Health Prime

FEBRUARY 5, 2025

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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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

Valant

MAY 2, 2024

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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Health Prime

DECEMBER 18, 2024

It categorizes unpaid patient invoices and insurance claims by age, typically in 30-day increments. 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.

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CollaborateMD

DECEMBER 10, 2024

Understanding the Challenges in Claims Processing Errors in medical claims processing have traditionally posed significant challenges for hospitals, insurers, and patients alike. Manual methods are prone to: Human Error : Misfiled billing codes, missing data, and inaccuracies are common with manual input, according to one report.

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Health Prime

AUGUST 29, 2024

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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Health Prime

OCTOBER 10, 2024

As mental health demand continues to grow exponentially , it is equally important for mental health providers to optimize their billing practices to ensure fair and timely reimbursements, enabling them to continue delivering high-quality patient care. Strategies to improve your mental health reimbursements 1.

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Billing Medical Coding Documentation Insurance 97

Northwest Suburban College

DECEMBER 6, 2024

Medical billing and insurance processing are essential skills for aspiring medical assistants. Both medical billing and insurance processing require attention to detail and strong communication skills. Knowing these codes is essential for accurate billing. Once coded, the information is used to prepare a claim.

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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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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.

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The HIPAA Journal

JULY 4, 2024

Gaia Software Gaia Software, a provider of electronic medical record and billing management software services to Americare Renal Center, has mailed notification letters to patients whose protected health information was compromised in a February 2024 cyberattack.

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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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The HIPAA Journal

APRIL 1, 2025

Individuals who were sent a notification that they were affected by the data breach may submit a claim for reimbursement of documented losses incurred as a result of the data breach up to a maximum of $10,000. Under the terms of the settlement, a $3.15

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Coronis Health

JULY 10, 2024

Test your knowledge and identify areas for improvement in your medical billing process! Do you ever encounter situations where claims are denied due to typos or missing information in patient demographics or insurance details? Coronis Can Help: Our medical billing specialists have extensive knowledge and experience with medical coding.

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Billing Medication Documentation Medical Coding 52

CollaborateMD

MAY 25, 2023

Oncology medical billing is the process of submitting claims to insurance companies or other payers for oncology-related billing services associated with cancer management. Oncology medical billing requires understanding medical coding to run a successful oncology practices. What is Oncology Medical Billing?

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Valant

AUGUST 2, 2024

In addition, it’s important to be able to obtain prior authorization from insurance and track prescription statuses. Billing and Coding Support A good EHR can help you avoid common billing errors for a smoother, more dependable revenue cycle. Communication with patients is a key part of this.

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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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Health Prime

JUNE 22, 2023

Medical billing plays a crucial role in the success of any healthcare practice, and gastroenterology is no exception. Gastroenterologists face unique challenges with medical billing due to the complex nature of their specialty. Therefore, adopting best practices in medical billing is essential. Billion by 2032.

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Valant

MARCH 2, 2024

For behavioral health practices, transitioning to in-house billing for mental health services can be extremely beneficial. In-house billing can boost efficiency, reduce spending, improve revenue streams, and simplify compliance—even with ever-evolving regulations. What inefficiencies exist? What areas can be improved?

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Billing Documentation Follow-Up Insurance 52

CareerStep

NOVEMBER 14, 2023

If you’ve ever considered a job in healthcare but don’t want to work directly with patients, medical billing and coding may be a good fit! Medical billing and coding professionals are aging out–as in retiring–and there aren’t enough qualified people to replace them. They’re used for billing and insurance reasons.

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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.

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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.

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Valant

OCTOBER 23, 2024

CPT (Current Procedural Terminology) codes are essential for mental health professionals to accurately bill for psychotherapy services. These standardized codes ensure proper reimbursement and streamline the billing process for insurance companies and healthcare providers. What are CPT Codes for Psychotherapy?

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Relias

APRIL 28, 2022

Many participants have a role to play in the revenue cycle, and at each stage they must employ their specialized knowledge of how that patient interaction and service is documented in the patient’s health record. How Clinical Documentation Integrity Affects Revenue. CDI Affects More Than Financial Health.

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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.

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Valant

AUGUST 20, 2024

Documentation: How will you document the group session along with assessing each individual as needed? Billing: Competent billing becomes even more important when managing reimbursement for multiple patients with differing insurance at the same appointment.

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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.

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HIPAA Billing Medication Best Practices 52

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.

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Documentation Billing Follow-Up Best Practices 52

Health Prime

JUNE 22, 2023

Medical billing plays a crucial role in the success of any healthcare practice, and gastroenterology is no exception. Gastroenterologists face unique challenges with medical billing due to the complex nature of their specialty. Therefore, adopting best practices in medical billing is essential. Billion by 2032.

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Best Practices Billing Medication Documentation 40

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.

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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.

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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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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.

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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?

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DrChrono

APRIL 16, 2014

You can enroll to submit medical claims and bill health insurance companies electronically within the drchrono platform via the electronic data interchange enrollment ( EDI ). In doing this you can submit claims electronically to any insurance company to get paid. Want to know more about EDI?

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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.

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ACI Medical & Dental School

JANUARY 14, 2025

Document medical histories and reason for the visit. Verify patient insurance information and process any necessary paperwork. Ensure all patient records are up to date and accurately documented. Balance cash drawers and handle any billing or coding tasks as needed. Prepare patients for examination by the physician.

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