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Module 4 of 6
Authorization and Getting Paid
Approval before the work, a clean claim after it, and what to do with the ones that come back.
- Prior Authorization Is the Skill the Practice Runs OnApproval before treatment is the step that decides whether work gets paid for. What a reviewer is actually looking at, and how to submit so it goes through the first time. Read it
- Getting Paid by Denti-Cal Without Losing a MonthHow to cut denials on Medi-Cal dental claims, which ones are worth appealing, and the front desk habits that decide both. Read it
- A Denial Is Almost Always a Document ProblemHow to read a denial, sort the ones worth reworking from the ones that are telling you something, and stop the same denial from arriving again next month. Read it
- Reading Your Own Aging ReportThe one report that tells you whether the practice is actually being paid, what the shape of it means, and the trap of judging a program practice by private practice benchmarks. Read it