Background Electronic health record (EHR) system users devise workarounds to cope with
mismatches between workflows designed in the EHR and preferred workflows in practice …

Objective Medications frequently require prior authorization from payers before filling is
authorized. Obtaining prior authorization can create delays in filling prescriptions and …

Background Decreasing delays for hospitalised patients results in improved hospital
efficiency, increased quality of care and decreased healthcare expenditures. Delays in …

This academic paper explores the role of artificial intelligence (AI) in revolutionizing revenue
cycle management (RCM) practices in the United States. It examines the current challenges …

Objective To describe the system-wide implementation of integrated electronic prior
authorization (ePA) and its impact within a centralized prior authorization (PA) department in …

Background Prior authorization (PA) is a utilization management tool used by health plans
and pharmacy benefit managers where the payer requires additional documentation from …

Purpose: Assess the impact of electronic health record interventions on patient access to
post-hospital discharge prescriptions. Methods: Five interventions were implemented in the …

OBJECTIVES: Prior authorization (PA) aims to promote the safe and effective use of
medications and to control costs. However, PA-related administrative tasks can contribute to …

Background: Within the United States, chronic disease in children has doubled over the last
20 years. Many diseases defined as chronic (attention deficit, epilepsy, and diabetes) …

Optimizing Medication Prior Authorization Page 1 Franklin University FUSE (Franklin
University Scholarly Exchange) Doctor of Nursing Practice (DNP) Scholarly Project Doctoral …