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, and there is always the risk that the request to the insurer to cover...
There are a wide variety of radiology procedures to help diagnose the cause of symptoms, monitor the body's response to a treatment, and screen for different illnesses, such as cancer and heart...
As physicians focus on addressing their patients' health concerns, they also need to pay attention to the health of their practice's revenue cycle. Insurance eligibility verification is the first...
Utilization management (UM) reviews are a component of the value-based care approach. They aim to determine if the care provided to patients is appropriate, efficient, and linked to improved patient...
Earning sufficient revenue to cover overhead expenses and provide quality care is a major challenge for healthcare practices and hospitals. In addition to numerous declining reimbursements,...
Medical imaging is an essential element in modern medicine. Medical imaging technology continues to advance and radiologists have effective screening tools to detect potential health disorders or...
Getting medical claims approved by payers is one of the most daunting tasks faced by healthcare practices. Submitting clean, accurate claims to payers requires practices to ensure clinical...
Addiction to alcohol, opioids, and substance abuse require comprehensive treatment and care. Most drug & alcohol treatment centers provide effective residential treatment programs, drug and...
Getting prior authorizations is a complex, time consuming, and frustrating task for physicians and their staff. Insurance verification and insurance authorization have a key role in revenue cycle...
In vitro fertilization (IVF), the most common type of assisted reproductive technology (ART), enables many couples for whom other infertility treatments have not worked, achieve a pregnancy. Medical...
A large volume of the claims processed by medical billing companies are those for evaluation and management (E&M) services. The key to maximizing payment and avoiding risk of audits is proper...