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What Are the Steps Involved in the Pharmacy Prior Authorization Process?

What Are the Steps Involved in the Pharmacy Prior Authorization Process?

by Rajeev Rajagopal | Posted: Oct 17, 2024 | Medical Billing, Insurance Verification and Authorizations

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 the requirements in pre-authorizations. Keeping the existing concerns...
Understand the Key Elements of ‘Incident-to’ Billing

Understand the Key Elements of ‘Incident-to’ Billing

by Meghann Drella | Posted: Oct 16, 2024 | Last Updated: May 14, 2025 | Medical Billing

Physician-owned multispecialty groups and practices benefit from utilizing nonphysician providers (NPPs) such as registered nurse anesthetists, physician assistants, and surgeon’s assistants. Under Medicare rules, covered services provided by non-physician...
Ophthalmology Medical Coding Myths Pertaining to Foreign Body Removal

Ophthalmology Medical Coding Myths Pertaining to Foreign Body Removal

by Loralee Kapp | Posted: Oct 15, 2024 | Medical Billing, Medical Coding

When coding for foreign body removal, it is necessary to evaluate all the potential CPT codes. After careful examination, select the most relevant codes that accurately reflect the treatment rendered. However, since the coding guidelines for the removal of foreign...
Key Considerations for Coding and Billing Hospitalist Services

Key Considerations for Coding and Billing Hospitalist Services

by Loralee Kapp | Posted: Oct 10, 2024 | Last Updated: May 27, 2025 | Medical Billing, Medical Coding

Hospitalists play a crucial role in patient care, especially in inpatient settings. Using specific medical codes is essential for accurate coding and billing hospitalist services to ensure proper reimbursement. Hospitalists often deal with complex medical conditions...
CPT Codes Used to Report Neuraxial Labor Analgesia/Anesthesia

CPT Codes Used to Report Neuraxial Labor Analgesia/Anesthesia

by Loralee Kapp | Posted: Oct 7, 2024 | Medical Coding

The coding and billing considerations for an obstetric anesthesia procedure differ from the surgical anesthesia procedure. So, navigating the nuances of obstetric anesthesia requires precise identification and reporting of the latest CPT codes relevant to the service...
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