Ensure error-free coding in your home healthcare billing process: Make sure you report the right diagnosis codes that show why the procedure is necessary. This helps the payer understand why you need the service and can be useful during reimbursement negotiations. You also need to report the correct CPT code(s) for all the treatment options you’re considering.
Submission of accurate information: One major reason prior authorizations take so long is that health plans often get incomplete or incorrect information.You need to check a patient’s insurance eligibility and benefits before scheduling an appointment. Also, find out if the treatment requires prior authorization. You must give special attention on collecting accurate information, including the patient’s ID number, Social Security number, name, and date of birth.
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