What Is Prior Authorization? Prior authorization, also known as ‘prior auth’ or P.A or pre-certification, is a standard management process in the healthcare industry where a healthcare provider gets approval from the patient’s insurance company before prescribing a...
Holidays are an occasion to reconnect with family and friends. However, this holiday season may not be the same as others. Most people consider modifying their holiday plans to reduce the spread of...
A common birth defect, cholesteatoma is an abnormal, non-cancerous skin growth that develops in the middle section of the ear (behind the eardrum). In most cases, the condition involves a collection...
Here is a look at pancreatic cancer, diagnosis, treatment, and how to report it on your medical claims. Pancreatic cancer starts in the pancreas and pancreatic adenocarcinoma is the most common...
Modifiers provide additional details about CPT codes submitted and the services rendered, without altering the procedure code's definition. Modifiers 51 and 59 are used when multiple services are...
Tobacco and tobacco smoke contain thousands of chemicals. Nicotine is the deadly chemical in tobacco that people using tobacco products get addicted to. Tobacco products such as cigarettes, cigars,...
With Christmas and New Year around the corner, December is a month of celebrations involving an overdose of fun and joy. The month not only provides a proper farewell to the current year but also an...
Getting prior authorizations is a complex, time consuming, and frustrating task for physicians and their staff. Insurance verification and insurance authorization have a key role in revenue cycle...
BC Advantage Magazine, the highly acclaimed CEU-approved national online healthcare publication, featured an article “National Handwashing Awareness Week - Make Hand Hygiene a Habit” by Outsource...
Cirrhosis refers to the severe scarring (fibrosis) and poor functioning of the liver, normally visible at the terminal stages of a chronic liver disease. According to the National Institutes of...
Obesity is associated with a higher incidence of several diseases such as diabetes, cardiovascular disease, and cancer, and has been identified as a major risk factor in COVID-19. With obesity...
