Valant

SEPTEMBER 5, 2024

Group therapy involves unique documentation and coding practices that can significantly impact your bottom line. From understanding billing to leveraging cutting-edge electronic health record (EHR) systems, here’s everything you need to know about group therapy reimbursement. Implement standardized documentation.

Documentation 52

Documentation Billing Follow-Up Best Practices 52

Northwest Career College

APRIL 19, 2024

As we delve into the realm of the top medical billing software of 2024, you will discover a new set of tools that can empower you, as a medical billing and coding practitioner, to handle your billing responsibilities with increased confidence and efficiency. What is Medical Billing Software?

Billing 40

Billing Medication Documentation HIPAA 40

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 94

Billing Medication Follow-Up Appointments 94

Valant

JULY 25, 2024

Usage Guidelines Session Duration: While the official description specifies 50 minutes, you can bill for sessions lasting a minimum of 26 minutes. Always document the actual time spent to ensure accurate billing. If you’re unsure, consider hiring a billing service for licensed mental health professionals.

Billing 52

Billing Documentation Insurance Communication 52

CollaborateMD

JANUARY 3, 2024

In today’s digital age, medical billing software plays a vital role in streamlining the billing process and improving patient care. HIPAA compliance is a crucial aspect of any medical billing software. It will also help you ensure that the medical billing software you select is compliant with HIPAA requirements.

HIPAA 52

HIPAA Billing Medication Best Practices 52

Health Prime

MAY 30, 2024

Moreover, identifying underpayments facilitates the detection of billing errors, improves payer relations, and fosters a culture of accountability within the organization. Identifying patterns of underpayment and scrutinizing each claim for accuracy is a critical step in improving your billing processes.

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Billing Documentation Continuing Education Medical Coding 76

Valant

SEPTEMBER 3, 2024

Understanding EHRs in Behavioral Health An EHR built for behavioral health can help you with treatment planning , progress monitoring, outcome measures, telehealth , billing , and more. Behavioral health billing codes are also complex, and insurance claims and authorizations may be more difficult to secure.

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Appointments Billing Documentation Scheduling 52

MedCerts

JULY 3, 2024

Each office has unique needs, so part of your role might also include billing or patient communication — whether in person, by email or over the phone. Regardless of the specifics, you’ll collaborate with other team members to streamline office tasks and ensure patients, medical professionals and insurance companies are on the same page.

Medical Terminology 81

Medical Terminology Bookkeeping Billing Insurance 81

Health Prime

JULY 18, 2024

Denial management is crucial in medical billing, ensuring healthcare providers receive rightful reimbursement for their services. Denial management refers to identifying, analyzing, and resolving denied claims from insurance companies or payers. What is denial management, and why is it important?

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Billing Patient Satisfaction Documentation Medication 77

EvidenceCare

JANUARY 12, 2024

For admitting clinicians, the key lies in distinguishing between genuine medical necessity and social admissions, ensuring meticulous documentation and rightful reimbursement. A crucial challenge arises when what may initially appear as a social admission could genuinely be medically necessary, yet the documentation lacks precision.

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Admissions Documentation Outpatient Care Hospital 130

Healthcare Dive - Practice Management

JUNE 10, 2024

From 2020 to 2022, CityMD falsely documented insured patients as uninsured before fraudulently billing the federal government for their COVID-19 care, according to regulators. CityMD denies the allegations.

Documentation 45

Documentation Billing Insurance 45

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. Compliance with audit requirements fosters trust and credibility with patients, insurers, and regulatory bodies.

Billing 52

Billing Documentation Follow-Up Best Practices 52

NHA Now

AUGUST 11, 2020

The top three most important soft skills for billing & coding specialists are professionalism, dependability , and critical thinking , according to a recent survey of employers for our 2020 Industry Outlook. Here are some examples of how the top soft skills for billing & coding specialists can impact this role.

Billing 52

Billing Critical Thinking Insurance Certification 52

Valant

MARCH 20, 2024

Reduced revenue or profitability can be the result of missed billing opportunities, inefficient billing processes , or changes in insurance reimbursement rates, among other things. Financial considerations are one of the main reasons why some practices consider transitioning to in-house billing.

Billing 52

Billing Communication Documentation Patient Satisfaction 52

Practice Management Institute

FEBRUARY 14, 2024

H ealthcare administration can be a fulfilling and stable professional path for new career-climbers that are attracted to the business side of medicine – patient administration, medical coding, billing, auditing, office management, and compliance.

Medical Coding 52

Medical Coding Medication Certification Billing 52

Coronis Health

AUGUST 31, 2023

The Role of Hospital Coding in Revenue Cycle Management Hospital billing and coding serve as the backbone of revenue cycle management. Medical codes are used to support the claims sent to a patient’s insurance provider, and claims paid by patients and/or insurance companies drive the financial operations of medical organizations.

Hospital 52

Hospital Medical Coding Billing Documentation 52

Valant

MAY 2, 2024

There are a number of factors to consider, such as service fees, patient volume, and reimbursement rates from insurance providers. Examples of overhead costs include rent, utilities, insurance premiums, administrative salaries, and software subscriptions. An operating budget has fixed, variable, and isolated costs.

Documentation 102

Documentation Patient Care Billing HIPAA 102

Valant

JANUARY 16, 2024

Auto-generating narratives, check boxes, and the ability to pull material forward from a previous note all make it easier to capture and document info quickly. This means less time spent on documentation between sessions—a task which significantly contributes to most clinicians’ nonbillable hours.

Patient Care 52

Patient Care Billing Documentation Appointments 52

Valant

APRIL 2, 2024

An EHR that is specifically intended for behavioral health practices can offer important features, such as better clinical documentation, tailored billing functionality, and a high-quality patient portal. How intuitive is the user interface for clinical documentation and treatment plans?

Billing 40

Billing Documentation Scheduling Communication 40

DrChrono

MARCH 13, 2024

Front office staff need to know how to check patients’ insurance. Doctors and nurses must know and document the correct codes when they prescribe treatment. Billing staff must be able to properly process claims and follow up on payments. That’s why it’s crucial that all your staff members understand their part in the process.

Follow-Up 40

Follow-Up Documentation Billing Insurance 40

DrChrono

FEBRUARY 23, 2024

Front office staff need to know how to check patients’ insurance. Doctors and nurses must know and document the correct codes when they prescribe treatment. Billing staff must be able to properly process claims and follow up on payments. That’s why it’s crucial that all your staff members understand their part in the process.

Follow-Up 40

Follow-Up Documentation Billing Insurance 40

EvidenceCare

APRIL 16, 2024

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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Documentation Admissions Discharges Billing 130

Valant

SEPTEMBER 10, 2024

This allows practitioners to spend more time on direct client care and less time on documentation. This leads to more efficient documentation processes and better overall practice management. This integration can reduce data entry time, minimize errors, and ensure consistency across all client documentation.

Documentation 52

Documentation Diagnostics Best Practices Collaboration 52

Health Prime

FEBRUARY 7, 2024

Establish a robust system that verifies insurance information before the appointment. According to a Mad*Pow research report , 61% of patients are confused by their medical bills. The report also stated that most of them identified providers or their billing department as the root cause of their frustration and errors.

Billing 52

Billing Follow-Up Communication Insurance 52

Medical Terminology Blog

DECEMBER 12, 2023

Have access to healthcare documents. Navigating Healthcare Systems – helps you navigate complex healthcare systems, insurance forms, and medical billing statements more effectively. You probably: Have contact between you and your provider online. Need to be your advocate to get the best care.

Medical Terminology 52

Medical Terminology Medication Documentation Communication 52

ACMA Blog

MAY 21, 2024

However, navigating the complexities of RCM can be challenging, with billing errors, claim denials, and inefficiencies leading to financial losses and administrative burden. Detecting and Correcting Billing Errors Billing errors are a prevalent issue in healthcare, often resulting in delayed or denied reimbursements.

Billing 40

Billing Documentation Patient Satisfaction Patient Experience 40

Health Prime

MARCH 6, 2024

Additionally, patients can address billing inquiries, view statements, and understand their financial responsibilities, promoting transparency in the billing process. Consequently, this reduces the likelihood of errors in documentation and ensures that the practice has the most up-to-date information.

HIPAA 73

HIPAA Communication Appointments Billing 73

Southern Careers Institute

MAY 19, 2020

It is also used by billing specialists and medical coders as well as insurance companies to document conditions, process claims, and enable patients to apply for their insurance coverage. Medical terminology is used every day throughout the healthcare industry by doctors, nurses, pharmacists, and medical assistants.

Medical Terminology 52

Medical Terminology Medication Medical Assistant Billing 52

ACMA Blog

JUNE 25, 2024

It is the insurance or payers’ way of controlling costs by approving or denying certain medications, procedures, or devices that may not usually be covered or is on a higher tier on the formulary. Clinical Documentation Specialist (CDS): A CDS can help in the PA process by accurately documenting patient records.

Documentation 40

Documentation Medical Assistant Certification Insurance 40

ACI Medical & Dental School

MARCH 9, 2024

Recording important patient information, including insurance information. Assisting with billing and coding , and updating electronic health records (EHR). Obtaining necessary documents from patients and preparing paperwork. Knowledge of medical billing and coding processes. Data entry accuracy and speed.

Medical Secretary 52

Medical Secretary Medication Medical Terminology Problem Solving Skills 52

Scrubs

JULY 23, 2023

Switching Careers If you’re no longer in love with nursing, here’s what ex-nurses had to say: I used to work for one of the huge health insurance companies in my state. If you don’t want to have to do additional schooling to switch careers, I highly recommend looking at health insurance companies for your next gig.

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Hospital Insurance Medication Appointments 190

Scrubs

NOVEMBER 2, 2023

At the same time, they manage administrative tasks such as scheduling appointments, billing, and maintaining patient records. This knowledge is essential for accurately handling patient records, insurance claims, and other healthcare-related documents.

Medical Assistant 147

Medical Assistant Medical Administrative Assistant Medication Medical Terminology 147

Northwest Career College

SEPTEMBER 18, 2024

Importance of Confidentiality Laws such as the Health Insurance Portability and Accountability Act protect patient confidentiality. In other words, as a dental administrative assistant, you will only be accessing information about a patient for scheduling, billing purposes, or any other reason listed as an administrative duty.

Best Practices 40

Best Practices HIPAA Patient Records Documentation 40

The HIPAA Journal

JULY 9, 2024

Change Healthcare is still conducting the document review to determine exactly which individuals have had their data exposed or stolen, and notification letters are expected to be mailed on behalf of its clients by the end of the month.

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Triage HIPAA Documentation Billing 88

Healthcare Law Insights blog

AUGUST 28, 2023

Evaluation and management (E/M) services have been called “the core” of healthcare billing. [1] 1] E/M is a catch-all claim, allowing medical professionals to bill for diagnosing or treating nearly any illness or injury. 6] It also appears that Dr. Jan. 11, 2023). [4] 5] Id. , ¶ 30f. [6] 6] Id. , ¶ 30g. [7]

Billing 52

Billing Tests Documentation Insurance 52

CollaborateMD

AUGUST 5, 2024

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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Billing Medication Best Practices HIPAA 98

Arkenea

AUGUST 15, 2024

They store protected health information (PHI), and aid providers in documentation process. EMR software conveniently offers access to medical records, helps with appointments, and generates billing. With EMR API integration, organizations can streamline billing, appointment booking, and more such processes.

HIPAA 40

HIPAA Appointments EHR / EMR Billing 40