Prior-Authorization
Prior-Authorization
20Feb
PRIOR AUTHORIZATION PROCESS
PRIOR AUTHORIZATION PROCESS Author: CH.Swathi Prior authorization: A decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary. Sometimes called prior authorization, prior approval or precertification. It is also called as precertification or prior approval—is a health plan cost-control process by […]
16Feb
PRIOR AUTHORITAIZATION PROCESS, REQUIREMENTS, RULES, DIFFERENCE, SUMMARY
Author: Mythili Suresh PRIOR AUTHORIZATION PROCESS OBJECTIVEÂ – In-some cases under the medical and prescription drug plans, some of the major treatments, procedure and medications may need approval from your health insurance carrier before you receive care from the provider of health insurer. INTRODUCTION – Prior authorization is usually claims to require if you need […]
08Feb
Prior Authorization
Author: Zaibunnisa Begum Prior Authorization is a process of cost control in a health plan, where the physicians or any other health care providers are required to obtain approval in advance from the registered insurance company before delivering any specific service to the patient for medical payment coverage. Prior Authorization is also sometimes called as […]
09Sep
Outsourcing Prior Authorization Process: An Approach to Optimizing Your Revenue Cycle and Improving Patient Care                                       Â
Author: Dr. Aamer Nawaz Syed, Pharm. DPrior Authorization Specialist at Staffingly, Inc.What is Prior Authorization? It is a health insurance company utilization management approach that requires certain operations, tests, and drugs ordered by healthcare practitioners to be assessed for medical necessity and cost-of-care implications before they are permitted. A health insurance payer’s choice to approve […]
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