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Understand your Revenue Cycle to set your medical practice for success 

Health Prime

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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Meeting Psychiatrists’ Technical Needs: A Practice Owner’s Guide to EHR

Valant

In addition, it’s important to be able to obtain prior authorization from insurance and track prescription statuses. Billing and Coding Support A good EHR can help you avoid common billing errors for a smoother, more dependable revenue cycle. Communication with patients is a key part of this.

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The Impact of Falling Interest Rates and Lower Inflation on Your Behavioral Health Practice

Valant

This could lead to improved efficiency in billing and collections processes. Insurance Reimbursement Changes: While not directly tied to interest rates, a more stable economic environment might influence insurance companies’ reimbursement policies , potentially benefiting providers.

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Navigating Complex Payer Rules in Behavioral Health: A Guide for Providers and Billers

Valant

But understanding how to maintain compliance and bill properly is something that behavioral health clinicians and practice owners have to do. Every part of the billing process, front to back, is subject to these rules. More billing codes. Library of billing rules. Not all payers cover the same treatments.

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5 benefits of having a patient portal for your practice 

Health Prime

Additionally, patients can address billing inquiries, view statements, and understand their financial responsibilities, promoting transparency in the billing process. Patients can view and pay their bills online through the portal, set up automatic payment plans, and receive electronic statements.

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10 Frequently Asked Questions (FAQ) About Denial Management 

Health Prime

Denial management is crucial in medical billing, ensuring healthcare providers receive rightful reimbursement for their services. Denial management refers to identifying, analyzing, and resolving denied claims from insurance companies or payers. What is denial management, and why is it important?

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Opening Your Own Practice vs. Working at a Group Practice: Pros and Cons

Valant

Administrative Burden Running a practice yourself means handling all administrative tasks, including billing, paperwork, and regulatory compliance. Billing, scheduling, and other administrative tasks are often handled by dedicated staff, allowing providers to focus more on patient care.