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Choosing Between In-House and Outsourced Prior Authorization
In today’s healthcare environment, prior authorization (PA) is a critical process that ensures treatments and procedures are covered by insurance providers. As medical practices face increasing demand for efficiency and cost-effectiveness, the decision between handling PA in-house or outsourcing the service becomes significant. While each option has its advantages, outsourcing prior authorization to a trusted provider like Staffingly can offer exceptional benefits that are hard to match with an in-house team. This article explores the key considerations when choosing between
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Outsourcing Healthcare Customer Service for Better Patient Retention
In today’s healthcare landscape, patient retention is just as crucial as patient acquisition. Offering excellent customer service plays a significant role in retaining patients by ensuring they have a positive, seamless experience with their healthcare provider. However, managing customer service in-house can be challenging and resource-intensive. Outsourcing healthcare customer service offers an effective solution, helping providers enhance patient satisfaction, improve efficiency, and ensure a more personalized patient experience. This article explores the benefits of outsourcing customer service and its impact
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Why Healthcare Providers Are Outsourcing Staffing Solutions
The healthcare industry has been facing critical staffing shortages, compounded by rising labor costs and increasing demand for quality patient care. To mitigate these challenges, more healthcare providers are turning to outsourcing staffing solutions. This trend helps alleviate the administrative burden on hospitals, reduce costs, and improve operational efficiency, all while ensuring high-quality care remains a top priority. Key Takeaways Outsourcing helps healthcare providers reduce operating costs and manage workforce shortages effectively. Administrative roles such as billing, coding, and prior
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Article on Pharmacist Clinical Review Process
Author: Tejas Gajanan Dhande One of the main responsibilities of the pharmacist is to perform clinical reviews of patient medications. These reviews are important in order to ensure that patients are taking their medications correctly and that the medications are working properly. The clinical review process typically includes four main steps: Review the patient’s medical history and current medications. Identify any potential drug interactions or side effects. Make recommendations to the prescribing physician about changes to the medication regimen,
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Medical Outsourcing: The Next Big Thing
Author: Nidhi Mishra How about doing the work you are best at & outsourcing the rest? That sounds different, right? But it has gained a lot of momentum and brought a revolution in the medical stream. Before coming to medical outsourcing let us see the rise of the healthcare industry. The Indian healthcare sector is one of the fastest growing sectors with high contributions in terms of revenue as well as in employment. This sector includes hospitals, health insurance, clinical
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PRESENT TRENDS IN MEDICAL CODING CLASSIFICATION
Author: RAMKUMAR S & MYTHILI S ABSTRACT: Electronic health records is a computer-based program in which the collection of data is related to clinical research, clinical registry functions, administrative functions, and in quality improvement. This is done by NPL (natural processing language) in the linguistic information is converted into a structural form or in the form of code i.e numerical form this process of converting the information into a structural form is known as clinical coding this clinical coding is
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Pharmacist Clinical Review process
Author: Keshav Gupta Introduction: Clinical Review is the review of patient specific clinical information including patient parameter to estimate their response to medication therapies and to detect and manage potential or actual medicine-related problems. It may also include deducing biochemical and other test assessing the patient Sign and symptoms identified from interviews with the patient and reviewing the health record. Clinical review is a systematic review information of all examination done by clinical pharmacist on response and monitoring of
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Understanding the Medical Coding Process: A Comprehensive Guide
Author: Shahnaz Kareem Medical coding is the process of converting healthcare diagnoses, procedures, and medical services into standardized codes that are used for insurance billing and medical records management. It is an essential part of the healthcare industry as it helps to accurately and efficiently capture and communicate important patient information. In this article, we will explore the medical coding process in detail, including the various coding systems and classification systems used, the role of medical coders, and the
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Virtual Medical Assistants
Insurance Verification
Prior Authorization (AI)
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