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How to Streamline Your Medical Claims Management Process for Better Results 

CollaborateMD

Challenges of Healthcare Claims Processing A medical claim is a request made by a healthcare provider to insurance companies (payer) to receive reimbursement for services rendered. It hinges on streamlined healthcare operations, including how your medical practice handles insurance claims. Easy, right? Claims scrubbing.

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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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Verisource Services Increases Data Breach Victim Count to 4 Million

The HIPAA Journal

Verisource Services, an employee benefits administration service provider, has determined that a previously announced data breach was far worse than initially thought and has affected up to 4 million individuals.The Houston, Texas-based company detected a hacking incident on February 28, 2024, that disrupted access to some of its systems.

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AllCare Plus Pharmacy Settles Class Action Data Breach Lawsuit

The HIPAA Journal

The review of the account confirmed it contained names, addresses, birth dates, Social Security numbers, drivers license and other ID numbers, financial information, and limited health and health insurance information related to treatment and prescriptions. The breach was reported to the Maine Attorney General as affecting 5,971 individuals.

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BioPlus Specialty Pharmacy Services Proposes Settlement to Resolve Data Breach Lawsuit

The HIPAA Journal

BioPlus Specialty Pharmacy Services has proposed a settlement to resolve a class action lawsuit that was filed in response to a 2021 data breach that exposed the data of up to 350,000 patients. The Florida specialty pharmacy chain notified the affected individuals within a month and offered them complimentary credit monitoring services.

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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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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.