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Complete Revenue Cycle Management for
Medical & Dental Clinics, Practices and Hospitals
As physicians focus on addressing their patients' health concerns, they also need to pay attention to the health of their practice's revenue cycle. Insurance eligibility verification is the first step in revenue cycle management (RCM). When it comes to cardiology...
Utilization management (UM) reviews are a component of the value-based care approach. They aim to determine if the care provided to patients is appropriate, efficient, and linked to improved patient outcomes. The UM processes of insurance companies include prior...
Revenue cycle management (RCM) is the administration of financial transactions that result from the medical encounters between a patient and a provider, facility, and/or supplier, according to the Healthcare Business Management Association (HBMA). RCM involves several...
Getting prior authorizations is a complex, time consuming, and frustrating task for physicians and their staff …
Continue reading“Insurance Preauthorizations – A Major Challenge for Gastroenterology Practices”
A December 2017 study from the American Medical Association reported that 86 percent of physicians said that prior authorizations have increased during the prior five years, with 51 percent saying that they have increased significantly. The PA process for approval of...
Failure to obtain proper prior authorization is one of the key reasons for claim denials in many medical specialties and radiology is not an exception. Whether you are an imaging specialist or a referring physician, prior authorization from the insurer helps to ensure...
One of the administrative challenges that physicians have to deal with is obtaining prior authorizations for prescriptions and testing. This has led to an increase in the demand for insurance authorization services in recent years. Prior authorization is major problem...
Dealing with insurance companies and claim denials is a frustrating task for all dental offices. Often claims get rejected due to missing patient details, errors in submitted codes, lack of verifying patient's dental eligibility and more.In case of any claim denial or...
Prior authorization is a common strategy that insurance companies use to manage or limit access to certain drugs, treatments, tests, and other medical services. The process requires physicians to obtain pre-approval for procedures or services ordered as part of the...
Health insurance companies normally require prior authorization for medications, durable medical equipment (DME) and medical services, and insurance authorization services are available to help handle the administrative burden associated with the process. However, the...
Natalie joined MOS’ Revenue Cycle Management Division in October 2011. She brings twenty five years of hands on management experience to the company.
Meghann joined MOS’ Revenue Cycle Management Division in February of 2013. She is CPC certified with the American Academy of Professional Coders (AAPC).
Hired for her dental expertise, Amber brings a wealth of knowledge and understanding of the dental revenue cycle management (RCM) services to MOS.
Loralee joined MOS’ Revenue Cycle Management Division in October 2021. She has over five years of experience in medical coding and Health Information Management practices.