Authorization In Medical Billing

Authorization In Medical Billing

Getting a healthcare service(s) authorized by an insurance payer is an authorization. Pre-authorization or prior authorization are other terms for authorization. It is a legal need to make sure that the insurance carrier pays for the precise medical service listed on...
Why Consider Provider Credentialing Services?

Why Consider Provider Credentialing Services?

What is meant by provider credentialing? Medical credentialing services often entail gathering data about a physician’s qualifications and work experience via a formal proposal that is cross-checked against credible sources such as the National Practitioner Data...
How is clean claim rate calculated?

How is clean claim rate calculated?

Everything About Clean Claim Rate for Any Hospital  Being in an IT department of a hospital, you might have come across a terminology of “clean claim rate”. But what is a clean claim rate? It is a rate at which clean and successful insurance claims have been processed...

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