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Real Questions
4
Surgery Centers

  1. Why are your doctors still having to take peer to peer calls for prior authorizations?

  2. Why are you still not getting prior auth fixed right at the start for affiliated practices?

  3. Why are you still not getting CPT, HCPCS, and ICD10CM coding right at the start?

  4. Why are you still having to cancel surgery due to work comp authorization?

  5. Why are you still having to reschedule patient surgery due to lack of prior auth?

  6. Why are you still having to abandon care due to lack of prior auth?

  7. Why are you still having scheduling and staffing problems due to cancelled cases?

  8. Why are you still worrying whether you will get paid for high dollar joint implant cases?

  9. Why are you still worrying whether you will get paid for high dollar pain implant cases?

  10. Why are you still having to worry about audits for medical necessity criteria?

  11. Why are you still having to worry about pre-payment reviews or post-payment audits?

  12. Why are you not using automated cognitive audit tools for coding & medical necessity?

  13. Why are you still having to worry about RAC audits for LCD medical necessity criteria?

  14. Why do you not use a coding and medical necessity audit tool to work denials?

How did you get here?

Don't Ask...

But you are here... fix it!

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