Billing

The insurance company said I don’t need prior auth, is that true?

It depends on the payor. Many times, you are speaking to a rep who is not clinical if clinical they are not enticed to provide you the best answer. If you speak to one rep one time and a different rep another time, you’ll most likely get a different answer. It is about knowing how to work with the insurance companies to get the right authorization to prevent denials.

What is a LUPA?

It is 4 visits or less in home health. These are billable visits if the patient was admitted and a plan of care established or could have been established.

General

Why use Lead Health Group to do my billing?

  • Accurate and prompt billing Industry professionals with 10 years of experience who know the landscape
  • Simplified and practical
  • Knowledgeable and eager to share knowledge
  • Leaders in Collections and Denial Management
  • Personable team ready to support you