Practice owners review many valuable metrics that help monitor the practice’s finances. Some industry experts say the key metric is the clean claims ratio and insist it is essential for real success.

Did you know that claims for services that do not meet the requirements of medical necessity are getting denied instantly? Payers are increasingly more focused on the issue of medical necessity.

Playing the prior authorization game is an art, not a science. There is nothing more frustrating to physicians than knowing a patient needs a certain diagnostic test or medication and having them not be able to get it because their health insurance company won’t cover it.