Medical Office Support

Prior Authorization expansion on the move

Prior Authorization continues to be a significant barrier for patients and providers. It has caused greater financial waste for providers and increased delays for patients.   According to the AHA survey, one 17-hospital system reported spending $11 million annually just to comply with health plan prior authorization requirements.  Efforts to streamline and standardize have failed …

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Complexity of Documentation and Data

In 2021, when the Evaluation and Management guidelines were revised, the area with the most confusion was ultimately the amount and/or complexity of data to be reviewed and/or analyzed. Like with other components, misunderstandings with definitions and descriptions were at the root of the problem. It is extremely important to read the full description and …

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Opthalmology Evaluation under the Microscope

In 2004 I took on my second specialty in Healthcare in the world of Opthalmology. I was introduced to the specialized procedures and services performed by professionals in this space. Over the next few years I dug into this specialty learning the Anatomy, Disease Process and importance of eye health. Years of Audits led me …

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The Prior Authorization Barriers in Orthopedics

It’s a fact that in the current healthcare landscape that the amount of Prior Authorization errors or lack thereof are draining the healthcare industry in finance and resources. When a patient needs a service, and a facility is overrun with orders it can be a very complicated task for a clinic or facility to manage with so many …

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