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New Insights on Medicare Advantage Plans and The Two-Midnight Rule

EvidenceCare

The Impact of the Two-Midnight Rule on Denials At the 2024 HFMA Annual Conference, we asked healthcare executives if they’re seeing any changes following the CMS Two-Midnight Rule, particularly in denials. Compliant documentation has also become more challenging. Another issue is “inpatient only” procedures.

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How to Maximize Your Reimbursement for Group Therapy Sessions

Valant

Group therapy involves unique documentation and coding practices that can significantly impact your bottom line. These codes are used to document the services provided within a group context. Accurate Documentation for Group Therapy Accurate documentation is the cornerstone of successful reimbursement. Take attendance.

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90837 CPT Code: Psychotherapy, 60 Minutes

Valant

It’s crucial to document the content of each session, including the therapeutic techniques used and the client’s progress. However, ensure proper documentation and justification for the frequency. Comparison with Other Psychotherapy CPT Codes 90832 (30 Minutes): A shorter session, suitable for brief interventions or follow-ups.

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Should Doctors Use Chat-GPT to Practice Medicine?

Scrubs

Dereck Paul is the co-founder of Glass Health, a start-up in San Francisco that offers artificial intelligence chatbot services to doctors looking to ease the burden of routine processes, such as patient documentation. “We need these folks not in burnt-out states, trying to complete documentation,” Paul told NPR.

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Understand your Revenue Cycle to set your medical practice for success 

Health Prime

A well-maintained and up-to-date patient database contributes to the overall accuracy and efficiency of the revenue cycle. Accurate coding and documentation process Ensuring staff members are well-trained in accurate coding and documentation is critical to preventing coding errors that could result in claim denials or delays in reimbursement.

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10 Frequently Asked Questions (FAQ) About Denial Management 

Health Prime

The bad news is that if claims are not handled, the average cost to rework a claim is $25.20, which quickly adds up. Claim denials can occur for various reasons, including incorrect patient information, coding errors, lack of prior authorization, incomplete documentation, and non-covered services.

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Nursing Quiz to Test Your Medical Skills

Scrubs

They carry out doctor’s orders, check up on patients throughout the day, and make sure providers have accurate information when looking at the patient’s chart. Nurses may need to refresh their memory of this knowledge every few years to make sure they have the latest and most up to date information. 34 12 votes, 1.9

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