Welcome to Episode 4 of The Prior Authorization Games: where the odds are never in your favor. In this, Episode 4, I explore: What motivates doctor’s to work for insurance companies? And in case you missed the prior episodes of The Prior Authorization Games: Episode 1 Episode 2 Episode 3 The call rang through, and…
Comments closedIs the duty of the physician to capture the patient stories, or capture a billing code? In July 2018, the Centers for Medicare and Medicaid Services (CMS) proposed revamping Medicare payments for office visits. CMS plans to collapse Medicare fees for levels 2 through 5 office visits into a single price beginning in 2019, as…
Comments closedPost updated 1/20/19 Fighting insurance company denial of prior authorizations Greetings Readers. I thought I would try something new and start somewhat of a series. If you didn’t see my original post on prior authorizations, this link will take you right to it. Last week I found myself on the phone, yet again arguing on…
2 Commentsupdated 3/15/19 I am not the first physician blogger to write about the difficulties of insurance prior authorization denials and appeals. But recent occurrences in my own practice have been so convoluted that I feel they must be shared. The nonsensical denials would almost cause one to laugh, if not for the reality that each…
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