Virtual Human Scribe, AI Scribe, or Both? What Clinics Should Compare

A practical method for practice administrators to compare virtual human medical scribe services, ambient AI tools, and the possibility of using both together. When assessing the cost of [...]

Reasons for Prior Authorization Denials & How To Reduce Denial Rates

The prior authorization (PA) process has become an essential yet challenging aspect of patient care. It’s a task that requires meticulous attention to detail. It takes a deep understanding [...]

Why Are Ophthalmologists Still Faxing Prior Authorizations in the ePA Era?

Why Are Ophthalmologists Still Faxing Prior Authorizations? Key Takeaways Ophthalmology’s largest authorization category, anti-VEGF drugs, sits outside the CMS-0057-F decision timeframes for now. [...]

Orthopedic Prior Authorization in the ePA Era: Why Experience Beats Submission Speed

Why Are Orthopedic Practices Still Faxing Prior Authorizations in the ePA Era? Key Takeaways Fully electronic prior authorization reached 40% in the 2025 CAQH Index, while electronic attachment [...]

A Guide to Navigate Medical Billing & RCM Contracts

This guide is educational information for medical practices evaluating a medical billing company or revenue cycle management company. It is not legal advice. Have healthcare counsel review any [...]

Comparing Your Billing Options: Seven Questions Worth Asking & Five We Dive Into

A practical way for small and mid-size practices to review their current billing structure alongside an outside billing company. When your practice reviews its billing structure, cost is of [...]

Business Process as a Service (BPaaS) in Healthcare

Key Takeaways What You Need to Know About Healthcare BPaaS BPaaS (Business Process as a Service) in healthcare combines people, process expertise, and technology into a single outsourced service [...]

Tandem AI vs. Prior Authorization Specialists (DataMatrix Medical)

Editor’s Update, July 2026 Tandem AI has rebranded as Forus. The name change follows a $160 million funding round that valued the company at $1 billion. The medication prior authorization [...]

What Slows Prior Authorization in Medical Practices

Prior authorization is supposed to work like a checkpoint. In most practices, it works more like a chokepoint. In the AMA’s 2025 Prior Authorization Physician Survey, 95 percent of [...]

Why Insurer Prior Authorization Delays Practice Revenue

How Insurer Prior Authorization Requirements Create Revenue Cycle Bottlenecks Prior authorization used to be a staffing decision. Now it’s a revenue decision. The volume of authorization [...]