Are the procedure codes you authorize the procedure codes you actually bill?
Are you sure?
Today’s BIG Ideas podcast describes an advanced orthopedic practice in the Midwest who developed workflows to support an automatic email that tracks procedure codes that were billed without being pre-authorized. Listen for ideas on the workflow changes you need to make to get this data automatically and in time to add the procedure codes to the pre-authorization. How often do your providers add un-authorized procedure codes? How many of these do you have to catch and get paid for to make it worth your time to look?