What is pre-certification (pre authorization, prior authorization)?
Pre-Certification is an authorization given by your insurance company after you Initial Evaluation to each patient for a specified number of visits. Pre-Certification is not a guarantee of payment. It also requires to identify the service is medically necessary for outpatient hospital services in connection with medical, dental Procedures.
Medicare Payments, Reimbursement, Billing Guidelines, Fees Schedules , Eligibility, Deductibles, Allowable, Procedure Codes , Phone Number, Denial, Address, Medicare Appeal, EOB, ICD, Appeal.
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