Outpatient services encompass a wide array of medical care and a large volume of business for the medical services industry. Whether your company provides clinic-based care, imaging studies or surgical services, your patients need the care their physicians have ordered, and you need to know you will be reimbursed accordingly. Your authorization department needs to be able to process requests efficiently.
In order to make this happen routinely, you must:
- Know the process
- Understanding the coverage criteria
- Know how to prevent or troubleshoot denials
From physician visits to therapy services to imaging studies to outpatient procedures, Cadenza Health reviewers have been consistently working outpatient services requests for years. The challenges that come with getting these requests for coverage approved are not new to us. Our team can be the solution to the insurance-related issues you are facing.