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How to Streamline Your Medical Claims Management Process for Better Results 

CollaborateMD

Challenges of Healthcare Claims Processing A medical claim is a request made by a healthcare provider to insurance companies (payer) to receive reimbursement for services rendered. Not if you ask billing managers. Healthcare providers and organizations have the power to improve medical billing and collections. Easy, right?

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A Complete Guide to Medical Insurance Credentialing 

CollaborateMD

Whether you’re a physician starting a practice or a healthcare provider working to expand patient access, getting medical insurance credentialing is vital. It’s so time-consuming and cumbersome that states like California are considering a bill to simplify the process. Unfortunately, it’s also a very taxing process.

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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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Only in America: Medical Debt Hits High Income and Insured People, KHN and NPR Report

Health Populi

When high-deductible health plans became part of health insurance design in America, they were lauded as giving patients “more skin in the game” of health care payments. This round of research also includes data from The Urban Institute and the JPMorgan Chase Institute. .

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What is Automation in Healthcare? A Guide to Streamlining Operations 

CollaborateMD

Applications of automation span everything from medical billing and administrative processes to enhancing patient care through clinical decision support and real-time analytics. Automation minimizes human error in critical areas such as diagnosis coding, medical billing, and revenue cycle management (RCM).

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Why Become a Certified Billing & Coding Specialist? (CBCS)

NHA Now

Valued Team Members Certified Billing and Coding Specialists (CBCS) are valued team members within a healthcare business ecosystem. A CBCS may have direct interaction with patients and family members, as seen in many Billing roles. Exam Preparation Becoming a Certified Billing and Coding Specialist requires dedication and focus.

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Preparing for CERT Audits and Practicing Compliant Documentation

EvidenceCare

Regulatory Standards CERT (comprehensive error rate testing) is a program administered by the Centers for Medicare & Medicaid Services (CMS) that utilizes Recovery Audit Contractors (RACs) to review medical records and identify potential billing errors. Traditional Medicare vs. Medicare Advantage vs commercial insurance).