Home health agencies deliver high-quality, personalized care to patients of all ages in the comfort of their own homes. Insurance preauthorization is typically necessary to provide those services at the patient's residence. As a result, home health providers often...
Insurance Verification and Authorizations
Why Effective Denial Management Matters in Dental Billing
Claim denials are a silent revenue drain in dental billing, costing practices hundreds of millions of dollars annually. According to the American Dental Association (ADA), around 10% of claims in...
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...
Common Mistakes to Avoid in Substance Abuse Medical Billing
As physicians focus on providing individualized care for addiction, they also need to ensure precise documentation, proper coding, and accurate billing to reflect the services provided. Although...
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,...
Why Do Insurance Companies Require Prior Authorization?
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...
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...
Importance of Insurance Verification in Dental Practices
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...
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,...
What Are the Steps Involved in the Pharmacy Prior Authorization Process?
Healthcare providers and patients often report difficulties with health insurers regarding prior authorizations, with many consumers saying their care was either denied or delayed last year, due to...