Healthcare providers and patients often report difficulties with health insurers regarding prior authorizations, with many consumers saying their care was either denied or delayed last year, due to the requirements in pre-authorizations. Keeping the existing concerns...
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....
Sleep apnea is a serious sleep disorder that occurs when a person's breathing is repeatedly interrupted during sleep. The involuntary pause in breathing can result either from a blocked airway or a...
Hospitals and other healthcare organizations are under continuous financial stress and various operational challenges in the post COVID-19 era. Among them, medical necessity denials is a persistent...
Medical billing and coding companies receive a large volume of Transitional Care Management (TCM) claims to process. TCM services help reduce readmissions, which are a huge cost for the health care...
The Affordable Care Act (ACA) improved Americans’ access to healthcare, but a recent report in the New York Times highlights the fact that many people may be still underinsured. This makes medical...
Different types of technological advancements are making their way into physicians’ practices and helping them manage their workflow better. Insurance eligibility verification got a makeover...
Insurance verification and authorization is the first and probably most important step in the medical billing process. Patient eligibility verification involves checking out the patient’s coverage...