IMPROVING THE EFFICIENCY OF BILLING COMPANIES THROUGH PRIOR AUTHORIZATION
Prior authorization is an essential component of Revenue Cycle Management. This indicates the approval for the physician to start the medical procedure. Authorization refers to the permission of the insurance provider of the patient. It is essential for the insurance company to be aware of the medicines, and procedures that the patient will be undergoing. In certain cases additionally, an explanation from the physician why a particular medical procedure or drug is essential for the treatment process. Therefore, it is vital for the practitioner to have permission before starting the procedure. This will ensure a smooth flow of the claim settlement as well as high-quality care. Nowadays, healthcare billing companies in USA are currently providing prior authorization as part of the RCM package. This ensures the smooth functioning of the institute as well as an increase in overall revenue generation. NEED FOR PRIOR AUTHORIZATION The process of prior authorization is necessary for a nu
