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Medical billing audits: A proactive approach to compliance and revenue protection 

Health Prime

Medical billing audits are a great tool for achieving compliance and safeguarding revenue. Also, third-party payers conduct billing audits through their employees or their agents. Fraud Avoidance: Either billing errors or fraudulent activities committed on your part can lead to criminal prosecution and a tainted public image.

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3 essential tasks for wrapping up your medical billing for the New Year   

Health Prime

Being so close to the New Year, it is of high importance that your medical practice finishes its medical billing in good time. Here are three essential tasks to help you wrap up your medical billing for the New Year: 1. Here are three essential tasks to help you wrap up your medical billing for the New Year: 1.

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Simplifying Compliance: How Medical Billing Services Keep You Audit-Ready

CollaborateMD

Healthcare practices are often plagued with medical billing compliance questions like: “Am I upcoding?” ” With all of these concerns, it’s vital that providers and billing departments understand and follow the key elements of proper medical billing compliance to run a successful practice.

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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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5 common billing challenges faced by medical practices and how to address them   

Health Prime

Medical billing is a vital yet often overlooked aspect of practice management in the dynamic healthcare landscape, where the primary focus is on providing quality patient care. However, amid the intricacies of coding regulations, payer policies, and administrative tasks, medical practices encounter many challenges in the billing process.

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5 reports that you can run to monitor your medical practice

Health Prime

To take action, follow up promptly on overdue accounts, review and optimize your billing processes to reduce delays, and consider implementing automated reminders for patients and insurance companies. They help you track the efficiency of your billing processes and identify potential bottlenecks.

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A Complete Guide to Medical Insurance Credentialing 

CollaborateMD

It’s so time-consuming and cumbersome that states like California are considering a bill to simplify the process. The medical insurance credentialing process ensures providers meet specific standards and qualifications set by private insurers, like Medicare or Medicaid, allowing them to bill for services given to patients.