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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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Primary care news round-up (28th November to 4th December 2024)

Practice Index

Chair Professor Kamila Hawthorne said: “With winter fast approaching, our services will only get busier – and uncertainty around how the hike in National Insurance for employers will impact on practices is only adding to the pressures general practice is facing. We need action now to alleviate the workforce crisis.”

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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).

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Medical Assistant Careers in 2024: Why Now Is the Best Time to Start

Northwest Suburban College

On the administrative side, you will be trained in tasks like scheduling appointments, managing medical records, and handling billing and insurance forms.