Utilization management is crucial to ensure people have access to the appropriate care in the right place and at the right time. The value-based care strategy includes utilization management (UM) reviews. They want to know if patient care is appropriate, efficient and connected to better patient outcomes. The insurance company's UM processes include prior authorization, … [Read more...] about Difference Between Prior Authorization And Predetermination
Billing Executive
Medical Billing Knowledge Base
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Billing Executive – a “Medical Billing and Coding Knowledge Base” for Physicians, Office staff, Medical Billers and Coders, including resources pertaining to HCPCS Codes, CPT Codes, ICD-10 billing codes, Modifiers, POS Codes, Revenue Codes, Billing Errors, Denials and Rejections. Learn more about us!