Health Populi

FEBRUARY 27, 2024

That’s the mantra coming out of this week’s annual Capitol Conference convened by the National Association of Benefits and Insurance Professionals (NABIP). FYI you might know of NABIP by its former acronym, NAHU, the National Association of Health Underwriters).

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Billing Insurance HIPAA Documentation 141

The HIPAA Journal

JULY 9, 2024

The review of the affected files was not completed until June 13, 2024. Call 4 Health Issues Notifications About March 2024 Cyberattack Call 4 Health, Inc., Unauthorized network access was detected on May 6, 2024, and immediate action was taken to prevent further unauthorized access.

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Triage HIPAA Documentation Billing 98

The HIPAA Journal

MAY 2, 2024

Hackers gained access to the BioPlus network for more than 2 weeks between October and November 2021, and potentially stole names, dates of birth, contact information, health insurance information, prescription information, and Social Security numbers. The maximum claim permitted depends on whether Social Security numbers were compromised.

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HIPAA Follow-Up Best Practices Documentation 98

ACMA Blog

OCTOBER 8, 2024

Their knowledge of insurance coverage, regulations in patient assistance, and health policy empowers healthcare providers with tools that reduce hurdles in treatment access. Reactive case management occurs when prior authorization for treatment is denied, affecting timeliness of patient treatment (Braxton, 2024)(DeMarzo & Ayoub, 2021).

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Documentation Medication Billing Follow-Up 52

ACMA Blog

JULY 9, 2024

FTC Conducts Investigation into PBMs Because PBM practices lack transparency and accountability to the public, in 2022, the Federal Trade Commission (FTC) requested data and documents of business practices to the six largest PBMs: Caremark Rx, LLC, Express Scripts, Inc., July 9, 2024. May 23, 2024. OptumRx, Inc., Endpoints News.

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Insurance Patient Centered Care Medication Certification 98

Valant

SEPTEMBER 30, 2024

It’s essential for mental health professionals and billing specialists to accurately use this code for proper documentation and reimbursement. Stay updated on the latest coding changes with our guide to 2024 ICD-10 updates. What is ICD-10? ICD-10 stands for the International Classification of Diseases, 10th Revision. Read More

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Diagnostics Billing Documentation Insurance 52

Valant

JANUARY 30, 2024

External Audit Requirements In the behavioral health field, audits involve a comprehensive examination of a practice’s compliance with regulations and standards, such as those from states and insurance providers. Compliance with audit requirements fosters trust and credibility with patients, insurers, and regulatory bodies.

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Billing Documentation Follow-Up Best Practices 52

19 Labs

JULY 8, 2024

This collaboration adds the ability to streamline how schools send and collect consent forms and other documents to the GALE platform. Redwood City, CA – July 9, 2024 Background of WellCheck WellCheck , founded by a second-grade teacher, initially developed a two-way notification platform for school lockdowns and emergency drills.

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HIPAA Diagnostics Medical History Communication 89

Valant

MARCH 20, 2024

Reduced revenue or profitability can be the result of missed billing opportunities, inefficient billing processes , or changes in insurance reimbursement rates, among other things. In addition, fluctuations in insurance coverage or changes in policies can lead to delays in reimbursements, or lower reimbursement rates for specific services.

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Billing Communication Documentation Patient Satisfaction 52

MedCerts

APRIL 8, 2024

MS 2000: Microsoft Office Series I: This two-week course focuses on creating, editing and enhancing Word and Excel documents. Payscale notes that the average 2024 salary for pharmacy technicians is $40,762 and that of medical assistants (a closely related field) is $39,592. You’ll also learn to analyze data and perform calculations.

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Medication Medical Administrative Assistant Medical Terminology HIPAA 75

Valant

JANUARY 16, 2024

Auto-generating narratives, check boxes, and the ability to pull material forward from a previous note all make it easier to capture and document info quickly. This means less time spent on documentation between sessions—a task which significantly contributes to most clinicians’ nonbillable hours.

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Patient Care Billing Documentation Appointments 52

Valant

MARCH 2, 2024

Training sessions should cover the steps involved in the billing cycle, from verifying patient insurance coverage to submitting claims to following up on denials. Training should also emphasize the importance of maintaining patient confidentiality and accurately documenting services provided.

Billing 52

Billing Documentation Follow-Up Insurance 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. Clinical Documentation Specialist (CDS): A CDS can help in the PA process by accurately documenting patient records.

Documentation 40

Documentation Medical Assistant Certification Insurance 40

Valant

MARCH 1, 2024

Compliance with the Health Insurance Portability and Accountability Act ( HIPAA ) and other laws/regulations is mandatory. Getting on insurance panels (also known as insurance credentialing ) is an involved process that can sometimes take months and requires a lot of steps and paperwork.

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Billing HIPAA Patient Centered Care Follow-Up 52

Healthcare Law Insights blog

MARCH 7, 2024

The Health Insurance Portability and Accountability Act (HIPAA) sets the national standard for protecting patient health information. A Balanced Approach to Innovation and Compliance: In the run-up to SXSW 2024, it’s clear that an exciting era of healthcare innovation is upon us.

Diagnostics 52

Diagnostics HIPAA Patient Safety Insurance 52

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.

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Medical Assistant Documentation Certification Medical Coding 40

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. Accessed April 9, 2024. Published April 3, 2023. link] Jongsma KR, Sand M, Milota M. 2024;7(1):1-3.

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Billing Documentation Patient Satisfaction Patient Experience 40

Valant

MARCH 14, 2024

EHRs streamline these tasks by automating routine, repetitive processes such as appointment scheduling , patient communications, and insurance claims processing. EHR Benefits: Enhanced Practice Efficiency The scale of large behavioral health practices means that administrative tasks can be cumbersome and time-consuming.

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Billing Communication Patient Care Scheduling 52

Valant

FEBRUARY 24, 2024

Finally, accurate insurance reimbursement reports are essential for maximizing revenue and minimizing revenue cycle management challenges. To optimize staff levels and allocate resources effectively, practice managers need to have accurate insights into the practice’s operations.

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Billing Patient Satisfaction Appointments Scheduling 52

Ciox

NOVEMBER 20, 2023

The Impact Health plan policies are changing more frequently, forcing healthcare organizations to defend their documentation when denials occur. This trend is not expected to change in 2024. A third of inpatient claims submitted by providers to commercial insurers were not paid for over three months.

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Documentation Insurance 40

The Healthcare Blog

APRIL 2, 2024

An ill-starred Optum subsidiary, Change Healthcare, which suffered a catastrophic $100 billion cyberattack on February 21, 2024 that put most of the US health system on life support, put its parent company Optum in the headlines. Some are returned to insurers other than United for which Optum Rx processes pharmaceutical claims.

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Tests Insurance Hospital Medication 132

Valant

NOVEMBER 7, 2024

The Biden administration announced a finalized Mental Health Parity Rule on September 9, 2024, bringing significant changes to how insurers cover mental health care. The insurance industry has raised concerns, arguing that the rule could drive up costs.

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Documentation Billing Insurance Patient Care 111

The HIPAA Journal

NOVEMBER 8, 2024

As previously announced, suspicious activity was identified within its computer network on August 28, 2024. An investigation was launched and on September 6, 2024, it was confirmed that unauthorized actors had accessed its network and exfiltrated copies of documents that contained some patient information. Mountain Time.

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HIPAA Documentation Insurance Medication 83

MedAssistantEDU.org

SEPTEMBER 16, 2021

As per BLS, employment opportunities will increase by 24% by the end of 2024 in the healthcare sector. For this, the medical assistants will have to make an account on the NHA website to upload the documents to confirm eligibility. With a CCMA certification, you also enter the workforce quickly.

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Medical Assistant Certification Tests Customer Service 40

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.

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Hospital Documentation Discharges Best Practices 40

The HIPAA Journal

APRIL 23, 2024

Key Compliance Dates At the time of writing (April 23, 2024), the Final Rule has not been published in the Federal Register so the dates are estimated. The document includes the HHS’s justification for implementing the new HIPAA regulations and a discussion of the comments received from the public and healthcare stakeholders.

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HIPAA Follow-Up Patient Records Medication 90