A frequent misconception is that pre-authorizations can be done retrospectively and this is a true misconception. Pre-authorizations need to be done prior to all services being provided. This has to be comprehensive, including patient deductible and out-of-pocket amounts addressed. Without this information and the pre-authorization, a practice could not get reimbursed for evaluation and management codes nor ancillary services. Services that have direct cost involved, such as infusions and other procedures, can have a significant impact on the revenue cycle and create loss for the practice. This process of pre-authorizations can be provided cost- effectively as a single solution from Ampyss. We can ensure reimbursement and review patient financial responsibility prior to any intervention by the practice. This also helps patients understand their up-front financial obligation.