What Is Prior Authorization? Prior authorization, also known as ‘prior auth’ or P.A or pre-certification, is a standard management process in the healthcare industry where a healthcare provider gets approval from the patient’s insurance company before prescribing a...
Radiology covers a wide array of procedures and diagnoses, making billing compliance essential for a successful practice. Navigating the intricate coding, billing rules, regulations, and prior...
A root canal is one of the most common endodontic treatments performed in dental practices. It addresses infected or inflamed dental pulp - the soft inner layer of the tooth, aiming to restore the...
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...
A retrospective study published by the Journal of Hospital Medicine (JHM) identified a more than 50% growth in the adult hospitalist workforce in the US between 2012 and 2019, making hospitalist...
Muscular Dystrophy (MD) is a group of over 30 genetic disorders that cause progressive muscle degeneration and weakness. As healthcare practitioners, staying updated on the latest diagnostic...
Dental practices strive to provide high-quality dental services and exceptional patient care while handling numerous challenges such as patient expectations, technological shifts, staff shortage and...
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...
Healthcare providers need to commit to medical coding best practices to minimize coding errors and ensure compliance with coding guidelines. Failure to meet the medical coding legal and regulatory...
The diagnosis and treatment for spinal care can be complex, and requires a multidisciplinary team of healthcare specialists - neurosurgeon, orthopedic surgeon, physical therapist, chiropractor and...
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,...