MAJOR PROCEDURE PRE-CERTIFICATION CHECKLISTS

Many procedures, including Spine, Total Joint Replacement, as well as ESI and Facet Injections are increasingly under the gun for proper precertification and ultimately, payment of a clean claim. PSG has spent the last few months heavily engaged with our surgeons, scheduling professionals, and business office experts to fully understand the scope of challenges around major procedure precertification including its ultimate ramification-payment.

  • The precertification process is getting harder for everything from simple MRIs to major surgical procedures.
  • Payors are requiring more clinical information for each precertification.
  • Not all payors require the same information.
  • Denials and “requests for additional information” are on the rise.
  • The pre-surgical documentation doesn’t always support the service.

Help is here:
PSG has developed free tools to assist physicians who are currently performing the procedures targeted for audits or payment recoups. Want to reduce your risk? Contact us today and request the checklist tools that will provide the specific language for your documentation that auditors are hoping you forget.

To request your free tool kit or for more information on the Major Procedure Pre-certification Checklists, click here to send us a message or call us toll free at 855.207.5230.

TESTIMONIALS

“PSG’s value to our practice lies in their ability to apply their extensive practice management expertise to assist us in fine-tuning daily operations to include patient flow, management of ancillary resources, optimal staffing levels and resource optimization.”

Rick Weymier –

The Carrel Clinic