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2. Prior authorization - Wikipedia

   en.wikipedia.org/wiki/Prior_authorization

   After a request comes in from a qualified provider, the request will go through the prior authorization process. The process to obtain prior authorization varies from insurer to insurer but typically involves the completion and faxing of a prior authorization form; according to a 2018 report, 88% are either partially or entirely manual.

3. Utilization management - Wikipedia

   en.wikipedia.org/wiki/Utilization_management

   Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...

4. Commission on Dental Competency Assessments - Wikipedia

   en.wikipedia.org/wiki/Commission_on_Dental...

   The Commission on Dental Competency Assessments (formerly the North East Regional Board of Dental Examiners) is one of three examination agencies for dentists in the United States. [1] These were organized to better standardize clinical exams for licensure. Historically each state had its own independent licensing exam.

5. Preferred provider organization - Wikipedia

   en.wikipedia.org/wiki/Preferred_provider...

   Another near-universal feature is a pre-certification requirement, in which scheduled (non-emergency) hospital admissions, and in some instances, outpatient surgery, must have the prior approval of the insurer and must often undergo "utilization review" in advance. [5]

6. Current Dental Terminology - Wikipedia

   en.wikipedia.org/wiki/Current_Dental_Terminology

   In addition, payment to dental professionals is based on the CDT code(s) reported on the ADA Claim Form, so using the most current codes helps to maximize reimbursement and minimize audit liability. [6] In the near future, dental professionals will be required to use diagnosis codes in support of the procedures and services they provide.

7. AOL Mail

   mail.aol.com

   Get AOL Mail for FREE! Manage your email like never before with travel, photo & document views. Personalize your inbox with themes & tabs. You've Got Mail!

8. Physician Quality Reporting System - Wikipedia

   en.wikipedia.org/wiki/Physician_Quality...

   The Physician Quality Reporting System (PQRS), formerly known as the Physician Quality Reporting Initiative (PQRI), is a health care quality improvement incentive ...

9. Western Regional Examining Board - Wikipedia

   en.wikipedia.org/wiki/Western_regional_examining...

   The Western Regional Examining Board (WREB) is one of five examination agencies for dentists and dental hygienists in the United States. The other examination agencies are, Council of Interstate Testing Agencies, Central Regional Dental Testing Service, Northeast Regional Board of Dental Examiners, Southern Regional Testing Agency. These were ...