How Medical Billing Services are Tackling the Tougher Clinical Lab and Pathology Test Claims Issue?

Medical billing services are offering different solutions to bail out the clinical laboratories and pathology groups from the recent tougher stance of the insurers.
By: Sunknowledge Services Inc.
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Medical Billing Services


New York City - New York - US


NEW YORK - Jan. 3, 2018 - PRLog -- It's a tough time for the country's clinical laboratories and pathology groups. The Medicare contractors and other private insurance companies are increasingly stepping up requirements that are becoming difficult to meet and as a result, rejections are on the rise. Adding to the woes, audits of lab test conducted by the government and private payers are ending up in recoupment demands, leaving the providers unsettled. Forcing to cut their cash flow, the act of deemed developments are creating havoc in the accounts book of the labs and other healthcare units providing these facilities. One of the leading medical billing services had recently conducted a webinar on the ways to avoid this tricky situation. It was well attended by representatives of several pathology groups. The webinar covered how the medical billing services are coming to the aid of the providers in handling issues of revenue cycle management including prior authorizations.

Recently there have been some additional prior authorization requirements instituted by two major insurers for the large number people under their coverage. These new prior authorization requirements have made things worse for the providers as these mean patients going more distant from getting fast authorization.

Since not long, the frequency of the audit process by government and commercial payers has been worrying the pathology groups. The audits to review prior auths are insisting for proof of medical necessity much more intensely than before. Every time there is some lack of medical justification, documentation, or due diligence, payers are seeking recoupment. Here is where the medical billing services again come in aid of the stressed providers. The professional medical billing services, at least the trusted and reliable ones, put the practices in place with proper documentation, strict compliance programs, and robust follow-up protocols with the insurers.

Some of the leading medical billing services take care of all these at astoundingly low prices. PriorAuth ONLINE, in that case, can be singled out with its starting standalone service charge of $5. It also assures its clients on 97% collection-guarantee and 100s of excellent references. The most confidence-boosting role that some these medical billing services play is the guide by providing a holistic approach with RCM, Practice Management, and other solutions. At present, PriorAuth ONLINE is providing its clients their telemedicine platform for free with their RCM package.

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Ronnie Hastings
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Tags:Medical Billing, Medical Billing Services, Rcm
Location:New York City - New York - United States
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