HighPoint Blog

Prior authorization is the process providers use to request pre-approval by health plans for health services payment for their patients. Like other areas of healthcare, prior authorization is entering a new era of technology transformation.

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Co-authored by Lori Harris-Stevens, RN, MHA and Kathleen Craft

Is your organization an NCQA-accredited health plan, or a managed behavioral health, care management or population health vendor? Is your healthcare organization shopping for a new population health IT vendor? As part of HighPoint’s continued coverage of the new NCQA Population Health Standards, we want to take a closer look at...

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Co-authored by Suzanne Kunze, RN, CCM, MBA and Lori Harris-Steven, RN, MHA.

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Co-authored by John Miller, Carl Keller, Ash Datta

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Co-authored by John Miller, Carl Keller, Ash Datta

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Like other organizations, healthcare payers want to get the most out of their IT investments. But keeping up with operational maintenance of fee schedules, code sets, and industry changes can be a daunting task for any health plan.

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Co-authored by Suzanne Kunze, RN, CCM, MBA and John Miller

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Co-authored by Suzanne Kunze, RN, CCM, MBA and John Miller

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