim according to their own internal policies and requirements. This is usually required within 72, 48, or even […]
The Hot Potato of Healthcare
Prior Authorizations are complicated for everyone involved. As a patient who doesn’t know much about the administrative requirements of a doctor’s office, it must feel like a game of hot potato. It constantly goes around and no one seems to want it. Patients are making calls to the physician, pharmacy, and insurance company with no […]
