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Healthcare Outsourcing Outsourcing

How to Automate the Prior Authorization Process in Healthcare?

Prior authorization (PA) has long been a bottleneck in healthcare delivery delaying care, increasing provider burden, and frustrating patients. As healthcare systems strive for efficiency, automating prior authorization is becoming not just a technological advantage but a necessity. In this article, we’ll break down the automation journey, tools involved, and key considerations for healthcare providers looking to streamline their PA workflows. The Problem with Manual Prior Authorization Traditionally, prior authorization involves: Faxing or calling payers Filling out paper forms Chasing

Noah Thomas

Steps to secure prior authorization for prostate cancer medication with Perform RX Medicare

Outsourcing Prior Authorization

How Can You Secure Prior Authorization for Prostate Cancer Medications with Perform RX Medicare?

Perform RX Medicare is a prescription drug plan dedicated to Medicare beneficiaries, offering coverage for a comprehensive list of medications, especially those targeting chronic and severe health conditions, including various forms of cancer. For medications like those used in treating prostate cancer, Perform RX enforces a prior authorization (PA) process to confirm medical necessity, ensuring that high-cost treatments are used appropriately and effectively for each patient’s unique case. This not only helps control costs but ensures patients receive only the