The basic premise of search engine reputation management is to use the following three strategies to accomplish the goal of creating a completely positive first page of search engine results for a specific term…
If we take into account that almost 90% of the process in prior authorization either needs fax or a phone call, on an average, we find physicians spending 1.1 hours on a weekly basis, surgeons spending 0.7 hours and medical specialists spending 0.8 hours. ♦ The biggest challenge, it still does not take into account […]
As 2017 has ended, practice leaders and hospitals are preparing their agenda and priority items for 2018. Under a new Presidential Administration, the federal agency has blocked all future mandatory bundled payment models and also scaled down existing compulsory models. The boost in value-based care, the federal mindset to improve payer and provider interactions on […]
The amount of time and money spent by a practice and its staff to persuade an insurance company to cover a procedure or medication is a bothersome distraction. It is true that the patient who is the beneficiary of the prior authorization process ultimately bears the brunt due to miscommunication between the provider and the […]
ICD-10 after going into effect from October 2015 has made medical billing even more specific. At present, there are 69,823 diagnostic and 71,924 procedure codes. It implies that you have to be more specific in your claims submission process. It is precisely the reason why we witness many cases of denials in authorization primarily due […]
As a DME service provider, managing medical claims in adherence to the claims adjudication mandates of the industry is a prime concern. Prior authorization remains a worry area for providers and surging expenditures is a testimony to that point. Today, prior authorization costs stand at $31 billion annually. The federal situation is quite complex and […]
One of the key areas of confusion in getting paid for anesthesiology services is determining what is going to be paid and what not! The medical claims need to have a consistent flow with the right modifiers in place. The question immediately arises “What are you existing practice management best practices? How are you going […]
Are you completely frustrated with the process of prior authorization that is impeding your chances of providing quality patient care? It is true that delays in the prior authorization will steal your time as a physician. It will increase your practice costs. It can stall your entire care management process and can pose some major […]
While you are looking to streamline your revenue cycle management, it is pertinent to set the right benchmark. Confidence and setting the tone with customized solutions in prior authorization will be the key. Also, as a provider, you will need to ensure that all the requirements of the payers are met and the claims adjudication […]
Healthcare industry is demystifying with time as new regulations are constantly looking to make inroads with newer innovations in medical science. It is important to note in this aspect that there are several loopholes in the practice management process of the providers that makes it a challenge to realize reimbursements in the right order. ♦ […]
- 1
- 2