Referral Management

With much uncertainty looming over the healthcare industry, many hospitals and health systems have expressed concerns over losing insured patients and revenue if the Affordable Care Act (ACA) is repealed and/or replaced. Regardless of what industry changes are in store, it is paramount for hospitals, health systems and independent physician practices alike to provide patient-centric…

Read more SCI Report: Communication and Convenience Bring Hospitals More Referrals

We are so excited to celebrate Patient Access Week! At SCI Solutions, we love that there is an entire week dedicated to recognizing the unique contributions that patient access professionals have on the patient experience. This week shines a light on exactly why patient access matters! The job these professionals do every single day to…

Read more Celebrating Patient Access Week – Making a Mark on the Patient Experience

In a prior blog, we covered three ways hospitals can rid themselves of hidden costs and inefficiencies, including getting a better handle on the insurance authorization process – an industry-wide problem.  Insurance authorizations are a complex process for both provider groups and patients. When converting time to dollars, health systems and providers spend between $23-$31…

Read more Baptist Health Care Eliminates Insurance Authorization Frustrations and Productivity Loss

Health care costs are staggering. American taxpayers, consumers and employers pay more per capita for health care than any other country in the developed world. As a result, health plans are under enormous pressure from employers and regulators to contain medical costs, which means limiting member use of care services to that which are deemed…

Read more The high cost of obtaining authorizations for care

By Bill Bunker, Executive Vice President, SCI Solutions A recent report from the Commonwealth Fund concluded there is little competition anywhere in the United States for private Medicare Advantage (MA) Plans. Researchers found that 97 percent of markets in the US counties were “highly concentrated” where a small number of insurers dominated. In rural markets,…

Read more Medicare Advantage Competition Dwindling Amidst Insurance Mergers

By Bill Bunker, Executive Vice President, SCI Solutions According to Health Affairs, practices spend over 1000 hours per year per doctor managing insurance preauthorizations. That’s 20 hours a week or half a staff member dedicated to this activity alone per doctor. Across the industry, this adds up to more than $15 billion per year. Why…

Read more Insurance Preauthorizations Overwhelming Practice Staff?

By Bill Bunker, Executive Vice President, SCI Solutions While 2014 brought monumental changes to healthcare insurance, 2015 is set to bring even bigger changes to insurance reimbursement. The White House reports that in this past year alone approximately 10 million Americans gained insurance coverage through the Affordable Care Act (ACA). With healthcare coverage adoption rates…

Read more Tracking Care Coordination: What Healthcare Insurance Reimbursement Reform Means for Healthcare Technology

By Bill Bunker, Executive Vice President, SCI Solutions The Clarity Health team is pleased to announce today our new STAT service for radiology practices will deliver pre-authorized referrals in 30 minutes or less. You can read the full press release here. STAT Service Benefits for Radiologists This unprecedented 30-minute turnaround time will significantly benefit radiology…

Read more Introducing Clarity’s New STAT Service, Receive Pre-Authorized Referrals in 30 Minutes or Less

By Bill Bunker, Executive Vice President, SCI Solutions The wait is over. CMS released the updated fee schedule for 2015 and the Radiology Business Management Association (RBMA) issued an official statement this week to voice their concern. Overall, radiology will see a combined average one percent reduction on total Medicare allowed charges for services. This…

Read more Radiology Reality Check: 2015 Medicare Physician Fee Schedule Final Rule

By Bill Bunker, Executive Vice President, SCI Solutions As personal medical records become more accessible, patients often find themselves confused – what does the information within their own record actually mean? Even physicians from one medical specialty to another find difficulty translating specific medical terminology and phrasing. The Wall Street Journal notes a growing trend…

Read more Straight Talk: Radiologists Drop the Medical Jargon in Favor of Clearer Patient Communication