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Texas Worker’s Compensation and Preauthorization Rules

There seems to be confusion among healthcare providers and their staff regarding which services must be preauthorized under Texas Worker’s Compensation rules, what is required of the provider, and what are the obligations of the carrier. A number of treatments and services do require preauthorization, below are just a few: Inpatient hospital admissions Surgical procedures […]

Co-pays vs. Co-insurance

Please Explain Co-pays versus Co-insurance I am often asked by providers and their staff to explain what each of these terms actually means.  Some mistakenly believe that the two terms are interchangeable. I discovered that many times when a patient had for example, a 20% coinsurance, the staff would charge the patient $20 a visit […]