Minority Nurse

FEBRUARY 22, 2024

Financial Constraints and Budgetary Cuts Healthcare institutions often face financial constraints, with shrinking budgets and reduced reimbursements from insurance companies and government programs. link] Joint Commission (2023, August 24). link] Mcfanhn, C (2023, August 24). link] Muoio, D (2023, August 24).

Patient Care 111

Patient Care Hospital Critical Thinking Patient Safety 111

Valant

JULY 29, 2024

This code is acceptable to insurers when used to describe a marked change in mental health status not attributable to other factors. Check out the 2023 ICD-10 updates here. Altered mental status, unspecified (R41.82) is a billable ICD-10 diagnostic code under HIPAA regulations from October 1, 2020, to September 30, 2021.

Diagnostics 97

Diagnostics HIPAA Insurance Medication 97

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

Healthcare Law Insights blog

NOVEMBER 21, 2023

The good news for administrators is that they are permitted to submit affidavits or other documents from outside the administrative record that show that the conflict of interest played no role in the decision-making. A documented history of arbitrary claims denials by the administrator. Reliance Standard Life Insurance Co. ,

Documentation 52

Documentation Follow-Up Medication Insurance 52

Healthcare Law Insights blog

AUGUST 28, 2023

4] From court documents, it appears the government argued that Dr. Elfenbein knew that the patients whose insurance would be billed for E/M services would be with physicians “less than five minutes,” [5] and that Dr. Elfenbein told employees that E/M services were “the ‘bread and butter’ of how we get paid.” [6] 11, 2023). [4]

Billing 52

Billing Tests Documentation Insurance 52

ACI Medical & Dental School

OCTOBER 24, 2023

ACI Medical & Dental School Prepares Students for In Demand Healthcare Jobs ( Updated for 2023 ) The National Healthcareer Association (NHA) has released their 2023 Industry Outlook , which continues to show that jobs for allied health professionals in the US are growing at 13%, a much faster rate than other professions.

Medical Administrative Assistant 52

Medical Administrative Assistant Certification Medical Assistant Continuing Education 52

Relias

APRIL 27, 2023

Better retention As many as 58% of medical practices said that staffing is their biggest challenge for 2023, according to an MGMA Stat poll. Top 10 healthcare revenue cycle training priorities with the best ROI What training topics are the most important for the healthcare revenue cycle in 2023? It’s hard even for experts to keep up.

Critical Thinking 52

Critical Thinking Follow-Up Billing Best Practices 52

ACMA Blog

MAY 21, 2024

Through enhanced coding and charge capture, these algorithms analyze clinical documentation to propose precise medical codes, minimizing the risk of undercoding or overcoding while ensuring comprehensive coverage of billable services. Published April 3, 2023. www.revelemd.com. Accessed April 9, 2024. link] Jongsma KR, Sand M, Milota M.

Billing 40

Billing Documentation Patient Satisfaction Patient Experience 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

Arkenea

AUGUST 16, 2024

HCA Healthcare In July 2023, a Tennessee hospital and clinic operator was breached by threat actors who obtained and removed data from an external storage location containing formatted emails and calendar reminders for patients. Examples of Healthcare Cyberattacks 1. Maintaining patient confidentiality is just as important.

HIPAA 52

HIPAA Patient Records Clinical Operations Medical History 52

Pulmonology Advisor - Practice Management

MAY 3, 2024

In 2023, a new analysis of medical malpractice claims against US physicians was released by the American Medical Association (AMA). Dr P was shocked when he subsequently was served with legal documents notifying him that he was being sued for medical malpractice based on his alleged failure to properly treat Mr L.

Huddles/Rounds 98

Huddles/Rounds Hospital Medication Documentation 98

The Healthcare Blog

MARCH 13, 2024

Many patients must contend with well-documented side effects such as nausea, diarrhea or the significant loss of lean body mass (ie. muscle) and bone density. Again, those are lifetime side effects. and some patients simply tire of giving themselves a weekly injection.

Documentation 73

Documentation Insurance Patient Care Medication 73

Ciox

NOVEMBER 20, 2023

The Impact Health plan policies are changing more frequently, forcing healthcare organizations to defend their documentation when denials occur. Denial Rates : In the first quarter of 2023, 15% of commercial claims were initially denied. This trend is not expected to change in 2024.

Documentation 40

Documentation Insurance 40

Arkenea

AUGUST 15, 2024

HCA Healthcare In July 2023, a Tennessee hospital and clinic operator was breached by threat actors who obtained and removed data from an external storage location containing formatted emails and calendar reminders for patients. Examples of Healthcare Cyberattacks 1. Maintaining patient confidentiality is just as important.

HIPAA 40

HIPAA Patient Records Clinical Operations Medical History 40

Pulmonology Advisor - Practice Management

OCTOBER 13, 2023

The 2023 Medscape survey found that plastic surgery is now the happiest specialty, with 71% of physicians reporting they are “very happy” or “happy” outside of work. Striking a Work-Life Balance The 2023 Medscape Physician Lifestyle and Happiness Report also asked physicians, “How are you maintaining your happiness and mental health?”

Follow-Up 52

Follow-Up Scheduling Medication Hospital 52

Pulmonology Advisor - Practice Management

MAY 3, 2024

In 2023, a new analysis of medical malpractice claims against US physicians was released by the American Medical Association (AMA). Dr P was shocked when he subsequently was served with legal documents notifying him that he was being sued for medical malpractice based on his alleged failure to properly treat Mr L.

Huddles/Rounds 52

Huddles/Rounds Hospital Medication Documentation 52

Relias

FEBRUARY 1, 2023

It will be imperative for medical practices and organizations to focus on their billing and denial management to maximize revenue in 2023,” noted Cristy Good, MPH, MA, senior industry advisory and coding expert at MGMA. Some insurance companies have a list of “preferred” infusion drugs and won’t pay for other drugs.

Insurance 10

Insurance Billing Documentation Hospital 10

The HIPAA Journal

MAY 1, 2024

The forensic investigation and document review confirmed that the protected health information of more than 623,000 patients had been exposed. One of those lawsuits, Bonnie Maser v.

HIPAA 91

HIPAA Documentation Insurance Medication 91

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. Source: 2023 UNH 10K For most of the past decade, Optum has been driving force of incremental profit growth for United. billion in 2023 (55% of total). in the third quarter of 2023.

Tests 108

Tests Insurance Hospital Medication 108

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. 5 – Educate clinicians on required documentation Clinicians sometimes omit important documentation.

Documentation 52

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. 5 – Educate clinicians on required documentation Clinicians sometimes omit important documentation.

Documentation 52

Documentation Admissions Follow-Up Scheduling 52

CareerStep

NOVEMBER 14, 2023

The American Medical Association (AMA) reported that as of spring of 2023, the U.S. They’re used for billing and insurance reasons. Think of it as a simplified language for a patient’s medical history, because every doctor and insurance company in the U.S But, what do medical coders and billers do?

Billing 52

Billing Medical Coding Medication Certification 52

Relias

JULY 20, 2023

Maternal mortality is closely linked to social and behavioral factors As documented extensively, higher U.S. Managing gaps in mental health services by expanding the scope of services offered, increasing training on mental health for all staff, and reviewing documentation practices can also help.

Hospital 40

Hospital Documentation Discharges Best Practices 40

The HIPAA Journal

APRIL 23, 2024

After listening to feedback from healthcare providers, privacy advocates, and individuals, OCR proposed HIPAA updates in April 2023 to modify the HIPAA Privacy Rule to address the changes to the legal landscape in response to the fall of Roe v.

HIPAA 81

HIPAA Follow-Up Patient Records Medication 81