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Challenges and Key Steps in Bariatric Surgery Insurance Verification
Obesity is a common and chronic medical condition that increases risk of diabetes, high blood pressure, heart disease, stroke, certain cancers, and musculoskeletal disorders. According to the CDC,...
Why Do Insurance Companies Require Prior Authorization?
What Is Prior Authorization? Prior authorization, also known as ‘prior auth’ or P.A or pre-certification, is a standard management process in the healthcare industry where a healthcare provider gets...
Radiology Billing Compliance: What You Need to Know
Radiology covers a wide array of procedures and diagnoses, making billing compliance essential for a successful practice. Navigating the intricate coding, billing rules, regulations, and prior...
Navigating Root Canal Billing: Maximize Reimbursements Minimize Hassles
A root canal is one of the most common endodontic treatments performed in dental practices. It addresses infected or inflamed dental pulp - the soft inner layer of the tooth, aiming to restore the...
How to Get Preauthorization from an Insurance Company?
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...
Medical Coding and Billing for Hospitalists – Challenges and Solutions
A retrospective study published by the Journal of Hospital Medicine (JHM) identified a more than 50% growth in the adult hospitalist workforce in the US between 2012 and 2019, making hospitalist...
Muscular Dystrophy and Updated ICD-10 Codes: A Guideline for Practitioners
Muscular Dystrophy (MD) is a group of over 30 genetic disorders that cause progressive muscle degeneration and weakness. As healthcare practitioners, staying updated on the latest diagnostic...
Importance of Insurance Verification in Dental Practices
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...
How to Write an Appeal Letter to Insurers for Prior Authorization Denial
Precertification, or insurance prior authorization, is the process of seeking approval from the patient’s health care plan before moving forward with the treatment. In the complex world of...
How to Avoid Medical Coding Audits
Healthcare providers need to commit to medical coding best practices to minimize coding errors and ensure compliance with coding guidelines. Failure to meet the medical coding legal and regulatory...