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 most health insurance plans cover mental health and substance abuse...
Insurance Verification and Authorizations
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,...
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...
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...
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...
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...
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...
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....
Advantages of Collecting Out-of-Pocket Payments in Real Time
Verifying a patient’s insurance coverage before their appointment is a key step in the medical billing process. Insurance eligibility verification helps healthcare providers determine what services...
Best Practices for Ensuring Accurate Health Insurance Verifications
Verification of patients' insurance coverage is a crucial step in the medical billing process. It involves confirming the patient's benefits and eligibility prior to delivering medical services or...
Understanding the Impact of Insurance Verification on Patient Satisfaction
Patient satisfaction has become a critical measure of success for healthcare providers. Insurance plays a vital role in determining the financial aspects of patient care. Insurance verification...