Topic
Prior authorization
6 articles on prior authorization — what the work involves, what to organize before handing it to anybody, and how to tell whether it is working. No gates and no email capture.
How long can a payer take to decide a prior authorization?
Since 1 January 2026 there is a federal answer: 72 hours expedited, seven calendar days standard. Which payers it reaches, and which it does not.
Why prior authorizations get delayed, and how to stop it
Almost every authorization delay traces to one of eight causes, and six of them are inside the practice rather than at the payer.
How prior authorization works, start to finish
Authorization work fails in the gap between submitting and deciding. This is how to staff the chase, what to record, and how to stop authorizations expiring quietly before the service is rendered.
How hospital patient access and pre-registration work
Registration is where most denials are created and where almost none are detected. This is what pre-registration and financial clearance should cover, and how to staff it as a defined queue.
How behavioural health and ABA billing work
This is authorization-unit accounting as much as billing. Run out of approved units mid-course and the sessions still happen — they just stop being billable.
The prior authorization checklist that prevents CO-197
CO-197 is the most preventable denial in medicine. Six checks before the visit stop almost all of them, and each takes under a minute.
If this is work somebody on your team is doing at four in the afternoon, it can be a seat.
Next step
One seat. One month. Cancel any time.
Twenty minutes on a call is enough to tell whether this fits. If it does not, I will say so.
Or write to ops@softhomeglobal.com