Health Prime

MARCH 28, 2024

Effective credit balance management is crucial for the financial health of any medical practice. Monitoring credit balances and following best practices in the organization can help avoid financial risks. Implement a systematic review of patient accounts, insurance claims, and payments.

Billing 105

Billing Communication Patient Education Insurance 105

Health Prime

JUNE 22, 2023

Medical billing plays a crucial role in the success of any healthcare practice, and gastroenterology is no exception. Gastroenterologists face unique challenges with medical billing due to the complex nature of their specialty. Therefore, adopting best practices in medical billing is essential.

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Best Practices Billing Medication Documentation 40

Health Prime

NOVEMBER 20, 2024

Learn more about this in our blog Improve your front desk processes with these best practices. Main issues in the check-in process 1. This failure to verify the patient’s insurance could lead to invoicing discrepancies, prolonged payment cycles, and a loss of credibility in the practice from the patients.

Medication 52

Medication Patient Satisfaction Communication Insurance 52

Health Prime

MARCH 21, 2024

The revenue cycle is a complex and multifaceted system that involves various stakeholders, including healthcare providers, payers (insurance companies), and patients. It begins at the front lines of the healthcare practice, where staff members collect essential demographic and insurance information during the initial patient contact.

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Billing Medication Follow-Up Appointments 105

Health Prime

MAY 30, 2024

However, by diligently recognizing and addressing underpayments, practices can ensure they receive fair compensation for the services provided. Moreover, identifying underpayments facilitates the detection of billing errors, improves payer relations, and fosters a culture of accountability within the organization.

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Billing Documentation Continuing Education Medical Coding 105

Coronis Health

AUGUST 10, 2023

Best practices in hospital billing and coding processes are key to guiding coders as they navigate the complexities of chart documentation. By staying updated on the latest coding standards, technologies, and best practices, hospital coders can enhance their career prospects and improve healthcare delivery and performance.

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Best Practices Hospital Medical Coding Documentation 52

CollaborateMD

MAY 25, 2023

Oncology medical billing is the process of submitting claims to insurance companies or other payers for oncology-related billing services associated with cancer management. Oncology medical billing requires understanding medical coding to run a successful oncology practices. What is Oncology Medical Billing?

Billing 52

Billing Medication Medical Coding Insurance 52

CollaborateMD

JANUARY 3, 2024

In today’s digital age, medical billing software plays a vital role in streamlining the billing process and improving patient care. HIPAA compliance is a crucial aspect of any medical billing software. It will also help you ensure that the medical billing software you select is compliant with HIPAA requirements.

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HIPAA Billing Medication Best Practices 52

Health Prime

JULY 18, 2024

Denial management is crucial in medical billing, ensuring healthcare providers receive rightful reimbursement for their services. However, navigating denial management can often be challenging for medical practices. According to an MGMA Stat Poll , 69% of healthcare leaders reported their organization’s denials have increased.

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Billing Patient Satisfaction Documentation Medication 105

Valant

MARCH 2, 2024

For behavioral health practices, transitioning to in-house billing for mental health services can be extremely beneficial. In-house billing can boost efficiency, reduce spending, improve revenue streams, and simplify compliance—even with ever-evolving regulations. What inefficiencies exist? What areas can be improved?

Billing 52

Billing Documentation Follow-Up Insurance 52

EvidenceCare

APRIL 16, 2024

Regulatory Standards CERT (comprehensive error rate testing) is a program administered by the Centers for Medicare & Medicaid Services (CMS) that utilizes Recovery Audit Contractors (RACs) to review medical records and identify potential billing errors. Traditional Medicare vs. Medicare Advantage vs commercial insurance).

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Documentation Admissions Discharges Billing 130

Valant

OCTOBER 23, 2024

CPT (Current Procedural Terminology) codes are essential for mental health professionals to accurately bill for psychotherapy services. These standardized codes ensure proper reimbursement and streamline the billing process for insurance companies and healthcare providers. What are CPT Codes for Psychotherapy?

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Billing Documentation Insurance Best Practices 59

Health Populi

MARCH 12, 2020

billion supplemental bill to deal with COVID-19; the bill includes some level of telehealth funding. How would you improve what’s in the bill to optimize the use of telehealth in this challenging public health moment? Q2 – – Some industry observers have called this, “telehealth’s big moment.” The President signed the $8.3

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Billing Best Practices Triage Hospital 122

Health Populi

JUNE 10, 2021

” Health Populi’s Hot Points: HIPAA, the Health Insurance Portability and Accountability Act, was signed into law in 1996 by President Bill Clinton. Ensuring that health care providers adopt best practices for data protection, bolstering patient consent and their digital literacy.

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HIPAA Diagnostics Best Practices Medication 173

ACMA Blog

JANUARY 17, 2024

Usually, these drugs are provided by hospitals or physicians’ offices who purchase the drugs directly from the wholesaler and bill the health insurance for the drug as well as the administration cost. This process is called buy-and-bill. We will also cover the best practices and recommendations for the buy-and-bill method.

Billing 40

Billing Best Practices Patient Care Collaboration 40

Northwest Career College

MARCH 18, 2024

Or are you considering entering the field of medical billing and coding? This article will explain the advantages of continuing education for those in medical billing and coding and hopefully encourage you to prioritize your professional growth as you progress through your career.

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Continuing Education Billing Medication Patient Satisfaction 40

Valant

AUGUST 20, 2024

Become familiar with the mandates and best practices that will contribute to a safe and effective treatment environment: Maintain confidentiality. Billing: Competent billing becomes even more important when managing reimbursement for multiple patients with differing insurance at the same appointment.

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Billing Scheduling Documentation Appointments 105

Valant

MARCH 30, 2024

Some even integrate the entire patient intake process, from prospective patient management , to intake paperwork, to scheduling, and all the way through to billing. Electronic forms allow practices to collect patient information digitally.

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Best Practices Medical History Communication Documentation 52

Health Populi

FEBRUARY 4, 2024

Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. According to the online Merriam-Webster dictionary , the first use of the phrase “health insurance” occurred in 1901. Consulting Noah Webster….and and ChatGPT.

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Collaboration Insurance Medication Billing 90

Valant

SEPTEMBER 5, 2024

From understanding billing to leveraging cutting-edge electronic health record (EHR) systems, here’s everything you need to know about group therapy reimbursement. But for group therapy, the bill itself may look different. It supports your claims and demonstrates compliance with insurance regulations. Integrated billing.

Documentation 52

Documentation Billing Follow-Up Best Practices 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. Common audit requirements help providers maintain practices that align with the highest standards of care.

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Billing Documentation Follow-Up Best Practices 52

Valant

APRIL 21, 2025

These controls allow practices to create granular permission levels, ensuring staff members can access exactly what they need for their roles, while protecting sensitive information. For example, staff members who handle billing need insurance information, but not detailed clinical notes. Assess security technology needs (e.g.,

HIPAA 52

HIPAA Patient Records Best Practices Documentation 52

Health Prime

DECEMBER 18, 2024

Five essential reports every medical practice should run 1. It categorizes unpaid patient invoices and insurance claims by age, typically in 30-day increments. Revenue Cycle Management (RCM) Report RCM reports provide a comprehensive view of your practices revenue cycle, from patient scheduling and billing to payment collections.

Medication 52

Medication Billing Documentation Appointments 52

ACI Medical & Dental School

JANUARY 14, 2025

Verify patient insurance information and process any necessary paperwork. Balance cash drawers and handle any billing or coding tasks as needed. Take note of best practices and tips they share. Document medical histories and reason for the visit. Prepare patients for examination by the physician.

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Medical Assistant Medication Vital Signs Scheduling 52

Medical Advantage

NOVEMBER 13, 2023

In this blog post, we will explore the importance of implementing cost containment initiatives and provide an in-depth look at the top healthcare best practices that can help reduce healthcare spending. Verification ensures that patients are covered by health insurance, minimizing the risk of unpaid claims.

Billing 52

Billing Insurance Patient Satisfaction Follow-Up 52

Medical Advantage

MARCH 19, 2024

From insurance companies to primary care providers, private equity firms, and Federally Qualified Health Centers (FQHCs), Medical Advantage has a deep appreciation for the invaluable services that physicians provide.

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Medication Follow-Up Best Practices Appointments 98

Health Prime

JANUARY 3, 2024

During the initial encounter, front-office staff should diligently collect and verify patient demographic details, insurance information, and other pertinent data. This ensures the accuracy of the patient’s record and streamlines subsequent billing and reimbursement processes.

Billing 52

Billing Insurance Communication Medication 52

Valant

JUNE 2, 2024

As a practice owner , you’re also responsible for the business aspects of your practice—financial management, human resources, marketing, and compliance with legal regulations. You’ll also need to manage, or at least oversee the management of, daily administrative tasks like scheduling, billing , and staff supervision.

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Communication HIPAA Patient Care Scheduling 102

Relias

FEBRUARY 28, 2025

Key sources of IHS funding The IHS is primarily funded by federal appropriations, along with grants, Medicaid and Medicare reimbursements, and third-party billing. Third-party billing Many IHS facilities generate additional revenue by billing private insurers for services provided to patients with coverage.

Billing 52

Billing Patient Safety Best Practices Follow-Up 52

Northwest Suburban College

JUNE 14, 2024

Quality Assurance Quality assurance is an essential aspect of pharmacy practice, and Pharmacy Technicians are vital in upholding these standards. Insurance and Billing Processing insurance claims and managing patient billing are additional responsibilities of Pharmacy Technicians.

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Customer Service Patient Safety Teamwork Insurance 52

CollaborateMD

SEPTEMBER 13, 2024

Billing Issues Medical bills can often be unclear. For example, bills may make it unclear if insurance covers a treatment. A lack of clarity about insurance coverage can delay treatments. Train Staff in Patient Relations Create best practices for talking to patients.

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Follow-Up Appointments Patient Satisfaction Billing 52

Valant

SEPTEMBER 10, 2024

The structured and evidence-based nature of Wiley Treatment Planners supports smoother insurance claim and reimbursement processes. Clear documentation of goals, objectives, and interventions helps explain the medical necessity of treatment, potentially reducing claim denials.

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Documentation Diagnostics Best Practices Collaboration 98

Valant

MARCH 1, 2024

Compliance with the Health Insurance Portability and Accountability Act ( HIPAA ) and other laws/regulations is mandatory. In addition, complying with HIPAA protects your patients, your practice, and helps you avoid fines and penalties. Those professionals will have important insights on how to start a therapy practice.

Billing 52

Billing Patient Centered Care HIPAA Follow-Up 52

Valant

FEBRUARY 24, 2024

Identifying areas of inefficiency helps practices shift resources to the areas of greatest need, enhancing patient satisfaction. Finally, accurate insurance reimbursement reports are essential for maximizing revenue and minimizing revenue cycle management challenges. For example: Define clear objectives and metrics to measure.

Billing 52

Billing Patient Satisfaction Appointments Scheduling 52

Relias

APRIL 27, 2023

Healthcare leaders face constant changes in regulations, billing rules, payer requirements, and technology. There are also qualitative benefits, like fewer billing complaints. Patient access and billing staff should send a consistent message to patients. Revenue cycle staff members then educate colleagues on best practices.

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Critical Thinking Follow-Up Billing Best Practices 52

Northwest Suburban College

MAY 7, 2024

– Billing and Insurance: Processing dental insurance claims, managing billing records, and addressing patients’ concerns regarding payment or insurance issues.

Vital Signs 52

Vital Signs Continuing Education Sterilization Appointments 52

Relias

JULY 4, 2023

Benefits of a well-balanced charge reconciliation sheet Timely charge reconciliation can help in the following ways: It identifies issues like underpayment, insurance denials, and pending bills. Ensure that every member of your revenue cycle management team is performing with current knowledge and best practices.

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Follow-Up Medical Coding Documentation Best Practices 52