Whenever a medical facility provides services for patients, a request will be sent, asking to receive money for the services that were provided. This request is known as a medical claim. While many claims can be approved, it’s possible that… Read More
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Defining Prior Authorization, and When to Use It
Some medical services require prior authorization from an insurance company before they can be performed. This is a critical step within the insurance verification service, wherein a typical healthcare plan will specify what services require prior authorization in their medical… Read More
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Making Your Denial Management Process Better
All medical practices will face denied claims at some point, as much as we try to avoid them. While these denials can’t be prevented in their entirety, there are ways to reduce them significantly. As long as you follow the… Read More
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What Surgical Centers Must Consider for Revenue Cycle Management
Surgical centers have their hands full when it comes to billing, collections, and coding. It is a lot to handle; however, there are plenty of steps you can take to help your revenue cycle management (RCM) run as seamlessly as… Read More