Healthcare has always carried a paradox. On one hand, it embodies humanity’s highest calling—caring for the sick and saving lives. On the other, it often forces individuals into some of the toughest financial choices they will ever face. A single hospital stay, an unexpected diagnosis, or a sudden emergency can reshape the financial trajectory of […]
During pediatric cardiology internship, witnessed this firsthand. A claim filed nearly a year earlier remained unpaid. The initial denial was due to a missing prior authorization number, a detail buried within the EMR. Unfortunately, the outsourced healthcare billing team took months to decipher this information, causing significant delays in reimbursement. This year-long ordeal highlights the […]
New billing codes: Medical experts might consider creating new billing codes for the time doctors and their support staff spends working on prior authorizations. The American Medical Association (AMA) Current Procedural Terminology (CPT) Editorial Board meets May 9-11 in Chicago. On the meeting’s agenda are three potential new CPT codes “for reporting services (physician, QHP, […]