The HIPAA Journal

APRIL 25, 2024

The exposed and stolen data included contact information, Social Security numbers, driver’s license numbers, financial information, health insurance information, medical records, medical histories, diagnoses/conditions, and health insurance information.

Medication 120

Medication HIPAA Medical History Best Practices 120

Health Prime

JUNE 13, 2024

Consequences of coding errors for your practice : Payment delays: Incorrect codes can lead to delays in insurance companies’ payments, disrupting cash flow and affecting the financial stability of healthcare providers. Increased denials: Insurance companies are quick to deny claims with coding errors.

Billing 105

Billing Medical Coding Medication Best Practices 105

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

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. At Health Prime, we can help!

Best Practices 40

Best Practices Billing Medication Documentation 40

Health Populi

AUGUST 24, 2022

To explain this surprising finding, the researchers explain the methodology for this analysis: using data from claims in commercially-insured PPO among a largely working-age (younger) population which potentially left out patients with cancer consuming high-cost end-of-life care.

Medication 117

Medication Insurance Best Practices 117

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

The HIPAA Journal

MAY 2, 2024

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.

HIPAA 111

HIPAA Follow-Up Best Practices Documentation 111

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.

Billing 105

Billing Medication Follow-Up Appointments 105

Valant

MARCH 30, 2024

Electronic forms allow practices to collect patient information digitally. These can include fields for demographic information, medical history, insurance details, and consent forms. EHRs play a crucial role in safeguarding patient privacy with security measures such as encryption, access controls, and secure messaging.

Best Practices 52

Best Practices Medical History Communication Documentation 52

Open Dental

MAY 30, 2024

Learn about reactivating patients who haven't been in for a while, best practices when a patient declines treatment (or treatment options), how to handle patient insurance changes, and security permission errors. Time for more tips! The post Tips & Tricks #45 appeared first on Open Dental Blog.

Best Practices 59

Best Practices Insurance 59

Health Populi

MARCH 11, 2021

2021 is the 20th anniversary of the University of Michigan Center for Value-Based Insurance Design (V-BID). On March 10th, V-BID held its annual Summit, celebrating the Center’s 20 years of innovation and scholarship. The Center is led by Dr. Mark Fendrick, and has an active and innovative advisory board.

Insurance 101

Insurance Billing Best Practices Collaboration 101

Valant

JULY 16, 2024

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

HIPAA Documentation Appointments Follow-Up 98

Northwest Career College

OCTOBER 28, 2024

Confirm Appointments It’s best practice to provide patients with reminder or confirmation calls the day before their appointment. If you confirm proper contact information, insurance information, and changes to their medical history in advance, it can make the day of the appointment much smoother.

Appointments 40

Appointments Scheduling Medical History Follow-Up 40

CollaborateMD

AUGUST 5, 2024

Then review best practices in implementing AI into medical billing. An analysis by KFF found that insurance denial rates could be as high as 49%. Transforming your practice’s technology may receive pushback from some staff. If you’re considering integrating AI into medical billing, keep reading to understand how it works.

Billing 98

Billing Medication Best Practices HIPAA 98

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.

HIPAA 173

HIPAA Diagnostics Best Practices Medication 173

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. Like speaking “American,” health insurance in the U.S.

Collaboration 90

Collaboration Insurance Medication Billing 90

Valant

OCTOBER 23, 2024

These standardized codes ensure proper reimbursement and streamline the billing process for insurance companies and healthcare providers. They are used for billing purposes and help insurance companies determine appropriate reimbursement rates for different types of therapy sessions. What are CPT Codes for Psychotherapy?

Billing 59

Billing Documentation Insurance Best Practices 59

Pulmonology Advisor - Practice Management

MAY 17, 2024

An update to the Health Insurance Portability and Accountability Act (HIPAA) Security Rule is now underway with new cybersecurity requirements. In addition, the Department of Health and Human Services (HHS) is issuing new guidance for health care providers to help better prepare them on how best to respond to cyber threats.

HIPAA 108

HIPAA Hospital Insurance Best Practices 108

Health Prime

MAY 30, 2024

Engage in regular training and continuing education The healthcare industry is dynamic and staying informed about regulatory changes and industry best practices is essential. Seek professional assistance if needed Underpayment challenges are trending up as the insurance and healthcare industries become more complex.

Billing 105

Billing Documentation Continuing Education Medical Coding 105

Minority Nurse

OCTOBER 23, 2023

.” Oliva says that he has a particular affinity for those who want to learn how to save for retirement and plan for life events, but who may not have an understanding of financial planning best practices. Insurance products and services are offered and sold through individually licensed and appointed insurance agents.

Follow-Up 86

Follow-Up Insurance Best Practices Appointments 86

Health Populi

APRIL 23, 2024

In this health consumer update, McKinsey spoke with three consumer marketing experts from other industries to learn best practices on how best to “be there” for consumers — in other words, meeting people where they are. The first bar chart from the report tells us that most U.S.

Best Practices 83

Best Practices Appointments Scheduling Insurance 83

Arkenea

OCTOBER 16, 2024

Healthcare website accessibility tools and best practices help hospitals to up their accessibility game and design a compliant site for users. It also highlights best practices for accessibility, along with tips on how to make an accessible healthcare website. percent were non-compliant.

Best Practices 84

Best Practices Communication Tests Hospital 84

EvidenceCare

APRIL 16, 2024

Traditional Medicare vs. Medicare Advantage vs commercial insurance). Here are some best practices for preparing the team: Mock Audits: Conduct periodic mock audits to identify areas for improvement and familiarize staff with the audit process. This helps reduce anxiety and allows staff to practice their responses.

Documentation 130

Documentation Admissions Discharges Billing 130

NHA Now

APRIL 22, 2020

Possessing the most up-to-date knowledge of best practices can give you an opportunity to: Excel in your role as you show strong skills and efficiencies Showcase leadership skills when you help others who may need more support Offer ideas and expertise to help refine processes You can help improve patient (and employer) satisfaction.

Certification 52

Certification Best Practices Patient Satisfaction Patient Safety 52

Health Populi

MARCH 12, 2020

Teladoc has put protocols in place to identify and report cases, best practices for educating and preparing a health system’s patient population, and the role of virtual care in minimizing exposure to potentially contagious viruses. Q4 – How has the ATA been responding to the coronavirus phenomenon?

Billing 122

Billing Best Practices Triage Hospital 122

ACI Medical & Dental School

JANUARY 14, 2025

Verify patient insurance information and process any necessary paperwork. Take note of best practices and tips they share. Document medical histories and reason for the visit. Prepare patients for examination by the physician. Administrative Duties: Greet patients as they arrive, check them in, and update their medical records.

Medical Assistant 52

Medical Assistant Medication Vital Signs Scheduling 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.

Medication 98

Medication Follow-Up Best Practices Appointments 98

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.

Documentation 98

Documentation Diagnostics Best Practices Collaboration 98

Relias

OCTOBER 8, 2021

WFMH’s mission is to promote the advancement of mental health awareness, prevention of mental disorders, advocacy and best practices, and recovery-focused interventions worldwide. The high cost of mental health treatment, including insufficient insurance coverage, was also highlighted in the study.

Best Practices 98

Best Practices Insurance 98

Health Prime

JULY 18, 2024

Denial management refers to identifying, analyzing, and resolving denied claims from insurance companies or payers. It’s vital because denied claims directly impact a medical practice’s revenue stream. By effectively managing denials, practices can minimize revenue loss and improve cash flow.

Billing 105

Billing Patient Satisfaction Documentation Medication 105

Minority Nurse

NOVEMBER 22, 2023

Shelise Valentine, RNC, MSN, C-EFM, CPPS, CPHRM, is the Director of Clinical Education, Healthcare Risk Advisors, part of TDC Group and chairs nursing, co-chairs obstetric and simulation initiatives, and directs risk management and obstetric education for insured hospital clients to improve patient safety and reduce malpractice risk.

Unit Organization and Environment 59

Unit Organization and Environment Patient Safety Hospital Best Practices 59

Valant

APRIL 17, 2024

Not only is it a map for treating a client, it is necessary for compliance with insurance and governmental mandates. However, managing these plans at scale is a complex task that often creates headaches for clinicians and directors in large outpatient behavioral health practices.

Documentation 102

Documentation HIPAA Best Practices Collaboration 102

Valant

JUNE 2, 2024

Don’t forget liability and malpractice insurance, which will help protect you from expenses in the case of lawsuits or claims filed against your practice. This includes monitoring patient outcomes, implementing best practices, and seeking feedback from patients and staff.

Communication 102

Communication HIPAA Patient Care Scheduling 102

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

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.

Billing 52

Billing Documentation Follow-Up Best Practices 52

Guideway Care

APRIL 18, 2024

In addition, regulatory bodies and insurance providers use these scores to assess the standard of care hospitals provide. A hospital can have high-quality scores because of excellent clinical results and follow best practices but still receive low patient satisfaction scores.

Patient Satisfaction 52

Patient Satisfaction Customer Service Hospital Patient Experience 52

Relias

MARCH 5, 2024

Whether its events in the wider world, new processes in the organization, or differing treatment options for clients, it’s important to stay abreast of best practices in the field. Beyond enhancing security, your organization can also further educate staff and clients on telehealth best practices.

Best Practices 52

Best Practices Continuing Education Communication Follow-Up 52