RevCycle Intelligence January 24, 2020
Jacqueline LaPointe

According to CAQH, manual prior authorization costs increased by $4.31 from 2018 to 2019, making it the costliest administrative transaction for providers.

Prior authorization costs accounted for just two percent of overall medical industry spending on administrative transactions in 2019, but the process was the most costly, time-consuming transaction for providers, according to the 2019 CAQH Index report.

The seventh annual report from the Council for Affordable Quality Healthcare, Inc. (CAQH) found that, on average, providers spent nearly $11 on each prior authorization done manually in 2019. And that amount is up from $6.61 a year ago.

Prior authorization costs were lower for partially and fully electronic transactions, which cost approximately $4 and $2, respectively. However, electronic adoption of prior...

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Topics: Health System / Hospital, Insurance, Payer, Physician, Provider, RCM (Revenue Cycle Mgmt)
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