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Prior Authorization Blog Posts

How to Avoid Claim Denials Related to Prior Authorization

Patrick Dougherty

Failing to obtain prior authorization before the service is performed can result in a claim denial. In most cases, services requiring authorization before service include high-cost ancillary services, surgical procedures, or services that may be considered unnecessary in certain circumstances. 

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Topics: prior authorization

Six Ways to Effectively Manage Prior Authorization at Medical Practice

Patrick Dougherty

Ever since insurance companies entered the healthcare picture by way of employer-based insurance, medical treatment and prescription prior authorization (also known as pre-certifications and utilization reviews) have been an unwelcome but inevitable fixture in the care process.  What are they, why are they necessary and how can physicians minimize the stress and inconvenience that pre-certifications cause?

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Topics: prior authorization

True Impact of the Patient Prior Authorization Process

Patrick Dougherty

Prior authorizations are the bane of primary care providers everywhere, sucking up time and valuable resources from both your the front and back office staff. You've probably given more than passing thought to the irritations involved in the process, but you probably haven't considered the impact on your bottom line. 

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Topics: Medical Practice Revenue, prior authorization

About this blog

A place for physicians and other healthcare stakeholders to share and discover information about everything related to running efficient medical practices.

Established in 2002 by a group of physicians, we are a national provider of medical billing services to group practices, clinics, and individual physicians. We also specialize in provider credentialing, payer contract reviews, and medical coding for a wide range of clients - from solo practitioners to multi-site, multi-specialty practices.

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