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A Health Consumer Bill of Rights: Assuring Affordability, Access, Autonomy, and Equity

Health Populi

That’s the mantra coming out of this week’s annual Capitol Conference convened by the National Association of Benefits and Insurance Professionals (NABIP). health economy includes employers, unions, public sector plans and other groups as well as the Patient as Payor — thus prompting NABIP’s Bill of Rights.

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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

In the intricate world of medical billing, accuracy is paramount. Every code entered, every diagnosis documented, and every procedure billed must be meticulously coded to ensure proper reimbursement and compliance with regulations. Increased denials: Insurance companies are quick to deny claims with coding errors.

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Your Billing Assistant: Using Artificial Intelligence for Medical Billing 

CollaborateMD

One of the most effective is artificial intelligence medical billing. If you’re considering integrating AI into medical billing, keep reading to understand how it works. 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%.

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3 Ways to Get Credentialed with Insurance Companies

Valant

Insurance credentialing is an important, intricate process that results in you becoming a “paneled,” in-network provider for a health insurance plan. In this article, we will explain how to get credentialed with insurance companies using the three most common methods. Blog What Is an Insurance Panel? Medicare ).

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3 common errors in claim submission 

Health Prime

Medical insurance claim submission is a critical step in the medical billing process. It determines the reimbursement the healthcare provider will receive from the insurance company. This includes errors in patient names, dates of birth, insurance policy numbers, and other personal details.

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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.

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