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...
Most insurance companies have different regulations, making properly handling prior authorizations challenging. Adding to the problem, payers may add new services to their prior auth list every...
Is insurance eligibility verification that important for your practice? Yes, it is. Most practices realize that a large proportion of their administrative costs are related to not performing proper...
Continuous positive airway pressure (CPAP) is the gold standard therapy for the management of obstructive sleep apnea (OSA). Most insurance companies, including Medicare, cover at least part of the...
It goes without saying - the financial health of your medical practice is essential. Rising costs, evolving healthcare models, and increased competition have all made this more difficult than years...
Medical practices face several challenges that can hinder efficiency and impact revenue cycles. One aspect that the front office often has problems handling is checking patients’ insurance coverage....
Verifying a patient’s insurance coverage before their appointment is a key step in the medical billing process. Insurance eligibility verification helps healthcare providers determine what services...
Healthcare professionals play a key role in the patient eligibility verification process. Accurate verification of insurance coverage is crucial to a medical practice’s financial stability. Ensuring...
Patient satisfaction has become a critical measure of success for healthcare providers. Insurance plays a vital role in determining the financial aspects of patient care. Insurance verification...
Integrating sustainability into a business strategy has become a necessity. Adopting a value-driven approach in business strategies is essential for ensuring long-term success. In the insurance...
The integration of machine learning (ML) into various industries has revolutionized the way organizations analyze data and make informed decisions. Predictive insurance verification analysis is one...