Northwest Career College

AUGUST 24, 2024

As we look ahead to 2024, many individuals are considering whether medical billing and coding is a promising career choice. Medical coding involves translating medical diagnoses, procedures, and supplies into universal alphanumeric codes for billing and insurance purposes.

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Billing Medication Certification Insurance 40

Health Populi

MAY 20, 2024

In the past year, the growth of prescription drug utilization and spending has much to do with the use of GLP-1 agonists to treat diabetes and obesity, along with immunology therapy, and lipid meds, along with specialty medicines now accounting for over half of spending — up from 49% in 2018.

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The HIPAA Journal

APRIL 30, 2024

On January 22, 2024, DRS identified suspicious activity within its network. On March 8, 2024, after a time-consuming and detailed review of the files, DRS confirmed that they contained the personal and protected health information of current and former patients of its healthcare clients.

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Business Associate HIPAA Follow-Up Hospital 85

Health Populi

JULY 18, 2024

Bureau of Labor Statistics had good news for American consumers long-facing inflation for household spending over the past couple of years, announcing on July 11, 2024, that the general consumer price index (CPI) fell, lowering real prices for people buying airline tickets, used cars and trucks, communication, and petrol to fill auto tanks.

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Hospital Insurance Follow-Up Medication 71

Health Populi

MARCH 19, 2024

Having health insurance in America is no guarantee of actually receiving health care. It’s a case of having health insurance as “necessary but not sufficient,” as the cost of deductibles, out-of-pocket coinsurance sharing, and delaying care paint the picture of The Hidden Lives of Workplace-Insured Americans.

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Coronis Health

MARCH 13, 2024

The agency has been in constant communication with Change Healthcare and its parent company, UnitedHealth Group, since the company revealed the details of the attack and its attendant disruptions in downline processes, including interruptions in the payment of medical claims by multiple insurance plans and programs.

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Hospital Follow-Up Insurance Certification 105

Health Populi

JUNE 17, 2024

But a surprising two-thirds of young Americans between 18 and 29, and 7 in 10 between 30 and 39 years of age, are concerned that Medicare’s solvency will worsen leading to their not being able to receive Medicare when eligible to receive it, discovered in the 2024 Healthcare in America Report from West Health and Gallup.

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Health Populi

JUNE 24, 2024

He pointed to a visit to an emergency room, where “the debt is taken on unexpectedly and in a time of crisis,” as well as consumers dealing with “complexities with insurance” (consider: out of network providers, lack of up-front cost estimates, and trauma which prevents one from “shopping” for care).

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Medication Billing Insurance Follow-Up 62

The HIPAA Journal

MARCH 29, 2024

billion in loans to healthcare providers under its temporary funding program to help ease the financial strain caused by delays to the processing of insurance claims and providers will have 45 days to pay back the loans. United Health Group has also confirmed that it has paid out more than $3.3 40% of the $3.3

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HIPAA Unit Organization and Environment Follow-Up Business Associate 95

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. And keeping up with evolving audit requirements is essential, as regulations are updated or revised.

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Billing Documentation Follow-Up Best Practices 52

The Healthcare Blog

SEPTEMBER 17, 2024

The initial focus was never healthcare providers and insurers. These organizations were seen as too slow to adopt new technologies, and there was a general distrust of integrated care and insurers. No More Excuses Fast forward to 2024. According to a recent article in Forbes , there are 5.4 In the U.S., So, what’s the problem?

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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. Your EHR software can help with this.

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Billing HIPAA Patient Centered Care Scheduling 52

Valant

MARCH 2, 2024

The up-front financial considerations include adequate staffing, suitable technology, and the necessary training. Rejected claims happen, but a software that simplifies claim creation, and that offers in-depth reporting features to back up the claims submitted, can reduce both claim denials the time spent on resubmitting or appealing denials.

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Billing Documentation Follow-Up Insurance 52

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. Product lifecycle management necessitates up-to-date databases that can be proactively managed. Data sourced from (Mills, 2021).

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Documentation Medication Billing Follow-Up 52

A Young Doctor's Journey

SEPTEMBER 8, 2024

Please remember that I am by no means a financial advisor, and everything I know, I learned from reading books, watching videos, following Instagram accounts, and pestering my reluctant friends. Also, I’d like to preface this by two important things regarding personal finance: My parents taught me really good money habits growing up.

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Health Populi

APRIL 1, 2024

As we start the month of April 2024 in the U.S., Paper checks are still a go-to form of payment to patients and plan members, and there remains lots of confusion among patients when it comes to up-front pricing and eventually the EOB statements resulting from the claims payment process. ‘Tis the season for J.P.

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Billing Follow-Up Communication Medication 87

Valant

JANUARY 16, 2024

Unbillable admin tasks outside of appointment times can eat up a shocking amount of your day. Request Pricing Streamlining the Patient Care Process with Valant’s EHR However, it’s not just the treatment phase that must become more efficient to free up your time. And much of that comes down to your EHR workflow.

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Northwest Suburban College

JUNE 27, 2024

As we move forward into the latter stages of 2024, the role of a pharmacy technician continues to be vital in the healthcare system. They also handle administrative duties, such as answering phone calls, processing insurance claims, and managing patient records, which keeps the pharmacy’s operations running smoothly.

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Long Term Care Communication Follow-Up Patient Safety 52

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

The Healthcare Blog

MARCH 4, 2024

First, several health insurers who sold their reputation to Wall Street as being wizards at understanding how doctors and patients behave had the curtain pulled back to reveal the man pulling the levers was missing a dashboard or dial or three. The bad actor is quasi-state owned UCHealth, a big Colorado “non-profit” health system.

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Insurance Billing Hospital Follow-Up 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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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.

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Documentation Medical Assistant Certification Insurance 40

Health Populi

APRIL 16, 2024

This post follows up Part 1 of a two-part series I’ve prepared in advance of the AHIP 2024 conference where I’ll be brainstorming these scenarios with a panel of folks who know their stuff in technology, health care and hospital systems, retail health, and pharmacy, among other key issues. For 2030, consider….

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Follow-Up Tests Insurance Hospital 77

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.

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Medical Assistant Documentation Certification Medical Coding 40

MedAssistantEDU.org

SEPTEMBER 16, 2021

Different categories of medical assistant certifications- Medical assistant certifications can be of the following type- a) Distance learning – In distance learning, the candidates learn their syllabus online over a period at the comfort of their home. They must maintain privacy by following the HIPAA compliance guidelines.

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Health Populi

FEBRUARY 22, 2024

there is still a negative feeling about the economy in a personal context, revealed in the Kaiser Family Foundation Health Tracking Poll for February 2024. Answer: Out-of- pocket costs followed by, well, out-of-pocket costs… Support about out-of-pocket costs is universal,” Altman observes.

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Billing Medication Follow-Up Insurance 83

Health Populi

NOVEMBER 21, 2024

Published two weeks after the 2024 U.S. With that realization, we must remind ourselves as we enter a new year under a second-term President Trump that health care spending for everyday people is bound up in overall household spending and the umbrella of “home economics.”

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Health Populi

DECEMBER 22, 2022

health care, with hospital costs following in second place, seen in the December 2022 KFF Health Tracking Poll. That purchaser takes the form of both the employer-sponsor of health care insurance for workers, and the patient-as-payer herself. One in three consumers pointed to prescription drugs as the highest spending category in U.S.

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Health Populi

JUNE 25, 2024

health care organizations have experienced a data breach, one-third in the last 3 years, according to Software Advice’s 2024 Healthcare Data Security Survey released in May 2024. As a simple example, think about something as benign as an annual check-up. Criminals don’t have to follow the rules. At least one-half of U.S.

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Follow-Up HIPAA Patient Safety Hospital 62

Relias

JULY 20, 2023

We must improve care in this area of maternal health by strengthening screening, diagnosis, treatment, follow-up, and ongoing care using recommended screening tools and evidence-based best practices, as well as developing innovative culturally appropriate community-based programs.

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Healthcare Law Insights blog

NOVEMBER 8, 2022

The Act includes provisions targeting Medicare prescription drug costs, which could have wide-ranging effects for any party involved in the pharmaceutical industry, including drug developers, researchers, manufacturers, distributors, insurance companies, pharmacy associations and consumers. Indeed, one company, Alnylam Pharmaceuticals Inc.,

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The HIPAA Journal

APRIL 23, 2024

This has a chilling effect on women visiting a doctor, picking up a prescription from a pharmacy, or taking other necessary actions to support their health,” said HHS Secretary Xavier Becerra. 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.

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Health Populi

OCTOBER 9, 2024

In 2024, this is a thriving business, led by a recently-appointed new executive from the fashion industry , 800+ years later operating in both brick-and-mortar shops around the world as well as an ecommerce business selling remedies as well as a line of fragrance and other personal care offerings.

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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. adults in May 2004.

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Follow-Up Hospital Medication Billing 62

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. entering 2024, many consumers will be self-rationing care due to costs. Paying down such debt can also serve to crowd out other household spending – on the things of daily living as well as health care costs.

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The Healthcare Blog

AUGUST 5, 2024

Trump inherits a 2024 $5 trillion federal budget with a $1.7 We can certainly expect inflammatory publicity from a Trump White House on states that have expanded Medicaid eligibility to “undocumented aliens”, followed by pressure on Congress to prohibit this coverage by statute. for Medicaid beneficiaries.

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The Healthcare Blog

SEPTEMBER 1, 2024

Up until July 21, 2024, the race for the Presidency was between two aging candidates with visible mental and physical disabilities. They gained an additional 20 years in the century that followed, and 30 more years by 2000. And this summer, octogenarian candidates from both parties have been all the rage, literally.

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