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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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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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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.

Billing 94
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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 99
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Therapy Notes vs. Progress Notes

Valant

What’s the difference between them, and is your practice compliant with the privacy regulations for each type? Failing to follow best practices for therapy notes and progress notes can have legal and professional repercussions. What are Therapy Notes? Therapy notes are a clinician’s private record of their patient encounters.

HIPAA 98
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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.

HIPAA 98
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Should You Use Wiley Treatment Planners?

Valant

This allows practitioners to spend more time on direct client care and less time on documentation. The planners are grounded in evidence-based practices (EBP) , incorporating current research and clinical guidelines. This leads to more efficient documentation processes and better overall practice management.