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Prior authorization is a necessary yet challenging aspect of the healthcare industry. It is a process used by insurance companies to determine whether they will cover a prescribed treatment, procedure, or medication before the patient receives it. While intended to control costs and ensure medically necessary care, prior authorization often causes delays that impact both […]
Revenue Cycle Management (RCM) is the backbone of every financially successful healthcare practice. It encompasses the entire process of managing patient revenue—from appointment scheduling and insurance verification to claim submission, payment collection, and accounts receivable follow-up. Without an optimized RCM system, healthcare organizations face delays in payments, increased claim denials, and financial instability. One of […]
