Health Prime

APRIL 25, 2024

From that, set up a project for the AR team to adjust the old AR. Ensure you follow up on the progress and run reports at the end of the process to identify all adjusted claims that can be used in return when filing your taxes. Enhance patient communication Improving communication with patients is crucial in preventing bad debt.

Billing 105

Billing Medication Communication Follow-Up 105

Practice Index

APRIL 10, 2025

Change of rules creates 1,500 GP jobs More than 1,500 GPs have found jobs following changes to practice funding rules over the last year. In a briefing earlier this week, it advised practices not to sign up and warned of a continued expectation for general practice to deliver a range of complex services without proper commissioning.

Huddles/Rounds 52

Huddles/Rounds Triage Follow-Up Appointments 52

Arkenea

JULY 12, 2024

Medical insurance verification software is developed to automate the process of verifying patients’ insurance coverages. This software is connected to the insurance company’s database to retrieve real-time data on a patient’s insurance status. In 2022, 92.1 percent of people, or 304.0

Insurance 52

Insurance EHR / EMR Medication Patient Satisfaction 52

Minority Nurse

FEBRUARY 22, 2024

During the COVID-19 pandemic, the National Council of State Boards of Nursing (NCSBN) (2022) estimated over 100,000 registered nurses left the profession and predicted that another 800,000 nurses would follow them by 2027. According to the Joint Commission (2022), 1,441 sentinel events were reported in 2022, a 19% increase from 2021.

Patient Care 111

Patient Care Hospital Critical Thinking Patient Safety 111

Health Populi

MAY 30, 2022

I appreciated the opportunity to share my perspectives on “The Patient As the Payer: How the Pandemic, Inflation, and Anxiety are Reshaping Consumers” in a webinar hosted by CarePayment on 25 May 2022. It’s important to note that health care cost fiscal stress is not only a symptom for people lacking health insurance.

Billing 105

Billing Insurance Customer Service Patient Experience 105

The HIPAA Journal

NOVEMBER 7, 2024

The use of ransomware in cyberattacks decreased slightly in the first half of the year; however, the severity of ransomware attacks increased according to the 2024 Cyber Claims Report: Mid-Year Update from cyber insurance and security service provider Coalition. Users of FortioOS SSL VPNs were 2.8 times as likely to submit a claim.

Follow-Up 95

Follow-Up Insurance Transfers HIPAA 95

Health Populi

APRIL 4, 2022

Inflation and rising prices are the biggest problem facing America, most people told the Kaiser Family Foundation March 2022 Health Tracking Poll. was Russia’s invasion into Ukraine, noted by 18% of people — from 14% of Republicans up to 23% of Democrats. The cost of filling up a car’s gas tank ranked first among U.S.

Long Term Care 77

Long Term Care Follow-Up Insurance Billing 77

Health Populi

OCTOBER 6, 2022

Power’s 2022 Telehealth Satisfaction Study. Power found in their Study which was conducted among 4,306 health care consumers who had used a telehealth service in the 12 months preceding June and July 2022 when the survey was fielded. For health plan-provided telehealth, Humana topped the list, followed by Aetna in second place.

Follow-Up 87

Follow-Up Patient Satisfaction Insurance Medication 87

The HIPAA Journal

DECEMBER 24, 2022

In addition to financial penalties, covered entities are required to adopt a corrective action plan to bring policies and procedures up to the standards demanded by HIPAA. . It is the responsibility of each covered entity to ensure that HIPAA Rules are understood and followed. Tier 1: Minimum fine of $100 per violation up to $50,000.

HIPAA 122

HIPAA Business Associate Follow-Up Medication 122

Health Populi

JUNE 11, 2024

As an Index, the MMI combines several line items of healthcare spending to make up the overall number, and this methodology allows us to compare the rising costs of care for a family of 4 covered by a PPO year to year.

Medication 77

Medication Follow-Up Billing Insurance 77

The HIPAA Journal

MARCH 20, 2025

Data breaches increased once again in 2022, with OCR receiving reports of 720 data breaches of 500 or more records. million records breached, and 2022 was worse with 51.9 Dominion National Insurance Company, and Dominion Dental Services USA, Inc. TX Business Associate 2,700,000 Hacking/IT Incident 44 2022 Connexin Software, Inc.

Business Associate 109

Business Associate HIPAA Unit Organization and Environment Hospital 109

Pulmonology Advisor - Practice Management

MAY 17, 2024

An update to the Health Insurance Portability and Accountability Act (HIPAA) Security Rule is now underway with new cybersecurity requirements. The latest data show a 93% increase in large breaches (from 369 to 712) reported from 2018 to 2022. The update is designed to help the health care sector build a more resilient system.

HIPAA 108

HIPAA Hospital Insurance Follow-Up 108

Health Populi

MAY 19, 2020

Imagine this: you find yourself with $6,553 in your pocket and you can pick one of the following: A new 2020 Breitling Navitimer watch; A year’s in-state tuition at Valdosta State University; or, A PPO for an average individual. For your historical context, here’s last year’s write-up on the 2019 MMI.

Medication 98

Medication Insurance Hospital Follow-Up 98

Health Populi

JULY 29, 2022

” Well beyond our individual genetic codes, our health is made where we live, work, play, pray, learn, and shop… also well beyond hospitals and doctors’ offices in-between appointments, and often paid-for out-of-pocket quite separate from peoples’ health insurance plans. Power 2022 U.S.

Appointments 87

Appointments Follow-Up Scheduling Insurance 87

Health Populi

DECEMBER 1, 2023

consumers’ use of credit has grown post-pandemic, delinquencies on credit cards are up, and savings falling after having achieved some nice growth in the pandemic largely owed to pandemic payments from the Federal government. Note that U.S. Baby Boomers would be least likely to postpone a visit for preventive care.

Billing 71

Billing Follow-Up Communication Insurance 71

Health Prime

JULY 27, 2023

It involves obtaining approval from insurance companies before a specific procedure, treatment, or medication is administered. The prior authorization process acts as a bridge between healthcare providers and insurance companies, safeguarding the financial interests of both parties.

Insurance 52

Insurance Documentation Follow-Up Communication 52

Minority Nurse

JUNE 14, 2024

She ’ s also the host of Nurse.com ’ s NurseDot Podcast and a member of the LGBTQ+ community, highlighting a variety of voices within the nursing industry while also speaking to her personal experiences as an RN and founder of HOLLIBLU, a social networking app exclusively for nurses (acquired by Nurse.com in 2022).

Unit Organization and Environment 104

Unit Organization and Environment Hospital Continuing Education Follow-Up 104

Arkenea

APRIL 10, 2025

This approach can free up internal resources, reduce time to market, and provide access to niche skills, especially in emerging technologies such as artificial intelligence, blockchain, and the Internet of Things. Scalability Outsourced teams can flex up or down based on project phases.

Tests 52

Tests Communication Documentation Follow-Up 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. United channeled almost $52 billion of that cash into buying health-related businesses, nearly all of which end up housed inside Optum. It is a sprawling nationwide roll-up of healthcare assets.

Tests 132

Tests Hospital Insurance Medication 132

Health Populi

MARCH 1, 2022

A leading provider of virtual care is Teladoc, whose most recent explanation of corporate strategy is shown in the first graphic from the company’s January 2022 investor deck. Imagine this announcement now in that outer ring, up and to the right, in this “foundation built to deliver what the market wants.”

Follow-Up 62

Follow-Up Collaboration Insurance Medication 62

Health Prime

JULY 27, 2023

It involves obtaining approval from insurance companies before a specific procedure, treatment, or medication is administered. The prior authorization process acts as a bridge between healthcare providers and insurance companies, safeguarding the financial interests of both parties.

Insurance 40

Insurance Documentation Follow-Up Communication 40

Health Prime

FEBRUARY 7, 2024

Establish a robust system that verifies insurance information before the appointment. Customized statements include detailed information about services, insurance adjustments, patient responsibilities, etc. Past the time of service, polite but persistent follow-up activities are crucial to collecting balances.

Billing 52

Billing Follow-Up Communication Insurance 52

Healthcare Law Insights blog

JULY 29, 2022

On July 26, 2022, Judge Jeremy Kernodle of the Eastern District of Texas affirmed that certain parts of the Interim Final Rule Part II implementing the No Surprises Act (the Act) were invalid. The Act sets up an independent dispute resolution (IDR) process by which out-of-network providers and insurers are required to arbitrate payment rates.

Transfers 52

Transfers Follow-Up Insurance Medication 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 ). It also helps to maintain the flow of data between healthcare providers, allowing for timely interventions, follow-up care, and medications.

Medication 52

Medication Follow-Up Appointments Tests 52

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.

Unit Organization and Environment 59

Unit Organization and Environment Patient Safety Hospital Best Practices 59

CollaborateMD

JANUARY 5, 2024

billion in 2022. According to EverHealth , one of the most important considerations is the software “must comply with healthcare regulations and standards, such as HIPAA (Health Insurance Portability and Accountability Act) in the United States, to ensure patient data is protected and privacy is maintained.”

Billing 52

Billing Medication Follow-Up Insurance 52

Arkenea

MARCH 31, 2025

Developing a healthcare application that complies with the Health Insurance Portability and Accountability Act (HIPAA) is essential for safeguarding sensitive patient information and adhering to legal standards. HIPAA compliance costs can greatly vary depending on the kind of application you’re developing.

HIPAA 52

HIPAA Business Associate Appointments Insurance 52

Health Populi

AUGUST 16, 2019

Opiods are the second- most concerning pharmacy issue, for three-quarters of large employers, followed by the impamct of coupons and patient access programs on consumer behavior when lower-cost alternatives are available in the market. Employers cited several main tactics to address coupon cards looking forward from 2019 to 2022.

Communication 79

Communication Insurance Follow-Up Medication 79

Arkenea

OCTOBER 16, 2024

Healthcare website accessibility tools and best practices help hospitals to up their accessibility game and design a compliant site for users. Tapping into a volatile patient base can help up the revenue of the hospitals , and augment patient experience and satisfaction. Did you know that only 4.9 percent were non-compliant.

Best Practices 84

Best Practices Hospital Tests Communication 84

ACMA Blog

OCTOBER 8, 2024

Many healthcare providers may prescribe treatments that are not considered routine or may be expensive, an insurance company may need prior authorization (PA) to determine whether they will cover what the healthcare providers recommends 4. The healthcare provider must get approval from the insurance company.

Medication 40

Medication Insurance Documentation Follow-Up 40

The HIPAA Journal

APRIL 27, 2025

OCR stepped up enforcement of compliance with the HIPAA Rules in 2016, more than doubling the number of financial penalties imposed. The following three years saw similar numbers of financial penalties; however, there was another major increase in HIPAA fines in 2020 when 19 HIPAA violation cases were settled with OCR.

HIPAA 85

HIPAA Business Associate Hospital Medication 85

Doximity

FEBRUARY 20, 2024

Dr. George - In 2022, there were an estimated 47.9 million people who self-identified as Black, making up 14.4% Dr. George - The article written in 2023, where I was recognized as "Top Physicians and Clinicians to Follow in Digital Health," really helped my career and set me up for success. of the country's population.

Follow-Up 52

Follow-Up Insurance Medication 52

Pulmonology Advisor - Practice Management

MAY 17, 2024

An update to the Health Insurance Portability and Accountability Act (HIPAA) Security Rule is now underway with new cybersecurity requirements. The latest data show a 93% increase in large breaches (from 369 to 712) reported from 2018 to 2022. The update is designed to help the health care sector build a more resilient system.

HIPAA 52

HIPAA Hospital Insurance Follow-Up 52

ACMA Blog

JUNE 25, 2024

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. This is done following the health plan’s formulary or the criteria for a specific medication, device, or procedure being requested.

Medical Assistant 40

Medical Assistant Documentation Certification Insurance 40

Health Populi

APRIL 19, 2023

Globally, the gap between how well I am taking care of my health versus how well I “should” be doing has grown by 14 percentage points (worse) in the past year, comparing March 2022 to March 2023. In the U.S., that delta is 11 points worse, the second chart graphs, with the U.S. datapoint shown to the far right.

Follow-Up 62

Follow-Up Insurance Communication Patient Experience 62

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. This is done following the health plan’s formulary or the criteria for a specific medication, device, or procedure being requested.

Medical Assistant 40

Medical Assistant Documentation Certification Communication 40

Minority Nurse

JUNE 28, 2023

She’s also the host of Nurse.com’s NurseDot Podcast and a member of the LGBTQ+ community, highlighting a variety of voices within the nursing industry while also speaking to her personal experiences as an RN and founder of HOLLIBLU, a social networking app exclusively for nurses (acquired by Nurse.com in 2022).

Hospital 52

Hospital Continuing Education Follow-Up Collaboration 52