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Preparing for CERT Audits and Practicing Compliant Documentation

EvidenceCare

This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. This section delves into the specific criteria and expectations set by CERT audits, emphasizing the need for meticulous attention to detail and documentation accuracy.

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The impact of coding errors on medical billing: How to avoid common pitfalls 

Health Prime

Your practice should consider the importance of the medical coding process when ensuring healthcare providers collect all money due to services rendered. Every code entered, every diagnosis documented, and every procedure billed must be meticulously coded to ensure proper reimbursement and compliance with regulations.

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6 Best Practices for Efficient Medical Billing in Gastroenterology 

Health Prime

This rapid growth must encourage gastroenterology practices to ensure a streamlined revenue cycle and maximize reimbursements. Therefore, adopting best practices in medical billing is essential. Best practices for efficient gastroenterology medical billing 1.

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Hospital Coding Accuracy: Best Practices for Error-Free Claims

Coronis Health

Best practices in hospital billing and coding processes are key to guiding coders as they navigate the complexities of chart documentation. Revision of the Medicare Physician Fee Schedule, changing the way providers are reimbursed for evaluation and management services, which affects coding and documentation requirements.

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Understand your Revenue Cycle to set your medical practice for success 

Health Prime

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.

Billing 105
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Navigating Complex Payer Rules in Behavioral Health: A Guide for Providers and Billers

Valant

Understanding Complex Payer Rules in Behavioral Health The rules that payers set dictate how much and what type of information clinicians gather on patients, which billing codes to use, how to document treatment, and which treatments are covered. Heavier documentation. Develop documentation processes. Mental health parity laws.

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10 key aspects for minimizing underpayments and maximizing revenue 

Health Prime

Implement robust coding and documentation practices Accurate medical coding and detailed documentation are crucial elements in preventing underpayments. Therefore, it is important to ensure your staff is well-trained in coding practices and emphasize the importance of thorough documentation to support the services provided.

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