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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 Pre-Certification and Pre- Approval. The main concept of the prior authorization process is to make sure that an individual receives access to all medical
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Outsourcing Prior Authorization Process: An Approach to Optimizing Your Revenue Cycle and Improving Patient Care
Author: Dr. Aamer Nawaz Syed, Pharm. D Prior 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 or reject a prescribed course of treatment based on the results of a prior authorization review will influence whether a provider or pharmacy
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Outsourcing of Healthcare staffing process to India.
Overview Healthcare outsourcing has proven to be a win-win situation for businesses and their employees. Not only does it assist businesses in outsourcing repetitive tasks to an offshore team, but it also assists employees in finding jobs that are ideal for their abilities and skills. Due to its prominence in the outsourcing sector, India is probably the first nation that comes to mind when people think of outsourcing for Customer Service, Medical Billing/Coding, Data Entry, etc. India continues to stand
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Virtual Medical Assistants
Insurance Verification
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