Health Prime

AUGUST 8, 2024

In today’s digital age, medical practices rely extensively on electronic systems like Electronic Health Records (EHR) , Practice Management Software (PMS), and online billing platforms to manage patient information and billing processes. Medical practices should implement robust access controls to prevent unauthorized access.

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Billing Medication Patient Records Insurance 105

Health Populi

JUNE 20, 2022

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. “Instead, they’ve faced thousands of dollars in bills as health insurers shifted costs onto patients through higher deductibles.”

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Insurance Medication Billing Huddles/Rounds 124

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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Insurance Billing Scheduling Follow-Up 98

Health Prime

APRIL 25, 2024

In the complex world of medical billing, dealing with bad debt is an inevitable challenge that healthcare providers often face. Unpaid bills, denied claims, and delayed payments can significantly impact the financial health of a medical practice. Strategies to improve bad debt management in medical billing 1.

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Billing Medication Communication Follow-Up 105

Health Prime

JUNE 13, 2024

In the intricate world of medical billing, accuracy is paramount. Every code entered, every diagnosis documented, and every procedure billed must be meticulously coded to ensure proper reimbursement and compliance with regulations. Increased denials: Insurance companies are quick to deny claims with coding errors.

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Billing Medical Coding Medication Best Practices 105

Health Prime

OCTOBER 17, 2024

Enrollments is an essential aspect of your medical billing process. This process ensures your healthcare providers count with proper credentialing and contracting with insurance payers. Reasons why you should trust your enrollment process to a medical billing expert 1.

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Billing Medication Insurance Follow-Up 98

Forbes Healthcare

MAY 15, 2024

billion healthcare bill. Livongo cofounder Glen Tullman wants to help employers lower healthcare costs with AI, but it may be just another Band-aid for America's $4.5

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Insurance Billing 134

Scrubs

AUGUST 4, 2023

Providers are typically paid for each test and procedure they perform, which can lead to a conflict of interest, especially when patients have to foot the bill. To learn more about the rate of medically unnecessary care, the group sorted through insurance claims from 1.3 What is the billing code for this test or procedure?

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Tests Billing Insurance Medication 230

Health Prime

FEBRUARY 28, 2024

Consequently, many practices are contemplating hiring a new billing partner, either for the first time or to replace an existing provider. Partnering with the right medical billing company is crucial for the financial health of your practice. Here are six key factors to consider when evaluating a medical billing partner: 1.

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Billing Medication Patient Satisfaction HIPAA 88

Health Populi

FEBRUARY 12, 2024

Health Populi’s Hot Points: Having health insurance in the U.S. See the third chart, where KFF/Peterson Center looked at the consumer’s insurance status, state of medical debt and health care service impact — in Health Populi lingo we use the phrase, “self-rationing behavior due to cost.”

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Medication Billing Insurance Tests 122

Health Populi

DECEMBER 5, 2019

Workers covered by health insurance through their companies spend 11.5% of their household income on health insurance premiums and deductibles based on The Commonwealth Fund’s latest report on employee health care costs, Trends in Employer Health Coverage, 2008-2018: Higher Costs for Workers and Their Families.

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Insurance Billing Medication Patient Experience 109

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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Medical Assistant Billing Insurance Medication 52

Scrubs

JUNE 16, 2023

The hospital’s billing department was also crippled. For months afterward, they were unable to bill insurance plans to be paid in a timely fashion. Cyber insurance has become a critical part of hospital budgets, according to John Riggi , national adviser for cybersecurity and risk at the American Hospital Association.

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Insurance Hospital Vital Signs Billing 186

Health Prime

MARCH 28, 2024

By implementing regular audits, refining refund processes, and focusing on patient education and communication, your practice can optimize your credit balance management, ensuring financial stability and building trust with patients and insurance providers. Implement a systematic review of patient accounts, insurance claims, and payments.

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Billing Communication Patient Education Insurance 105

Patients Rising

MARCH 25, 2024

Patients Rising supports Senate Bill 2720, a much-needed bill that will protect patient access to co-pay assistance many Rhode Islanders depend on to cover significant portions of prescription medicine co-pays. […] The post Rhode Island – Support for Senate Bill 2720, An Act Relating to Insurance – Prescription Drug Benefits appeared first (..)

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Billing Insurance 52

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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Billing Medication Follow-Up Appointments 105

Health Populi

FEBRUARY 20, 2020

As such, American health consumers are wrestling with sticker shock from surgical procedures, surprise medical bills weeks after leaving the hospital, and the cost of prescription drugs — whether six-figure oncology therapies or essential medicines like insulin and EpiPens. Patients are now front-line payors in the U.S. health care system.

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Insurance Billing Medication Hospital 172

Scrubs

AUGUST 9, 2023

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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Medication HIPAA Insurance Tests 234

Valant

MAY 30, 2024

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.

Billing 105

Billing Insurance Follow-Up Patient Satisfaction 105

Health Prime

DECEMBER 11, 2024

Being so close to the New Year, it is of high importance that your medical practice finishes its medical billing in good time. Here are three essential tasks to help you wrap up your medical billing for the New Year: 1. Also, follow up with insurance companies to settle those claims immediately.

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Billing Medication Follow-Up Insurance 52

99MGMT

DECEMBER 22, 2024

In healthcare, accurate health insurance verification isnt just a task its the key to smoother billing, happier patients, and fewer headaches. Failing to verify health insurance accurately can have significant consequences. Patient billing issues create frustration and can damage your reputation.

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Insurance Billing Medication 52

Health Prime

MAY 16, 2024

From fostering financial transparency to minimizing billing errors and accelerating reimbursement, a well-optimized RCM system contributes significantly to patient satisfaction. Providers can focus on healthcare needs by reducing administrative hurdles rather than getting bogged down by paperwork and billing concerns.

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Patient Experience Billing Appointments Patient Satisfaction 105

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

Health Prime

JANUARY 1, 2025

Delegating specific medical billing processes in your practice to an expert partner offers a strategic and forward-thinking approach to enhancing efficiency, reducing administrative burdens, and ensuring financial stability. Read more about this in our blog 5 reasons to outsource your medical billing.

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Billing Medication Insurance Patient Care 52

Forbes Healthcare

OCTOBER 30, 2024

Healthcare decisions are inherently agonizing, and in the United States, this agony is compounded by the uncertainty of what will or will not be covered by insurance.

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Billing Insurance 91

Northwest Career College

OCTOBER 28, 2024

If you are considering pursuing a career in medical billing and coding, you may have questions like where you will be able to work after receiving your certification or license. Many healthcare settings require the services of medical billing and coding specialists for record organization and management, insurance claims, and billing.

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Billing Medication Long Term Care Outpatient Care 40

Medical Economics

JUNE 25, 2024

Watch three educational sessions on coding and billing, retirement planning, and group disability insurance.

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Billing Insurance 104

Health Prime

JANUARY 1, 2025

Delegating specific medical billing processes in your practice to an expert partner offers a strategic and forward-thinking approach to enhancing efficiency, reducing administrative burdens, and ensuring financial stability. Read more about this in our blog 5 reasons to outsource your medical billing.

Billing 52

Billing Medication Insurance Patient Care 52

CollaborateMD

JANUARY 31, 2024

Navigating piles of billing paperwork drains your time and energy. The right medical billing software streamlines this process, making it quicker and more accurate. This article breaks down chiropractic medical billing software. Then, we’ll show you how it helps keep your billing process moving along smoothly.

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Billing Medication Follow-Up Insurance 52

Healthcare Dive - Practice Management

AUGUST 6, 2024

The 5th Circuit Court’s decision vacates instructions that arbiters should first consider the qualifying payment amount in deciding payments over contested out-of-network bills. Providers argued that unfairly advantaged insurers.

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Billing Insurance 104

Health Populi

FEBRUARY 17, 2021

These include self-rationing prescription drug fills or refills due to cost, putting off a doctor’s visit, relying more on credit cards than cash, and postponing paying bills, among many other choices between paying for meds or daily living expenses.

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Insurance Appointments Billing Medication 147

Health Populi

DECEMBER 1, 2023

consumers say they can’t afford to pay their medical bills on-time, based on the 2023 Consumer Survey from Access One, a financial services company focused on healthcare payments. Furthermore, one-third of consumers are not confident they could pay a medical bill of $500 or more. Two-thirds of U.S.

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Billing Follow-Up Communication Insurance 71

CollaborateMD

DECEMBER 11, 2023

Medical billing plays a critical role in the financial stability of healthcare providers. Fortunately, medical billing software offers a solution to the challenges healthcare providers face. The impact of billing challenges is felt by healthcare providers and patients. They can have significant consequences for patients.

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Billing Medication Follow-Up HIPAA 52

Health Prime

NOVEMBER 6, 2024

Importance of accurate billing in Movember Timely and precise billing procedures for preventive care ensure that patients know if their screenings or therapies are covered by insurance. Providing easy-to-understand billing practices and transparency about what is included can help more men take advantage of these services.

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Medication Billing Patient Care Insurance 98

Health Populi

JULY 16, 2020

FAIR Health based these numbers on private insurance claims associated with COVID-19 diagnoses, evaluating patient demographics (age, gender, geography), hospital charges and estimated allowed amounts, and patient comorbidities. privately-insured people. They used two ICD-10-CM diagnostic codes for this research: U07.1,

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Hospital Insurance Discharges Admissions 148

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?

Billing 52

Billing Documentation Follow-Up Insurance 52

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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Documentation Billing Medical Coding Insurance 98