Health Populi

OCTOBER 14, 2024

The premium for employer-sponsored health plans grew by 6-7% between 2023 and 2024, according to the report on Employer Health Benefits 2024 Annual Survey from the Kaiser Family Foundation, KFF’s 26th annual study into U.S. In 2024, 54% of all firms offered some health benefits, stable with 2023’s offer rate.

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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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Insurance Follow-Up Communication Tests 77

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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Practice Index

JANUARY 9, 2025

Catch up with the last month of 2024 for anything you might have missed! While supporting practices to set up Holiday Manager, weve heard some questions that pop up again and again, so if youre thinking about starting 2025 with a better way of managing your leave, read on! Further updates can be found here.

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Follow-Up Insurance Documentation Communication 59

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

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

Practice Index

DECEMBER 5, 2024

Chair Professor Kamila Hawthorne said: “With winter fast approaching, our services will only get busier – and uncertainty around how the hike in National Insurance for employers will impact on practices is only adding to the pressures general practice is facing. The investment follows pressure from the BMA.

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Huddles/Rounds Appointments Follow-Up Insurance 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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Insurance Follow-Up Patient Support 121

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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Follow-Up Medication Insurance 71

Practice Index

NOVEMBER 7, 2024

Backlash over new National Insurance costs The Government has faced a backlash after it failed to guarantee support for practices facing payment of the employers’ National Insurance increase. Alarm at latest tech outage Practices have called for more choice in IT following the latest problems with the EMIS systems.

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Huddles/Rounds Appointments Follow-Up Insurance 52

Valant

DECEMBER 16, 2024

Read on to learn how your practice can keep up with the current rules and prepare for future changes. Parity laws have upped the expectations for documenting and justifying treatment. If they feel that insurance coverage will be confusing, they may opt out of treatment rather than risk an unexpected bill. Heavier documentation.

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Billing Documentation Follow-Up Best Practices 87

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

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 Hospital Insurance Medication 132

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 Healthcare Blog

DECEMBER 18, 2024

If you missed it read Part 1 & Part 2 By JEFF GOLDSMITH Two major changes in health insurance ensued as the US health system entered the 21 st century- a strategic shift of health cost risk from providers to patients and the emergence of machine driven managed care. Some 60% of hospital bad debts are now from patients with insurance.

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Insurance Hospital Follow-Up Medication 58

The Healthcare Blog

DECEMBER 10, 2024

Following the surge, investment plummeted. What were left with entering into 2025 are a smorgasbord of solutions clamoring to attach themselves to traditional enterprise incumbents (Health Insurance Providers, Electronic Health Records, Hospital Systems). Those regions are ripe for follow-on expansion and digital scale.

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Insurance Follow-Up Collaboration Patient Support 68

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

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

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 Follow-Up 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

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

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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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

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

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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Follow-Up Insurance Medication Transfers 52

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

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

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

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 Communication 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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Medical Assistant Certification Tests Customer Service 40

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

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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Insurance Medication HIPAA Patient Experience 62

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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Insurance Follow-Up Billing Huddles/Rounds 62

Health Populi

DECEMBER 20, 2024

While I have mature chops in forecasting, futures work, and scenario planning, the uncertainties as of late December 2024 can feel like they overwhelm and outnumber the certainties, and wild cards abound. voters minds in the 2024 elections. Cost ranks highest in all U.S.

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Insurance Follow-Up Medication Hospital 118

Practice Index

JANUARY 2, 2025

The BMA welcomed the news, signalling that the extra money might help to relieve the pressure that practices face from the National Insurance increase. is clear the system is broken, which is why we are slashing red tape, binning outdated performance targets, and instead freeing doctors up to do their jobs.

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Huddles/Rounds Appointments Follow-Up Hospital 52

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 Patient Safety HIPAA 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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Hospital Documentation Discharges Best Practices 40