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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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Running Your New Practice: 4 Functions to Consider Outsourcing and Hiring For

Valant

There are four critical functions that practitioners should evaluate for outsourcing or hiring: billing, payroll, insurance credentialing, and human resources (HR). Efficient billing ensures timely reimbursement for services provided, essential for maintaining cash flow and sustaining practice operations.

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Transparency in Healthcare: How Consumers Are Taking Control of Their Medical Information

Scrubs

Under HIPAA’s privacy rule, all patients have the right to inspect, review, and receive a copy of their medical records and billing records that are held by health plans and health care providers. Getting access to your medical records isn’t always easy. However, state laws and provider regulations can complicate this process.

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Meeting Psychiatrists’ Technical Needs: A Practice Owner’s Guide to EHR

Valant

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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The Impact of Falling Interest Rates and Lower Inflation on Your Behavioral Health Practice

Valant

This could lead to improved efficiency in billing and collections processes. Insurance Reimbursement Changes: While not directly tied to interest rates, a more stable economic environment might influence insurance companies’ reimbursement policies , potentially benefiting providers.

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What Your Private Practice Operating Budget Should Look Like

Valant

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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Billing & Coding Career Trends to Know for 2020

NHA Now

At NHA, we always strive to provide information to support frontline healthcare workers like billing & coding specialists on their path to success, which is why we recently surveyed hundreds of healthcare employers to discover insights to help lead us into 2020 and beyond. Be sure to download your copy of the full summary here!

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