Radiology procedures play a crucial role in diagnosing the cause of symptoms, monitoring treatment effectiveness, and screening for conditions like cancer and heart disease. Interventional radiology modalities such as CT, ultrasound, MRI, and fluoroscopy are used to...
Insurance Verification and Authorizations
The Impact of Prior Authorization Requirement on Mental Health Services
Obtaining behavioral health prior authorization has been considered a longstanding obstacle in providing timely mental healthcare. While intended to be used as a cost containment tool by insurers,...
How Patient Eligibility Verification Mistakes Impact Claims
When it comes to healthcare providers, the revenue cycle is not just about delivering care – it is also about ensuring that every claim submitted gets efficiently reimbursed. One of the most...
Best Practices to Streamline Insurance Verification Process for 2025
Did you know that an ineffective insurance verification process can lead to claim denials, delayed payments, and increased administrative burden for healthcare providers? In today’s fast-paced...
Navigating Bariatric Insurance Predetermination: What Providers Need to Know
Obesity is a persistent health concern in the United States that affects 42% of adults. Bariatric surgery can be life-changing, offering patients the opportunity to significantly improve their...
Types of Authorizations in Medical Billing
Health insurance companies use authorization as a utilization management strategy. Authorizations in medical billing require an evaluation of the medical necessity and cost-of-care implications of...
Understanding Insurance Verifications and Authorizations for Home Visits
Home health agencies deliver high-quality, personalized care to patients of all ages in the comfort of their own homes. Insurance preauthorization is typically necessary to provide those services at...
Why Effective Denial Management Matters in Dental Billing
Claim denials are a silent revenue drain in dental billing, costing practices hundreds of millions of dollars annually. According to the American Dental Association (ADA), around 10% of claims in...
Five Best Practices for Conducting Insurance Eligibility Checks
In the healthcare sector, where providers need to deliver excellent patient care while ensuring financial stability, insurance verification and authorization services play a critical role. Without...
Common Mistakes to Avoid in Substance Abuse Medical Billing
As physicians focus on providing individualized care for addiction, they also need to ensure precise documentation, proper coding, and accurate billing to reflect the services provided. Although...
Challenges and Key Steps in Bariatric Surgery Insurance Verification
Obesity is a common and chronic medical condition that increases risk of diabetes, high blood pressure, heart disease, stroke, certain cancers, and musculoskeletal disorders. According to the CDC,...