A common vascular disorder, Thrombophilia is a condition where the blood in the veins and arteries has an increased tendency to form clots. The condition refers to a hypercoagulable state - an abnormality in blood coagulation that increases the risk of clot formation....
Preauthorization (P.A), also known as precertification, prior authorization, or prior approval is a mandatory process set by many insurance companies to determine whether the plan(s) cover the...
A retrospective study published by the Journal of Hospital Medicine (JHM) identified a more than 50% growth in the adult hospitalist workforce in the US between 2012 and 2019, making hospitalist...
Muscular Dystrophy (MD) is a group of over 30 genetic disorders that cause progressive muscle degeneration and weakness. As healthcare practitioners, staying updated on the latest diagnostic...
As dental practices strive to provide high-quality care, they face various challenges such as financial management, staffing issues, technology integration, and patient retention. Among these,...
Precertification, or insurance prior authorization, is the process of seeking approval from the patient’s health care plan before moving forward with the treatment. In the complex world of...
Healthcare providers need to commit to medical coding best practices to minimize coding errors and ensure compliance with coding guidelines. Failure to meet the medical coding legal and regulatory...
The diagnosis and treatment for spinal care can be complex, and requires a multidisciplinary team of healthcare specialists - neurosurgeon, orthopedic surgeon, physical therapist, chiropractor and...
Obtaining prior authorization (PA) is a complex, time-consuming, and often frustrating process that inadvertently delays access to timely patient care. Pre-authorization requirements are stringent,...
Healthcare providers and patients often report difficulties with health insurers regarding prior authorizations, with many consumers saying their care was either denied or delayed last year, due to...
Physician-owned multispecialty groups and practices benefit from utilizing nonphysician providers (NPPs) such as registered nurse anesthetists, physician assistants, and surgeon’s assistants. Under...
