BC Advantage - 2018 Issue 9

Making Verifications and Authorizations Seamless in 2018

Obtaining insurance verifications is the most critical step in the medical billing process. Recent reports indicate that 30-40% of claim denials occur because of patient eligibility problems. Pre-authorizations (a process used by health insurers to determine whether a prescribed procedure, service, or medication is covered) are also critical to manage patient care efficiently. However, pre-authorizations are a costly, resource consuming and frustrating process for physicians. Each of these front desk responsibilities are full of challenges and can have a direct impact on a practice’s bottom line. Steps for Tackling Patient Eligibility ChallengesFirst off, practices should obtain new...

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