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The Growing Issue of Prior Authorization Denials

In 2023, HealthLeaders has labeled it the "year of reducing denials for the revenue cycle," and recent studies underline the growing concern of denials among revenue cycle professionals. Of particular concern are prior authorization denials, which have seen a significant uptick. According to the Crowe RCA benchmarking analysis, denials accounted for 11% of all claims in 2022, marking an 8%...

Medical Billing: Navigating the Financial Aspect of Healthcare

Medical Billing: Navigating the Financial Aspect of Healthcare

Medical billing plays a pivotal role in the complex world of healthcare, serving as the bridge between medical services and financial transactions. At its core, medical billing is the process of translating healthcare procedures and treatments into standardized codes that facilitate accurate and timely reimbursement from insurance companies and patients. When a patient receives medical services,...