The season of celebration is almost here and so is this once-in-a-lifetime opportunity to augment your revenue cycle management (RCM) with Outsource Strategies International (OSI). This holiday...
Five Best Practices for Conducting Insurance Eligibility Checks
In the healthcare sector, where providers need to deliver excellent patient care while ensuring financial stability, insurance verification and authorization services play a critical role. Without...
Navigating Inpatient vs. Outpatient Urology Coding: Key Differences and Best Practices
Similar to other medical specialties, urology involves various procedures and treatments including outpatient, inpatient, and urgent care, diagnostics, and consultations. Accurate coding for these...
Challenges and Key Steps in Bariatric Surgery Insurance Verification
Obesity is a common and chronic medical condition that increases risk of diabetes, high blood pressure, heart disease, stroke, certain cancers, and musculoskeletal disorders. According to the CDC,...
How to Get Preauthorization from an Insurance Company?
Preauthorization (P.A), also known as precertification, prior authorization, or prior approval is a mandatory process set by many insurance companies to determine whether the plan(s) cover the...
How to Write an Appeal Letter to Insurers for Prior Authorization Denial
Precertification, or insurance prior authorization, is the process of seeking approval from the patient’s health care plan before moving forward with the treatment. In the complex world of...
What Can Be Done If A Prior Authorization Is Denied?
Obtaining prior authorization (PA) is a complex, time-consuming, and often frustrating process that inadvertently delays access to timely patient care. Pre-authorization requirements are stringent,...
Ophthalmology Medical Coding Myths Pertaining to Foreign Body Removal
When coding for foreign body removal, it is necessary to evaluate all the potential CPT codes. After careful examination, select the most relevant codes that accurately reflect the treatment...
CPT Codes Used to Report Neuraxial Labor Analgesia/Anesthesia
The coding and billing considerations for an obstetric anesthesia procedure differ from the surgical anesthesia procedure. So, navigating the nuances of obstetric anesthesia requires precise...