In dental practices, insurance verification sets the stage for efficient revenue cycle management. According to a Dentistry IQ article, dental insurance checks make up approximately 50% of practice income. However, verifying dental insurance is a labor-intensive and...
How to Code and Bill for Mental Health Services
The National Institutes of Health (NIH) concluded that over 20% of Americans (57.8 million) live with some form of mental illness. Treatments include various forms of psychotherapy, medications, psychosocial interventions and other modalities such as electroconvulsive...
Radiology Prior Authorization Challenges: Strategies for Optimizing Workflow and Reimbursement
Failure to obtain proper prior authorization is one of the key reasons for claim denials in many medical specialties, and radiology is no exception. Radiology prior authorization is meant to ensure that physicians follow proven guidelines when ordering imaging tests....
Effective Strategies to Obtain Prior Authorizations
Most insurance companies have different regulations, making properly handling prior authorizations challenging. Adding to the problem, payers may add new services to their prior auth list every year. Using specialized insurance authorization services
Why Outsource Insurance Eligibility Verification, a Key Step in Revenue Cycle Management?
Is insurance eligibility verification that important for your practice? Yes, it is. Most practices realize that a large proportion of their administrative costs are related to not performing proper insurance eligibility verification and/or errors in verifying, leading...
Verifying Insurance Coverage for CPAP Therapy
Continuous positive airway pressure (CPAP) is the gold standard therapy for the management of obstructive sleep apnea (OSA). Most insurance companies, including Medicare, cover at least part of the cost of some CPAP machines and supplies, although the benefits,...
How Medical Billing Supports the Healthcare Accounting Process
It goes without saying - the financial health of your medical practice is essential. Rising costs, evolving healthcare models, and increased competition have all made this more difficult than years past. Billing is a key factor of healthcare accounting, and well...
Why Outsourcing Preauths and Insurance Verification Is a Game Changer
Medical practices face several challenges that can hinder efficiency and impact revenue cycles. One aspect that the front office often has problems handling is checking patients’ insurance coverage. While a patient's insurance coverage may seem straightforward, not...