3 Ways to Outsmart Prior Authorization Ploys
By Elizabeth Fri. Sep 15, 2017
Payers get the upper hand because they are huge companies that can funnel resources into figuring out how not to reimburse you. Their most recent shell game is prior authorization. “When I started out [prior authorization]

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  • Payers get the upper hand because they are huge companies that can funnel resources into figuring out how not to reimburse you. Their most recent shell game is prior authorization. “When I started out [prior authorization] never came up,” says Kevin de Regnier, an osteopath who   Read more..
    Posted on 15 Sep, 2017
    3 Ways to Outsmart Prior Authorization Ploys
  • The demand for physicians available for hospital call coverage is rising, but such arrangements must be structured carefully to avoid running afoul of the Stark Law and AKS. Since every arrangement is different and unique to the circumstances of specialty, geography, demand, and other various concerns,   Read more..
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  • Documentation helps to inform and support providers by supplying information to highlight trends, providing insight into disease processes, and uniting physician teams and payers through the flow of data. Clinical records provide uniformity and continuity across visits, hospitals, physicians, and payer providers. Bottom Line: Documentation is the   Read more..
    Posted on 8 Sep, 2017
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