Health Prime

AUGUST 15, 2024

The Centers for Medicare & Medicaid Services (CMS) released the ICD-10-CM code set update for fiscal year (FY) 2025. These changes will impact medical billing, coding practices, and healthcare administration. Documentation reviews: Regular audits and reviews to ensure your documentation aligns with the new coding requirements.

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Billing Medical Coding Documentation Discharges 105

The HIPAA Journal

APRIL 1, 2025

Individuals who were sent a notification that they were affected by the data breach may submit a claim for reimbursement of documented losses incurred as a result of the data breach up to a maximum of $10,000. All claims must be submitted by or be postmarked by June 30, 2025. Under the terms of the settlement, a $3.15

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HIPAA Documentation Billing Scheduling 60

Valant

DECEMBER 13, 2024

Department of Health and Human Services has released new ICD-10-CM codes for the 2025 fiscal year, including important updates for categories F01F99: Mental, Behavioral, and Neurodevelopmental Disorders. 2025 ICD 10 CM Code Updates Announcement Update The Centers for Medicare and Medicaid Services, a part of the U.S.

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Documentation Billing Medication 52

The HIPAA Journal

APRIL 28, 2025

After an extensive investigation and manual document review, we discovered on February 14, 2025, that some personal and/or protected health information of individuals was contained in the compromised email account that was subject to unauthorized access and acquisition, explained Alternate Solutions Health Network in the notification letters.

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HIPAA Billing Hospital Insurance 73

Medbridge

MARCH 6, 2024

We spoke to leading home health agencies to understand what went right, what went wrong, and what they want to improve to get ready for the payment adjustments coming in 2025. It’s been a year since the first performance year (2023) under Home Health Value-based Purchasing, and there’s a lot to unpack!

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Documentation Billing 98

Health Prime

DECEMBER 18, 2024

Were shifting our focus to the reports you should run regularly in 2025 to keep a pulse on your practices ongoing performance. To take action, follow up promptly on overdue accounts, review and optimize your billing processes to reduce delays, and consider implementing automated reminders for patients and insurance companies.

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Medication Billing Documentation Appointments 52

Valant

JANUARY 14, 2025

In 2025, every EHR vendor should ask themselves how well their product lives up to its promises. They all make big promises, but their ability to deliver on those promises varies greatly. Practice managers and owners are caught in the middle, trying to figure out what they actually need and which brand might provide it.

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Scheduling Best Practices Documentation Billing 52

Relias

OCTOBER 28, 2022

The HHCAHPS Survey will determine 30% of an agency’s total performance score, and that score will in turn determine the agency’s payment adjustment for 2025. Documentation in the medical record. Document all coordination. If it didn’t get documented, it didn’t get done.”.

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Hospice Interdisciplinary Team Follow-Up Documentation 52

Healthcare Law Insights blog

JANUARY 9, 2025

On January 8, 2025, a federal grand jury in Virginia returned an indictment against a hospital. million worth of fraudulent billings to health programs, both for himself and the hospitals where his fraudulent procedures were performed. The hospital was not charged until January 2025. Dr. Perwaiz was sentenced in May 2021.

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Hospital Sterilization Follow-Up Documentation 52

The HIPAA Journal

APRIL 30, 2025

Examples of HIPAA business associates include medical billing service providers, software providers (including Managed Service Providers), and accreditation organizations with access to PHI. All vulnerabilities and reasonably anticipated threats from both internal and external sources must be documented.

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Business Associate HIPAA Documentation Certification 55

The HIPAA Journal

APRIL 27, 2025

The inflation multiplier for 2025 was set by the Office of Management and Budget (OMB) as 1.02598. Another increase is due to be applied on January 15, 2025, but will likely be applied much later. HIPAA Violation Cases 2025 Comprehensive Neurology Comprehensive Neurology is a small New York neurology practice.

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HIPAA Business Associate Hospital Medication 86

Valant

NOVEMBER 7, 2024

With the new regulations set to take effect January 1, 2025, many behavioral health practices will need to prepare for changes that could impact their reimbursement procedures, service delivery, and regulatory compliance. Most provisions of the rule will take effect on January 1, 2025, with some to be phased in by 2026.

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Documentation Billing Insurance Patient Care 111

Health Prime

MAY 5, 2025

Ensure accurate documentation Insufficient or inconsistent documentation can trigger denials for medical necessity, level of service, or authorization errors. Making documentation a part of the clinical culture, instead of an afterthought, is vital. Denial prevention strategies 1.

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Patient Experience Documentation Billing Insurance 52

Valant

APRIL 21, 2025

For example, staff members who handle billing need insurance information, but not detailed clinical notes. Practices should define role-based access levels, granting providers full clinical access while limiting administrative staff to only scheduling and billing permissions. Vendor and contractor access should be strictly managed.

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HIPAA Patient Records Best Practices Documentation 71

The HIPAA Journal

MARCH 13, 2025

This week, a bipartisan pair of senators have taken steps to address the problem of patient mismatching with the introduction of thePatient Matching and Transparency in Certified Health IT (MATCH IT) Act of 2025.The The MATCH IT Act of 2025 was introduced by Rep. The Act has now been reintroduced in the 119th Congress.

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HIPAA Patient Safety Billing Insurance 61