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Appealing a Claim Denied Due to Lack of Authorization

Appealing a Claim Denied Due to Lack of Authorization

When it comes to navigating the managed care world, the system can be streamlined, efficient and profitable as long as the proper procedures are followed. However, when it comes to authorization for services rendered outside of the primary care physician’s (PCP)...

How do I control my off-site billing service?

Maintaining Control of an Off-Site Service One of the big concerns that medical practices have when it comes to hiring a remote service provider for such duties as billing is worries over how to maintain control over the process. After all, if you were to have issues...

EMR Obstacles – The Invisible Hoop

EMR Obstacles aka Jumping Through The Invisible Hoop When it comes to implementing an EMR (Electronic Medical Records) system there can be significant obstacles to the process. The primary hurdle is typically getting everyone on the same page as far as the concept...

Should I outsource my medical billing out of state?

From the Atlantic to the Pacific: Using an Out-of-State Medical Biller When it comes to organic produce, local is probably best. Looking for a plumber?   Using a guy from your zip code is probably the way to go. However, when it comes to outsourcing medical office...

Credentialing – Keeping it In-House vs. Outsourcing

Credentialing: Keeping It In-House vs. Outsourcing Credentialing and recredentialing can be a major headache for many medical practices.  The process can be tedious, time-consuming and frustrating.  Further, most offices do not have the staffing to dedicate...

Patient Collections in a Dicey Economy

Show Me the Money: Patient Collections in a Dicey Economy Anyone who has sat in the lobby of a medical office is well aware of the awkward moment at the window when the receptionist is attempting to collect for medical services rendered. The uncomfortable exchange...

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