Prior authorization and it’s outsourcing benefits

Pre Authorization OR Prior Authorization is the process of obtaining prior approval from the payer (insurance company) before a healthcare provider provides services to a patient; also known as prior approval or pre-certification, it is the health insurer’s confirmation that a health care service, treatment plan, prescription drug, or durable medical equipment is medically necessary.…

9 steps to Restrict Revenue Leakage in Medical Billing

Healthcare revenue cycle management is the financial process that facilities use to manage the administrative and clinical functions associated with claims processing, payment, and revenue generation. The process encompasses the identification, management, and collection of patient service revenue. The industry-wide transition from fee-for-service to value-based care reimbursement will bring changes to traditional revenue cycle management.…