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 most health insurance plans cover mental health and substance abuse...
Predetermination and prior authorization are processes used by insurance companies to determine whether a patient's treatment or service is covered under their plan. Both processes are components of...
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 billing companies play a vital role in helping physicians reduce claim denials and enhance the patient experience through strategies such as insurance verification, preauthorization, and...
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...
Failure to obtain proper prior authorization is one of the key reasons for claim denials in many medical specialties and radiology is not an exception. Whether you are an imaging specialist or a...
