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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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6 aspects to consider when choosing the right medical coding partner for your practice 

Health Prime

Selecting the right coding partner is crucial for your practice’s success, efficiency, and compliance. The accuracy of medical coding is paramount for efficient revenue cycle management and ensuring adherence to the regulations governing the healthcare industry.

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How to Streamline Your Medical Claims Management Process for Better Results 

CollaborateMD

Typically, a claim includes: Patient registration Prior authorization Charge entry Medical coding Claim submission Once the provider submits a claim to the payer, they review the claim to determine whether it meets reimbursement requirements or adjudication. Not if you ask billing managers. Easy, right? Now, the positive news.

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What Is Medical Coding?

Prism Career Institute

While doctors, practical nurses , medical assistants , and other healthcare professionals have significant encounters with patients, they aren’t the only ones who have an impact on the process. Those who have chosen medical coding and billing career paths are relied upon to help facilities manage patient visits and procedures.

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5 strategies for mental health providers to enhance reimbursements 

Health Prime

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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Revenue vs Practice Optimization: What is the difference? 

Health Prime

Medical practices and billing services constantly seek ways to enhance efficiency and financial performance. ” While they may sound similar, understanding their distinctions is crucial for healthcare providers and billing professionals. Analyze denial patterns to identify root causes and implement corrective measures.

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Medical Billing & Coding Job Duties, Requirements, & Salary

CareerStep

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! But, what do medical coders and billers do? The American Medical Association (AMA) reported that as of spring of 2023, the U.S. uses the same codes.

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