39 prior authorizations per physician per week, plus about 13 hours of staff time, is what the average practice is dealing with in 2024, and 31% of physicians say those requests are often or always denied. For
39 prior authorizations per physician per week, plus about 13 hours of staff time, is what the average practice is dealing with in 2024, and 31% of physicians say those requests are often or always denied. For
Clean claims alone do not protect ASC revenue. That's the polite myth billing teams tell themselves right before a payer trims the line, packages the implant, or forces the center to chase underpayment for months. The core
You're reviewing a chart that just says “bursitis,” the claim is waiting to go out, and the coder has to decide whether that one word is enough to survive payer edits. In practice, bursitis ICD 10 isn't
A denial hits your work queue before coffee. The claim looked routine when it left the office. The procedure was performed, the note was signed, and the code selection seemed defensible. Then the payer asks for records,
Your practice may be busier than ever and still feel financially weaker than it did a few years ago. Schedules are full. Providers are productive. The phones don't stop. Yet cash arrives late, denials keep stacking up,
You're probably dealing with one of these situations right now. A clean-looking claim went out. The diagnosis was right. The CPT or HCPCS line looked right. The documentation supported the service. Then the remittance came back denied,
