The importance of having successful pain management prior authorizations (PA) is not a secret. Still practitioners lose millions of their revenue due to claim denials caused by prior authorization failures.  

The main culprit here is the stringent payer-specific guidelines. Starting from successful insurance eligibility verification to ... Read more »

The importance of successful retina prior authorization (PA) is no secret. Essentially, justifying the medical necessity of the service prescribed to insurance payers and obtaining prior approval reduces the chances of claim denial later. 

However, the payer-specific prior authorization requirements make it quite challenging for practitio ... Read more »