Prior Authorization
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Revenue Cycle Management (RCM)
Eligibility Verification: Most Neglected Process of RCM
What is Eligibility and Benefits Verification? To receive payments for the services rendered, healthcare providers need to verify each patient’s…
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Radiology Billing Services
How to manage radiology claim denials?
When the radiology physician submits the error-free claim on time then the practice’s cash flow will improve and the overall…
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Medical Billing Services
What is the prior authorization process?
The prior authorization process is seeking “approval from a health plan that may be required before you get a service or…
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Medical Billing Services
Streamlining and Automating Prior Authorization
CMS’s Proposed Rule on Automating Prior Authorization On 10th December 2020, The Centers for Medicare & Medicaid Services (CMS) proposed…
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Medical Billing Services
Billing for Worker’s Compensation
Basics of Worker’s Compensation Worker’s compensation, commonly known as worker’s comp, is a type of insurance that covers the treatment…
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Medical Billing Services
What is Medicare Sequestration?
Providers seeing a 2 percent payment decrease on their Remittance Advice (RA) is due to a mandatory sequestration payment reduction.…
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Medical Billing Services
Handling Timely Filing (CO 29) Denials
Insurance will deny the claim with denial code CO 29 – the time limit for filing has expired, whenever the…
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