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, and there is always the risk that the request to the insurer to cover...
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...
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...
In the healthcare sector, podiatry is a specialty with unique medical billing and coding challenges. Podiatrists have to deal with diverse foot conditions, and not all services are covered by insurers. Podiatry billing and coding is complex, as procedures and services...
In the highly regulated, highly scrutinized healthcare industry, implementing medical billing audits is essential. Whether a healthcare organization is a solo or group physician practice, a hospice, a nursing home, or a large medical center, it can benefit from an...
