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Managing Prior Authorization in Health Care – Important Issues

Managing Prior Authorization in Health Care: Important Issues

Prior Authorization is one of the steps of the healthcare revenue cycle. Its core function as a business task is obtaining medical services order from payers by the provider prior to delivering services, procedures, and dispensations. Although the aim here is to curb expenditure while ensuring a medically appropriate treatment, it often turns into a […]

The Future of Medical Credentialing – How AI is Redefining Healthcare Compliance

The Future of Medical Credentialing - How AI is Redefining Healthcare Compliance

As healthcare continues to evolve, medical credentialing has increasingly proven to be one of the key ways in which insurance and maintenance of provider compliance and patient trust are achieved. Conventional credentialing methods have their fair share of defects as well – process inefficiencies coupled with delays and high costs are some of the issues […]

A Complete Overview on Medical Credentialing – Ensuring Efficiency and Compliance

The Ultimate Guide to Medical Credentialing: Ensuring Efficiency and Compliance

In the ever evolving and highly regulated domain of healthcare, medical credentialing is more than just a one time activity — it is key in making the practice self-sustaining. With proper credentialing, it ensures that the healthcare professionals have all the appropriate qualifications, as well as remain professional enough to bill the insurance companies. Even […]

10 Credentialing Loopholes Depleting Healthcare Practice Income and how to fix them

10 Credentialing Loopholes Depleting Healthcare Practice Income and how to fix them

In today’s world of healthcare, being financially healthy is as important as giving out quality healthcare services. However, many practices are unaware that they are losing money because of credentialing loopholes. Medical Credentialing is perhaps one of the most important processes in guaranteeing insurance payments and credibility of a practice, it entails confirming a healthcare […]

Medical Coding Services – Streamlining Healthcare Documentation

Medical Coding Services - Streamlining Healthcare Documentation

In the healthcare sector, medical coding services ensure the translation of patient records into codes. It is essential for medical billing, insurance claim processing, and comprehensive health record maintenance. If you are a healthcare provider or an organization keen on enhancing operational efficiency, having a grasp of medical coding services is of paramount importance.  What […]