Patients and providers alike suffer the pain and financial implications of prior authorizations, also referred to as prior approval, pre-authorizations, or pre-certifications. A red tape-laden approval process required by government…
It’s true that in nearly every industry, the experience is everything. Failing to meet customer expectations is most certainly the demise, as the Amazon effect and consumerism have pushed people…
In the consumer world, you pay for what you get. Unfortunately, in healthcare, it doesn’t exactly work that way. The complex world of healthcare billing means that patients and providers…
We all know Americans spend too much on health care. Per capita estimates for 2017 indicate the US government spend per person is $10,209. That’s in addition to what consumers…
Denials coming from all payers are steadily increasing. Similarly, denied claims based on “medical necessity” related to coding inadequacies are also on the rise. Coding continues to be an increasingly…
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