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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

If your practice doesnt carry out the process efficiently, patients will be stuck waiting for treatment. If they feel that insurance coverage will be confusing, they may opt out of treatment rather than risk an unexpected bill. Best Practices for Compliance and Reimbursement Great software by itself wont secure success.

Billing 87
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Should You Use Wiley Treatment Planners?

Valant

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.

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10 Frequently Asked Questions (FAQ) About Denial Management 

Health Prime

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
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How to Maximize Your Reimbursement for Group Therapy Sessions

Valant

It supports your claims and demonstrates compliance with insurance regulations. Follow these best practices for documenting group treatment: Be specific. Check eligibility for each patient up front to prevent insurance snafus. Reach out to your EHR vendor to see if they provide training on reimbursement best practices.

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Transform Your Workflow: How Wiley Treatment Planners Enhance Care and Save Time

Valant

By providing access to up-to-date, research-supported interventions, the planners ensure that patients receive care aligned with current best practices and guidelines. Well-documented, compliant treatment plans provide clear justification for services rendered, reducing the likelihood of claim denials from insurance companies.

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How EHR Reporting Helps Identify Areas of Improvement for Your Practice

Valant

To optimize staff levels and allocate resources effectively, practice managers need to have accurate insights into the practice’s operations. Identifying areas of inefficiency helps practices shift resources to the areas of greatest need, enhancing patient satisfaction.

Billing 52