Dental practices strive to provide high-quality dental services and exceptional patient care while handling numerous challenges such as patient expectations, technological shifts, staff shortage and other administrative challenges. One crucial challenge when it comes...
Insurance Verification and Authorizations
Insurance Verification of OAT for Sleep Apnea – FAQ
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...
Strategies to Overturn and Prevent Medical Necessity Denials
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...
Ensuring Accurate Claim Submission for Transitional Care Management Services
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...
Many Patients may be Underinsured – Medical Eligibility Verification is Crucial
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...
Digital Health Insurance Cards – a New Challenge for Medical Billing and Health Insurance Verification?
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...
Real-Time Electronic Prescription Prior Authorization on the Cards
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...
Key Issues in Medical Practice Revenue Cycle Management
Success in managing the revenue cycle depends on efficient handling of all the processes from patient enrollment and medical eligibility verification to medical coding and billing and payment...
Patient Ineligibility and Lack of Authorization Creating More Claim Denials
With value-based care, patient eligibility verification and insurance authorization have become key factors to reckon with in medical practice management. In fact, ineligibility and failure to get...
Prevent DME Documentation Errors at Your O&P Facility
Medicare Part B (Medical Insurance) covers medically necessary durable medical equipment (DME). DME must be used for a medical reason, long-lasting, with an expected life time of at least 3 years....
Understanding DME Verification and Authorization
Efficient DME insurance verification and authorization is essential in healthcare settings, since these devices take care of myriad health issues or physical conditions faced by patients. As you...