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Obtaining prior authorization from non-Medicare carriers for hyperbaric oxygen therapy

from By Tiffany Hamm and Jeff Mize

Denied claims due to unauthorized patient procedures or services can be responsible for a major loss in revenue. Although most medical offices and provider-based departments are moving closer to 100% verification for patient services, there is still no guarantee that every account will be paid. Claims that are denied due to no prior authorization happen primarily in a hospital setting. To ensure your claims will be paid, plan ahead, meticulously document, and follow the regulations as noted in this article. more

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