CollaborateMD

JANUARY 5, 2024

These days, billing can be complex. It makes billing simpler and more accurate. The medical billing market is growing fast. This growth shows just how vital medical billing is becoming. This growth shows just how vital medical billing is becoming. Medical billing software comes with many helpful features.

Billing 52

Billing Medication Follow-Up Insurance 52

CareerStep

NOVEMBER 14, 2023

If you’ve ever considered a job in healthcare but don’t want to work directly with patients, medical billing and coding may be a good fit! The American Medical Association (AMA) reported that as of spring of 2023, the U.S. What do medical coders do and what do medical billing professionals do? And why are they in demand?

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Billing Medical Coding Medication Certification 52

The HIPAA Journal

MARCH 20, 2025

There was no letup in cyberattacks on healthcare organizations in 2023, which set two new records – The most reported data breaches and the most breached records. In 2023, 725 data breaches were reported to OCR and across those breaches, more than 133 million records were exposed or impermissibly disclosed. In 2023, 79.7%

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Business Associate HIPAA Unit Organization and Environment Hospital 111

Health Populi

JULY 24, 2023

” The quid pro quo value exchange is that GNC ramps up its membership list of consumers for the program and the promise of other purchases from the virtual or brick-and-mortar “front of the store.” consumers, found in the latest Beryl Institute-Ipsos Px Pulse survey published for July 2023.

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Insurance Acute Care Billing Follow-Up 118

Health Populi

AUGUST 21, 2023

We can see health consumers’ shifting priorities for satisfaction-boosting changing from 2019 to 2023 based on HealthEdge’s previous research. That’s followed by making access to “my” health records easier, and granting access to me to providers who align well with my preferences and personal values.

Insurance 62

Insurance Follow-Up Care Plan Communication 62

Relias

APRIL 27, 2023

Healthcare leaders face constant changes in regulations, billing rules, payer requirements, and technology. To keep up with all of it, your staff needs constant training. There are also qualitative benefits, like fewer billing complaints. It’s hard even for experts to keep up.

Critical Thinking 52

Critical Thinking Follow-Up Billing Best Practices 52

Valant

JANUARY 25, 2024

The International Classification of Diseases, Tenth Revision (ICD-10) released updates for 2024 related to behavioral health, which went into effect October 1, 2023. The following changes will affect mental health coding: hepatolenticular degeneration (formerly E83.0, now E83.01) Parkinson’s disease (formerly G20, now G20.-)

Billing 52

Billing Documentation Scheduling Communication 52

Healthcare Law Insights blog

MAY 17, 2023

1] Facelifts were up 54 percent. [2] 2] And breast procedures were up 48 percent. [3] DOJ’s Latest False Claims Act Complaint On May 9, 2023, the U.S. May 9, 2023) (government’s complaint in intervention). [7] 3] According to that study, Americans spent over $14.6 4] But, for the most part, that $14.6 1395y(a)(1)(A). [6]

Billing 52

Billing Follow-Up Medication Hospital 52

Relias

DECEMBER 8, 2022

The PEPPER gives your organization a snapshot of your case mix, coding, and billing practices and compares you to other providers in the nation, Medicare Administrative Contractor jurisdiction, and state. The report is available for the following facilities: Skilled nursing facilities. Why should you read the PEPPER? Average case mix.

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Acute Care Interdisciplinary Team Billing Hospice 52

Relias

OCTOBER 28, 2022

While the plan of care is always the number one area for citations, care coordination consistently ranks right up there,” said SimiTree Compliance Senior Manager Sheila Salisbury-Sizemore. At a minimum, each patient’s medical record should reflect care team coordination at the following time points: Start of care.

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Hospice Interdisciplinary Team Follow-Up Documentation 52

Health Populi

MARCH 13, 2024

The 2023 Edelman Trust Barometer gauged U.S. adults’ levels of trust in health care services and suppliers, finding the greatest trust lies with a consumer’s local pharmacy (for 77% of consumers), followed by hospitals (for 73% of people) and in third rank, health technology (63%). The 2023 Edelman Trust Barometer gauged U.S.

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Collaboration Best Practices Medication Follow-Up 108

Minority Nurse

MARCH 22, 2023

Latanya Weston is an important nursing leader , and we’re pleased to profile her as part of the Champions of Nursing Diversity Series 2023. I was constantly stricken with various illnesses when I was growing up. Furthermore, I grew up in a community with significant health challenges, yet people didn’t prioritize their health.

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Care Plan Follow-Up Communication Hospital 98

The Healthcare Blog

APRIL 18, 2024

In November, 2023, Brynjolfsson teamed up with fellow West Coaster, Robert M. They begin their 2023 JAMA commentary this way, “History has shown that general purpose technologies often fail to deliver their promised benefits for many years (‘the productivity paradox of information technology’).

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Vital Signs Customer Service Follow-Up Medication 67

Mobius MD

AUGUST 8, 2024

This list of the top 3 EHRs follows rankings from the Best in KLAS Software and Services Report. Many organizations adopt Epic because it provides a comprehensive system for managing patient records, scheduling, billing, and clinical workflows. Finally, Epic’s prestigious reputation gives it a leg up in the industry.

Acute Care 52

Acute Care Hospital Follow-Up Billing 52

Mobius MD

JULY 1, 2024

Following their advocacy, a 2024 CMS rule requires government-regulated health plans to shorten the timeframes for prior authorization decisions. The AMA has also promoted model legislation at the state level, resulting in ten new state laws in 2023 and more than a dozen bills before state legislatures this year.

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Documentation Best Practices Follow-Up Patient Care 52

Healthcare Law Insights blog

MARCH 22, 2023

Senior DOJ officials have in turn emphasized in public remarks that investigating clinical research shortcomings is now a Justice Department priority, with the whistleblower bar following suit. 22, 2023), available at [link]. [2] 27, 2023) (stipulation and order of settlement). [5] Non-adherence invites DOJ scrutiny.

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Hospital Medication Follow-Up Billing 52

ACMA Blog

OCTOBER 16, 2023

Pharmacy Billing Specialist (PBS) : Typically, specialty pharmacies utilize a PBS to optimize the billing process through their knowledge of billing regulations and healthcare system codes. 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

ACMA Blog

JUNE 25, 2024

Pharmacy Billing Specialist (PBS): Typically, specialty pharmacies utilize a PBS to optimize the billing process through their knowledge of billing regulations and healthcare system codes. 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

Minority Nurse

SEPTEMBER 10, 2024

You may have wanted to work in a particular specialty, had your sights set on the traveler lifestyle, or were focused on making sure you could pay the bills, give your kids a good life, and plan for your eventual retirement. For LPNs/LVNs , the decision to return to school can directly relate to wanting more career mobility.

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Acute Care Follow-Up Certification Billing 52

Health Prime

JANUARY 24, 2024

between 2023 and 2032. The easy follow-up of patients using telemonitoring solutions and the augmented access to internet services will continue increasing telemedicine delivery. Learn more about this in our blog Optimize your telemedicine appointments with these best practices.

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Billing Communication Medication Appointments 52

Relias

JUNE 1, 2023

More technology is not always the best solution In a recent healthcare provider survey , half of healthcare executives said the revenue cycle is a top priority for software investment in 2023. From the least complex workflows to the highest complexity workflows, finding a minute here or there can add up quickly,” said Hermosillo.

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Documentation Admissions Follow-Up Scheduling 52

Relias

JUNE 1, 2023

More technology is not always the best solution In a recent healthcare provider survey , half of healthcare executives said the revenue cycle is a top priority for software investment in 2023. From the least complex workflows to the highest complexity workflows, finding a minute here or there can add up quickly,” said Hermosillo.

Documentation 52

Documentation Admissions Follow-Up Scheduling 52

Pulmonology Advisor - Practice Management

NOVEMBER 2, 2023

This is followed by Hispanic, which has gradually increased, growing from 22.7% Effect of Full Practice Authority on Racial Diversity To date, 27 states, 3 territories, and the District of Columbia have implemented FPA for NPs, with Utah becoming the latest state to adopt the measure in March 2023. of the population in 2014 and 67.7%

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Admissions Follow-Up Billing Communication 52

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.

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HIPAA Business Associate Hospital Medication 52

The HIPAA Journal

MARCH 29, 2024

Department of State has confirmed that there is a reward of up to $10 million for information leading to the identification or location of any individual linked to the ALPHV/Blackcat ransomware group, their affiliates, or links to a foreign government under the Rewards for Justice (RFJ) program.

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HIPAA Unit Organization and Environment Follow-Up Business Associate 97

Health Populi

JUNE 24, 2024

He called out that, “In recent years, however, medical bills became the most common collection item on credit reports. Some recent signposts in research update our understanding of the patient-as-payer, such as the latest Aflac WorkForces Report 2023-24 on benefits and financial wellness in this 13th annual research study.

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Medication Billing Insurance Follow-Up 62

Health Populi

DECEMBER 6, 2023

voters’ minds among many issues Americans are feeling and following in late 2023. adults between October 31 and November 7, 2023, via online and phone. As this post goes live in the first week of December 2023, the U.S. The cost of living ranks top in U.S. The monthly study focused on U.S.

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Follow-Up Billing Medication 87

ACMA Blog

OCTOBER 8, 2024

Product lifecycle management necessitates up-to-date databases that can be proactively managed. Originally, the healthcare provider would proceed through a ‘buy and bill’ process, wherein the medical office first buys a stock of product and then bills the payer upon administration of treatment (Amplity, 2021). link] Amplity.

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Documentation Medication Billing Follow-Up 52

Health Populi

FEBRUARY 1, 2023

” Together, these two reports kick of 2023 with the data-based picture that America continues to spend more than other nations and their healthcare systems, and get a much lower return on that investment. These stats are from the Bureau of Labor Statistics’ latest report on consumer price inflation published January 12, 2023.

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Follow-Up Hospital Billing Medication 71

Health Populi

APRIL 8, 2024

He asserts that the obvious hack consumers would do is to spend less on food, but the math doesn’t add up, he shows in the first bar chart. “Only the very richest households in society have food bills close to the cost of obesity treatment.

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Insurance Follow-Up Medication Billing 77

Health Populi

APRIL 12, 2024

But pent-up demand remains for mental health services which could be made further accessible. Health care is undergoing similar digital and omnichannel transformation following other industries. Mental health via virtual platforms has sustained significant use since the waning of the public health crisis. Hospital care is coming home.

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Hospital Appointments Follow-Up Billing 83

The Healthcare Blog

MARCH 4, 2024

It happened to United, Humana and more, but I’ll focus on Agilon because of this lovely quote : “During 2023, agilon health experienced an increase in medical expenses attributable to higher-than-expected specialist visits, Part B drugs, outpatient surgeries, and supplemental benefits, partially offset by lower hospital medical admissions.

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Insurance Billing Hospital Follow-Up 40

The Healthcare Blog

OCTOBER 24, 2024

It had issued a preliminary rule in March 2023, which drew some 16,000 comments. Other times they might’ve been able to sign up online, but in order to cancel they had to call and talk to a representative. Other times they might’ve been able to sign up online, but in order to cancel they had to call and talk to a representative.

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Precepting Appointments Insurance Customer Service 57

Health Prime

JANUARY 17, 2024

Key Highlights of the CMS CY 2024 Physician Fee Schedule : Rate setting and conversion factor Payment rates under the PFS will be reduced by 1.25% in CY 2024 compared to CY 2023. Also, the final CY 2024 PFS conversion factor is $32.74, a reduction of $1.15 (or 3.4%) from the current CY 2023 conversion factor of $33.89.

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Scheduling Patient Centered Care Follow-Up Diagnostics 52

Health Populi

DECEMBER 20, 2023

Economy Inflation, a top-of-mind stress and concern for mainstream Americans in 2023, is easing as we enter 2024. There’s a sort of health care “shrinkflation” that has been shaping patients-as-payors of medical bills. Consumer in the Big/Macro U.S. health care ecosystem, basing shoppable services on price and convenience.

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Insurance Billing Follow-Up Medication 87

Health Populi

DECEMBER 22, 2022

Entering 2023, U.S. Our unifying human field theory starting off 2023 is being sick of being sick. Financial health beats physical health priorities entering 2023. We enter 2023 with home economics setting our tables as a context for our overall health and well-being. 2023’s journey toward value in health care.

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Insurance Medication Patient Experience HIPAA 62

Health Populi

SEPTEMBER 4, 2024

with about 60 days leading up to the 2024 Elections, we might assume there are no “purple” areas of agreement between the Red (Republicans) and the Blue (Democrats) thinking in PANTONE color politics. In a super-divided electorate like the U.S. At this point, four people have died: two students and two teachers.

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Follow-Up Hospital Medication Billing 62