healthcare billing

Most insurance companies have their own rule, which makes handling prior authorizations tricky. To make things harder, payers often add new services to the prior authorization list each year. Using a specialized home healthcare billing service can help you manage these complexities and get approvals faster. Know about hassles of prior authorization in home healthcare billing: Insurers use prior authorization (PA) to decide if services are medically necessary before patients get them. But a 2022 AMA survey showed that many physicians see PA as a source of wasted time and avoidable harm. In fact, 88% of doctors said the burden of PA is high or extremely high. To manage this load, 35% of physicians have staff dedicated solely to handling PA tasks. Over 80% said PA caused delays in care, which negatively impacted patient outcomes and even led some patients to abandon treatment altogether.