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 insurance, navigating the intricacies of prior authorization denials...
Insurance Verification and Authorizations
Key Components of Effective Insurance Verification
Successful patient eligibility verification facilitates smoother financial transactions and enhances patient satisfaction. Patient insurance verification is an important stage in healthcare revenue...
Overview of Insurance Verification Process
Insurance verification plays a key role in ensuring financial stability and efficient operations in healthcare organizations. The process involves confirming the coverage details and eligibility of...
4 Things to Know about Medical Practice Management
A successful medical practice has strong foundations in business and non-clinical functions. If you are struggling to manage your billing, appointment scheduling, human resources, and other...
What Medical Practices Need to Know about Timely Filing
Many factors, from multiple coding systems to billing and documentation requirements and insurance policies and guidelines, make medical billing a complex process. Timely filing of claims is a...
Expert Tips: Rajeev Rajagopal on Picking the Ideal Insurance Verification Company
Are you searching for the right insurance verification company for your healthcare practice? The right partner can significantly impact your practice's efficiency and financial success. By asking...
Study: Majority of Healthcare Providers Plan to Outsource Revenue Cycle Management
Healthcare providers face unique challenges when it comes to managing their revenue cycle. From billing and claims processing to payment collection and patient communication, there are numerous...
What are Top Ways to Improve the Patient Eligibility Verification Process?
Running a healthcare practice is just like running any other kind of business. As physicians provide patient-centered care for a wide variety of conditions, they also need to pay attention to their...
Deductible, Coinsurance and Copay: Understand the Differences
Maintaining and navigating health insurance is crucial for patients to pay for their hospital visits, surgery, and other serious issues. Likewise, to improve collections and make the best decisions...
What CPT Codes are Used in an Urgent Care Practice?
Urgent care centers provide access to healthcare for patients with an urgent medical condition that is not considered life-threatening, but still needs immediate treatment as it has the potential to...
Ambulatory Surgical Center Insurance Verifications – Getting it Right the First Time
The growth of ambulatory surgery centers (ASCs) is a positive trend. Technological advancements have made it possible for a wider range of procedures to be performed safely and efficiently on an...