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 prescribed treatment, procedures, medication or equipment. This is to...
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...
One of the administrative challenges that physicians have to deal with is obtaining prior authorizations for prescriptions and testing. This has led to an increase in the demand for insurance...
Obesity is a growing problem in the United States and this has fuelled the demand for bariatric surgery or weight loss surgery. Weight loss surgery helps obese and morbidly obese individuals improve...
Outpatient audiology services are usually covered by health plans, but with limitations, making audiology insurance verification crucial for efficient claim submission and proper reimbursement....