The growth of ambulatory surgery centers (ASCs) is a positive trend. Technological advancements have made it possible for a wider range of procedures to be performed safely and efficiently on an...
Importance of Prior Authorization for Prescription Drugs
Prior authorization (PA) — also referred to as preauthorization, preapproval and precertification — is a tool that is health insurance companies use to ensure patients receive treatments and...
How to Code and Bill for Ectopic Pregnancy and its Treatment
Regarded as a life-threatening condition, ectopic pregnancy refers to a pregnancy that occurs outside the uterus. In ectopic pregnancy, the fertilized egg tends to grow outside the main cavity of...
Common ICD Codes for Osteoporosis [Infographic]
Osteoporosis can occur with or without pathological fracture. Many medical specialists including endocrinologists, orthopedists, and rheumatologists are involved in treating osteoporosis, a...
Predetermination vs Prior Authorization
Predetermination and prior authorization are processes used by insurance companies to determine whether a patient’s treatment or service is covered under their plan. Both processes are components of...
What are the Different Types of Denials in Medical Billing?
Earning sufficient revenue to cover overhead expenses and provide quality care is a major challenge for healthcare practices and hospitals. In addition to numerous declining reimbursements,...
Documenting Atherosclerosis Cardiovascular Disease with ICD-10 Code
Atherosclerosis is a serious cardiovascular condition wherein the arteries are clogged with fatty substances called plaques, or atheroma. Health practices are required to give immediate patient care...
What Is Retro Authorization in Medical Billing?
Medical billing companies play a vital role in helping physicians reduce claim denials and enhance the patient experience through strategies such as insurance verification, preauthorization, and...
Medical Codes for Chronic Lung Disease [Infographic]
Some of the common chronic lung conditions that can adversely affect the quality of one’s life are Chronic Obstructive Pulmonary Disease or COPD (Emphysema and chronic bronchitis), asthma, cystic...