Remove tag prior-authorization-process
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Peer-to-Peer Review Pitfalls & Solutions

BHM Healthcare Solutions

The Peer-to-Peer Review (P2P) process is used to explain or clarify something the clinical record cannot convey clearly. Providers ask to speak with insurer as part of a prior authorization requirement asking for approval for care, like length of stay, prescriptions, level of care, and other options. Ways to Improve the Process.

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Healthcare is broken. Electronic prior authorization might be the first step in fixing it.

Redox

Payers, providers, regulators, and patients rarely agree, but they are united in their disdain for prior authorization. Prior authorization “is a non-computerized kabuki of payment” that “needs to get rethought.” What is prior authorization? It might, quite literally, be the worst.

Insiders

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Segmenting Sensitive Health Topics

Healthcare Exchange Standards

It explains that some data is sensitive simply because of who authored it (Betty Ford Clinic), which is clear by looking at the author element. Back 20 years ago, there seemed to be an expectation that when a clinician recorded some fact, they would also tag that fact with a sensitivity tag.

FHIR 53
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Security Labeling Service

Healthcare Exchange Standards

meta.security, the Access Control does not need to be aware of the kind of FHIR Resource, it can just process the data as a DomainResource and simply look at the.meta.security element. Data tagging Considerations Some data are direct and clearly in a sensitive category. The list of words can be codes, such as snomed numeric codes.

FHIR 40