Healthcare Law Insights blog

MARCH 12, 2024

5] MHPAEA requires covered individual and group health plans and issuers of health insurance (collectively “Health Plans”) to collect and evaluate data and address the material differences between access to MH/SUD benefits when compared to medical/surgical benefits. 2020), [link]. [2] 2] David C. Sheridan, et al., 4] Dep’t Health Hum.

Documentation 64

Documentation Insurance Medication 64

ACMA Blog

OCTOBER 16, 2023

It is the insurance or payers’ way of controlling costs by approving or denying certain medications, procedures, or devices that may not usually be covered or is on a higher tier on the formulary. Clinical Documentation Specialist (CDS) : A CDS can help in the PA process by accurately documenting patient records.

Medical Assistant 40

Medical Assistant Documentation Certification Communication 40

Arkenea

AUGUST 16, 2024

Shields Healthcare Group In May 2022, a medical imaging service provider in Massachusetts announced that in March, a cybercriminal had unlawfully accessed some of its IT systems. Their misuse of a popular website tracking tool resulted in the data of three million patients being leaked in July 2022.

HIPAA 52

HIPAA Patient Records Clinical Operations Medical History 52

Arkenea

JULY 12, 2024

A referral process involves obtaining patient information such as insurance details, and demographics; also scheduling appointments. percent CAGR between 2022 to 2030 ). Plus, the system displays completed patient forms and sends alerts if some documents are missing or lacking certain data.

Medication 52

Medication Follow-Up Appointments Tests 52

Valant

MAY 3, 2024

Self-pay fees for your most used insurance codes should be included, and you should reiterate your cancellation and no-show fees here. Your practice’s fee for a no-show may be higher, and, as with cancellation fees, is not covered by insurance. Note that some practices may opt to split Consent for Services into a separate form.

HIPAA 52

HIPAA Appointments Insurance Communication 52

Health Prime

FEBRUARY 7, 2024

Establish a robust system that verifies insurance information before the appointment. Patient statements Patient billing statements are comprehensive documents that provide patients with a summary of the services they have received and the associated costs. This process starts before the patient is checked in.

Billing 52

Billing Follow-Up Communication Insurance 52

Arkenea

AUGUST 15, 2024

Shields Healthcare Group In May 2022, a medical imaging service provider in Massachusetts announced that in March, a cybercriminal had unlawfully accessed some of its IT systems. Their misuse of a popular website tracking tool resulted in the data of three million patients being leaked in July 2022.

HIPAA 40

HIPAA Patient Records Clinical Operations Medical History 40

Minority Nurse

NOVEMBER 22, 2023

Shelise Valentine, RNC, MSN, C-EFM, CPPS, CPHRM, is the Director of Clinical Education, Healthcare Risk Advisors, part of TDC Group and chairs nursing, co-chairs obstetric and simulation initiatives, and directs risk management and obstetric education for insured hospital clients to improve patient safety and reduce malpractice risk.

Patient Safety 59

Patient Safety Unit Organization and Environment Best Practices Hospital 59

Health Populi

MARCH 2, 2021

But another patient side-effect of COVID-19 has been the digital transformation of many patients , documented by data gathered by Rock Health and Stanford Center for Digital Health and analyzed in their latest report explaining how the public health crisis accelerated digital health “beyond its years,” noted in the title of the report.

Follow-Up 174

Follow-Up Insurance Hospital Medication 174

CollaborateMD

JANUARY 3, 2024

The industry experienced 1,410 cyberattacks a week in 2022, an increase of 86%. Understanding HIPAA Regulations HIPAA, or the Health Insurance Portability and Accountability Act , became law in 1996. That includes submitting claims to insurance and creating invoices for self-pay. Healthcare is a favorite target for hackers.

HIPAA 52

HIPAA Billing Medication Best Practices 52

Pulmonology Advisor - Practice Management

OCTOBER 13, 2023

The 2022 report found that of 11,000 physicians surveyed, 72% reported being satisfied with their job. A 2022 study from Shanafelt and colleagues published in Mayo Clinic Proceedings found that 57.1% of the 2440 physicians surveyed would choose to become a doctor again. of those who responded said they would choose the same path.

Follow-Up 52

Follow-Up Scheduling Medication Hospital 52

CareerStep

FEBRUARY 20, 2024

Through the AAPC, medical coders can receive documented certifications indicating their knowledge and understanding of Medical Billing, Medical Auditing, Medical Compliance, and more. The CPC-P is for those who are employed by insurance providers, Medicare, or Medicaid. For example, you can’t have a 2020 and 2022 edition of the ICD-10.

Certification 52

Certification Medical Coding Medical Terminology Tests 52

Relias

FEBRUARY 1, 2023

Primary care practices have a median of 24% of their accounts receivable (A/R) over 120 days old, according to MGMA’s 2022 Cost and Revenue Survey. At the same time, payer changes are happening more often, reimbursement is taking longer, and claim errors are increasing, according to the State of Claims 2022 report from Experian.

Insurance 10

Insurance Billing Documentation Hospital 10

Relias

AUGUST 5, 2022

Despite the hardship, Rocky and Leo Baiera were born healthy, weighing 3 pounds, 6 ounces each on January 27, 2022. They were also able to take time away from their jobs, and they had good health insurance coverage. What Went Right and What We Can Learn. They also had a solid support system of friends who helped with meals.

Patient Safety 52

Patient Safety Hospital Communication Appointments 52

The HIPAA Journal

MAY 1, 2024

A federal court judge has recommended a class action lawsuit against CommonSpririt Health over its 2022 data breach should be dismissed due to the failure of the plaintiff to demonstrate that they had been harmed by the data breach.

HIPAA 91

HIPAA Documentation Insurance Medication 91

Relias

MARCH 13, 2023

For example, a new Hospital Price Transparency Rule came into effect in 2022. The cost of healthcare in America is high, and the price for services can vary widely by region, a patient’s access to insurance, and even by insurance provider. Additional rules took effect in July 2022. What is the Price Transparency Rule?

Hospital 52

Hospital Documentation Billing Insurance 52

The Healthcare Blog

APRIL 2, 2024

billion (or 60% of its total revenues) represent clinical and business services provided to United’s Health Insurance business. Some are returned to insurers other than United for which Optum Rx processes pharmaceutical claims. And some are kept as profit inside either Optum Rx or United’s health insurance business.

Tests 108

Tests Insurance Hospital Medication 108

Relias

JULY 20, 2023

­The Centers for Medicare and Medicaid Services (CMS) issued a final rule in August 2022 to improve maternal health outcomes and advance health equity — two of the Biden-Harris Administration’s key priorities. Maternal mortality is closely linked to social and behavioral factors As documented extensively, higher U.S. Sadly, U.S.

Hospital 40

Hospital Documentation Discharges Best Practices 40

Accepted Blog

SEPTEMBER 19, 2023

Massachusetts passed a law five years before the Affordable Care Act that said everybody has to have insurance, and we hugely expanded Medicaid. So 98% of the population of Massachusetts is insured. It doesn’t matter if they qualify for insurance. We don’t need a free clinic because we are a free clinic.

Admissions 52

Admissions Medication Follow-Up Hospital 52