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Showing posts with the label medical billing and coding services

Is Prior Authorization Criterion Doing More Harm Medical Billing Services

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COVID-19 pandemic has changed healthcare industry’s dynamics. The impact might be temporary in some aspects while it can also lead to permanent changes in some situations. Many changes were suggested to cater the overflowing COVID-19 positive cases. CMS even recommended delaying the nonessential medical procedures to curb down the virus exposure. This certainly was a brave decision as it protected the health of physicians, patients, and  medical billing services  workers but drag down their financial situation as well. The prior authorization rule is also under fire for the same reason. Many insurance companies and Medicare payment models are waiving off the prior authorization restriction for diagnostic or surgical procedures for coronavirus. However, there are many others, which require the pre-authorization segment filled in the claims. Even when the physicians obtain prior authorization, the claim might end up being denied. Why Prior Authorization is Necessary? Prior authorization

5 KPIs Medical Billing Consulting Companies in USA Should Be Tracking

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  Navigating complex medical billing and coding demands precision and strategic decision-making. Therefore, for medical billing companies in the USA, understanding and tracking KPIs is paramount. The key performance indicators (KPIs) act as navigators showing the right path for your practice.  Medical billing services  become more aligned, uplifting the financial status of practices. In this blog, we unveil the 5 KPIs crucial for the success of medical billing companies in USA. Also, we’ll provide valuable insights to elevate your operations and achieve optimal revenue. KPIs - The Foundation of Success for Medical Billing Companies in USA You know, what is the first step towards unlocking the full potential among medical billing companies in USA? Well, it is not other than understanding the importance of KPIs. KPIs serve as the foundation that offers a comprehensive view of your organization's performance. Meanwhile, it indicates the areas for improvement. Look below the 5 essentia