Month: November 2017

Payer Pre-Authorization

Improving ASC Upfront Collections: 5 Fundamental Steps In Obtaining Payer Pre-Authorization

Your ASC’s surgery scheduler has just scheduled a procedure for next week. Prior to performing this procedure, there are numerous steps required to ensure that your ASC is properly compensated for services performed. Pre-authorization — also called pre certification, prior authorization, insurance verification and prior approval — from the patient’s payer is just one vital […]
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Claim denial cost

How Much Do Claim Denials Cost Hospitals? New Report Says $3.5M

Hospital and health systems have seen an improvement in some aspects of revenue cycle performance over the last two years, but a new report finds that many organizations are under pressure and face risks from increased denial write-offs, bad debt and inefficiencies due to high collection costs. Indeed, the Advisory Board’s biennial revenue cycle survey […]
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Mastering Appeals

When Appeals Are Not Enough

If you are as enthusiastic about medical billing and reimbursement, it can be vexing when we receive a denial. Here are some tried and true points that every biller should know to address a true appeal correctly. Know Your Coding: In today’s multi-tasking office you will often find billers who are certified in both collections […]
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