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 healthcare environment, it is essential for healthcare practices to ensure...
In vitro fertilization (IVF), the most common type of assisted reproductive technology (ART), enables many couples for whom other infertility treatments have not worked, achieve a pregnancy. Medical...
A large volume of the claims processed by medical billing companies are those for evaluation and management (E&M) services. The key to maximizing payment and avoiding risk of audits is proper...
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...
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...
Obesity is a growing problem in the United States and this has fuelled the demand for bariatric surgery or weight loss surgery. Weight loss surgery helps obese and morbidly obese individuals improve...
Outpatient audiology services are usually covered by health plans, but with limitations, making audiology insurance verification crucial for efficient claim submission and proper reimbursement....
Sleep apnea is a serious sleep disorder that occurs when a person's breathing is repeatedly interrupted during sleep. The involuntary pause in breathing can result either from a blocked airway or a...
Hospitals and other healthcare organizations are under continuous financial stress and various operational challenges in the post COVID-19 era. Among them, medical necessity denials is a persistent...
Medical billing and coding companies receive a large volume of Transitional Care Management (TCM) claims to process. TCM services help reduce readmissions, which are a huge cost for the health care...
A hernia occurs when an organ or tissue pushes through a weakened area in the surrounding muscle or connective tissue (fascia). This abnormal protrusion can involve an empty sac or, if the defect is...
