How to Deal With Prior Authorization in Medical Billing

How to Deal With Prior Authorization in Medical Billing

The trick to a successful pre-authorization is to have the correct CPT code. The obstacle is that you must determine the appropriate procedural code before the service has been rendered (and documented)—an sometimes challenging job.

To decide the correct code, check with your doctor to find out what she anticipates doing. Ensure you get all possible scenarios; otherwise, you face the risk that the procedure that has been performed will not be covered.

Whereas the coder is responsible for assigning the correct codes, the responsibility of receiving the required authorizations is mostly on the provider because it is the provider that would be denied the payment as expected. Getting pre-authorized can save endless hours on the back, trying to chase claims payments. Pre-authorization often helps in quicker processing of claims and timely payments.


Next Article

  • How to Deal With Prior Authorization in Medical Billing

    Five Critical Considerations for Patient Privacy in Telehealth

    Successfully monitoring patient data privacy must focus on two key entities: the employees accessing records and the patients whose records are being accessed. Organizations need to be able …

    Posted Feb 4, 2021

Did you find this useful?

Medigy Innovation Network

Connecting innovation decision makers to authoritative information, institutions, people and insights.

Medigy Logo

The latest News, Insights & Events

Medigy accurately delivers healthcare and technology information, news and insight from around the world.

The best products, services & solutions

Medigy surfaces the world's best crowdsourced health tech offerings with social interactions and peer reviews.


© 2024 Netspective Media LLC. All Rights Reserved.

Built on Mar 28, 2024 at 3:00am