Ep 12: Pre-Determinations: Helpfu...
Ep 12: Pre-Determinations: Helpful Tool or Pretty Delay?

The Truth Decay Podcast: Talking Dollars and Sense with Sara... por Sara Penrod Baker

Notas del episodio

They look official. They feel reassuring. Sometimes they are even confused with “pre-authorizations" (they are not the same!)

But let’s be clear: predeterminations are just estimates.

And when your team—and your patients—don’t understand that, the result is confusion, complaints, and sooo many avoidable write-offs.

In this episode of The Truth Decay Podcast, Sara Baker and LaRae McMullen unpack the real purpose of pre-treatment estimates (aka predeterminations), and the process-wide impact they can have when misunderstood or misused.

You’ll learn:

  • The difference between predetermination (PPO) and preauthorization (DHMO)
  • The pros and cons of using pr ... 
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