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A Complete Guide to Medical Insurance Credentialing 

CollaborateMD

Whether you’re a physician starting a practice or a healthcare provider working to expand patient access, getting medical insurance credentialing is vital. RELATED ARTICLE: Optimizing Insurance Payer Reimbursement with RCM Services What is Medical Insurance Credentialing? Let’s dive in.

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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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5 reports that you can run to monitor your medical practice

Health Prime

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.

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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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BioPlus Specialty Pharmacy Services Proposes Settlement to Resolve Data Breach Lawsuit

The HIPAA Journal

Hackers gained access to the BioPlus network for more than 2 weeks between October and November 2021, and potentially stole names, dates of birth, contact information, health insurance information, prescription information, and Social Security numbers. The maximum claim permitted depends on whether Social Security numbers were compromised.

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