How To Avoid Medical Claim Denials?

Medical claim denials have risen, and they are affecting not only the hospitals but only also the physicians. This comes as an expense to the healthcare industry, whereby sometimes, the claim is denied, which is a loss. They lose revenue, which could have been used for the daily running of the activities. Therefore, there is…

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Deliver Superior Customer Service Experience – Outsource Prior Authorization Services

Have you thought about authorization before outsourcing? Outsourcing the pre-approval process will be very profitable for your business! Outsourcing prior authorization services are essential for the profitability of any business. A critical step to success is to identify benefits for the patient and consider specific medical procedures before performing the service. Reimbursement for many emergency…

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How Medical Billing Is Different From Medical Coding?

The medical billing companies are different from the medical coding companies in many ways.¬† In medical billing, you use proprietary data software to enter data into a system, while in medical coding, you have to get in touch with healthcare professionals such as doctors and nurses. The main aim here is to classify the services…

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MEDICAL BILLING AND DENIALS

Denial of medical claims has been the biggest concern for physicians, doctors & other healthcare professionals. Recurring denials or increase in denials lead to operational losses which are difficult and sometimes impossible to recover. Denials fall into two big buckets: hard and soft. Hard denials cannot be reversed or corrected, and result in lost or…

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