CollaborateMD

APRIL 3, 2025

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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Billing Medication HIPAA Follow-Up 52

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

Health Populi

FEBRUARY 27, 2024

That’s the mantra coming out of this week’s annual Capitol Conference convened by the National Association of Benefits and Insurance Professionals (NABIP). health economy includes employers, unions, public sector plans and other groups as well as the Patient as Payor — thus prompting NABIP’s Bill of Rights.

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Billing Insurance HIPAA Hospital 141

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

Medbridge

NOVEMBER 8, 2024

On top of their duty to treat patients, physical therapists (PTs) manage complex documentation, billing, and coding tasks critical to ensuring proper reimbursement for services from insurers. Physical therapy billing units are at the core of this process, providing a standardized way to quantify services during therapy sessions.

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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

Health Prime

NOVEMBER 20, 2024

In this stage of the medical billing process, your front-end staff ensures proper collection and recording of valuable data essential to provide proper services to the patient and ensure their coverage. However, errors in this data are common and have consequences for your practice. Contact us at sales@hpiinc.com.

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Medication Patient Satisfaction Communication Insurance 98

Health Prime

FEBRUARY 5, 2025

Medical billing is a vital yet often overlooked aspect of practice management in the dynamic healthcare landscape, where the primary focus is on providing quality patient care. However, amid the intricacies of coding regulations, payer policies, and administrative tasks, medical practices encounter many challenges in the billing process.

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Billing Medication Scheduling Insurance 52

Health Populi

AUGUST 2, 2021

The reality of patients entering doctors’ offices expecting to deal with their health care cost challenges is spelled out in The Increasing Role of Physician Practices as Bill Collectors – Destined for Failure , published in JAMA , 30 July 2021.

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Billing Insurance Patient Experience Hospital 133

Healthcare Dive - Practice Management

AUGUST 28, 2024

The advocacy group comprised of physician firms like TeamHealth and Envision has issued the provider industry’s latest salvo against insurers over surprise billing.

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CollaborateMD

AUGUST 5, 2024

One of the most effective is artificial intelligence medical billing. If you’re considering integrating AI into medical billing, keep reading to understand how it works. Then review best practices in implementing AI into medical billing. An analysis by KFF found that insurance denial rates could be as high as 49%.

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Billing Medication Best Practices HIPAA 98

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

Practice Index

NOVEMBER 7, 2024

The bombshell dropped by Rachel Reeves in last week’s budget regarding the increase in National Insurance contributions (NICs), without exempting GP practices, has been described as a monumental body blow to the heart of the NHS. The NI increase, which will see employer contributions rise by 1.2

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Insurance Billing Patient Care Hospital 52

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 Patient Care 98

Health Populi

APRIL 1, 2019

For mainstream Americans, “the math doesn’t add up” for paying medical bills out of median household budgets, based on the calculations in the 2019 VisitPay Report. Patients Consider Costs and Insurance Essential to Their Overall Health Experience appeared first on HealthPopuli.com. Given a $60K median U.S.

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Insurance Billing Medication Follow-Up 113

MedVA

NOVEMBER 22, 2024

VAs can handle a wide range of tasks, including medical records management, billing and insurance processing, scribing and transcriptions services, and patient communications, allowing practices to provide timely, efficient, and patient-centered care. For more information, visit www.MEDVA.com.

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Patient Satisfaction Medical Assistant Medical Office Support Patient Centered Care 98

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

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

Sensible Medicine

SEPTEMBER 19, 2024

The medical establishment and insurance entities, including Medicare and Medicaid, don’t seem to be paying attention to our giant blind spots. They’re too busy billing and paying each other to zoom out and look at a macro level. America is getting sicker. Yet no one in our health care system is asking why.

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Billing Medication Insurance Hospital 363

CollaborateMD

DECEMBER 10, 2024

Understanding the Challenges in Claims Processing Errors in medical claims processing have traditionally posed significant challenges for hospitals, insurers, and patients alike. Manual methods are prone to: Human Error : Misfiled billing codes, missing data, and inaccuracies are common with manual input, according to one report.

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Medication Billing Insurance HIPAA 52

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

Practice Index

OCTOBER 31, 2024

In a big change to Employers’ National Insurance, the rate will rise by 1.2% Until you realise that the threshold at which you start to pay National Insurance is going down, from the current £9,100 per year to £5,000 per year. Overall, our bill will run to tens of thousands of pounds. I expect it will.

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Insurance Billing 98

Health Prime

DECEMBER 18, 2024

It categorizes unpaid patient invoices and insurance claims by age, typically in 30-day increments. To take action, follow up promptly on overdue accounts, review and optimize your billing processes to reduce delays, and consider implementing automated reminders for patients and insurance companies.

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Medication Billing Documentation Appointments 52

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 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

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.

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Billing Insurance Follow-Up Patient Satisfaction 105

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

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

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

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

The HIPAA Journal

MARCH 19, 2025

The compromised email account was reviewed and found to contain patients full names, addresses, dates of birth, medical and treatment information, dates of service, provider and facility names, procedure codes, billing and claims information, patient account identifiers, and payor information.

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HIPAA Scheduling Hospital Billing 83