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...
Most insurance companies have different regulations, making properly handling prior authorizations challenging. Adding to the problem, payers may add new services to their prior auth list every...
The medical billing process consists of certain well-defined steps to ensure smooth and efficient workflow and maximized financial performance. The steps range from patient registration to insurance...
Accounts receivable (AR) in medical billing is the total amount of money owed to a healthcare provider by patients, insurance companies, or other third-party payers. In a complex environment with...
It can be a challenge to run a successful practice while also providing high quality patient care. In order to thrive in an increasingly competitive market, your medical practice needs to adopt...
As a dentist you may sometimes be required by patients or insurance companies to perform medical-dental cross coding. This involves submitting dental procedures to a patient’s medical plan rather...
Is insurance eligibility verification that important for your practice? Yes, it is. Most practices realize that a large proportion of their administrative costs are related to not performing proper...
On January 1, 2024, the American Dental Association (ADA) released a total of 16 CDT code changes comprising 14 additions, 2 revisions, and several policy revisions. One highlight of this year’s...
Continuous positive airway pressure (CPAP) is the gold standard therapy for the management of obstructive sleep apnea (OSA). Most insurance companies, including Medicare, cover at least part of the...
Claim denials are among the main concerns reported to the American Dental Association by dental offices. With complex procedures, rules, and intricate claim submission processes, dental billing can...
For any healthcare specialty, including Chiropractic, accurate medical billing plays a key role in getting paid on time. Following standard chiropractic billing practices is crucial for practices to...