Relias

JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We We rely heavily on our coding quality team to onboard new coders and get them up to speed on our quality standards,” said Jake Hess, Senior Director of Revenue Cycle Shared Services at Spectrum Health. Coding is high value — and in high demand.

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Documentation Medical Coding Admissions Follow-Up 52

Valant

JULY 16, 2024

Failing to follow best practices for therapy notes and progress notes can have legal and professional repercussions. The following is not an exhaustive list and state laws may apply, so check regulations in your state. What’s the difference between them, and is your practice compliant with the privacy regulations for each type?

HIPAA 98

HIPAA Documentation Appointments Follow-Up 98

Scrubs

AUGUST 22, 2023

Just this year alone, we’ve seen some of the largest and most alarming healthcare data breaches in history, including those related to the American Medical Collection Agency, insurer Dominion National, and Inmediata Health Group, just to name a few. The number of healthcare data breaches keeps going up year after year.

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Follow-Up Documentation HIPAA Patient Records 243

Valant

JULY 24, 2024

This information is shared with insurance companies to justify claims. It may be appropriate to say that more data and follow-up sessions are needed. Check out Valant’s clinical documentation features to learn more. So, what is SOAP ? Many behavioral health providers use SOAP every day.

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Medical History Physical Exams Vital Signs Documentation 98

The HIPAA Journal

MAY 2, 2024

BioPlus Specialty Pharmacy Services has proposed a settlement to resolve a class action lawsuit that was filed in response to a 2021 data breach that exposed the data of up to 350,000 patients. The Florida specialty pharmacy chain notified the affected individuals within a month and offered them complimentary credit monitoring services.

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HIPAA Follow-Up Best Practices Documentation 111

Scrubs

MARCH 21, 2023

MaineHealth recently announced it is using AI to automatically record conversations between doctors and their patients during a check-up or follow-up visit. We end up doing what we went into medicine for,” she said. Nobody went into medicine to write notes or fill out insurance authorization forms,” said J.

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Hospital Follow-Up Appointments Documentation 264

ACMA Blog

OCTOBER 8, 2024

Many healthcare providers may prescribe treatments that are not considered routine or may be expensive, an insurance company may need prior authorization (PA) to determine whether they will cover what the healthcare providers recommends 4. The healthcare provider must get approval from the insurance company.

Medication 40

Medication Insurance Documentation Follow-Up 40

DrChrono

MARCH 13, 2024

Front office staff need to know how to check patients’ insurance. Doctors and nurses must know and document the correct codes when they prescribe treatment. Billing staff must be able to properly process claims and follow up on payments. Everybody has a part to play.

Follow-Up 40

Follow-Up Documentation Billing Insurance 40

MedCerts

JULY 3, 2024

Regardless of the specifics, you’ll collaborate with other team members to streamline office tasks and ensure patients, medical professionals and insurance companies are on the same page. This program moves beyond the first program, teaching you about medical coding and reimbursement and how to verify insurance and file claims.

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Medical Terminology Bookkeeping Billing Insurance 81

DrChrono

FEBRUARY 23, 2024

Front office staff need to know how to check patients’ insurance. Doctors and nurses must know and document the correct codes when they prescribe treatment. Billing staff must be able to properly process claims and follow up on payments. Everybody has a part to play.

Follow-Up 40

Follow-Up Documentation Billing Insurance 40

Valant

JANUARY 30, 2024

External Audit Requirements In the behavioral health field, audits involve a comprehensive examination of a practice’s compliance with regulations and standards, such as those from states and insurance providers. And keeping up with evolving audit requirements is essential, as regulations are updated or revised.

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Billing Documentation Follow-Up Best Practices 52

Northwest Career College

OCTOBER 29, 2024

Insurance and Billing Issues The medical administrative assistant handles insurance claims and billing. However, mastering the medical insurance world is not easy; numerous insurance providers have their own rules and policies. Most challenging tasks involve the following: Handling complex scheduling.

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Medical Administrative Assistant Medication Patient Records Appointments 40

Sensible Medicine

AUGUST 2, 2024

I often say to patients (as I apologize for documenting while I get to know them) that I had sworn as a medical student never to be the doctor that types during visits—and when I first became an attending, I held to that. Ideally, I would have a schedule where I could document in the time after a patient leaves the visit.

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Documentation Follow-Up Medication Scheduling 55

CollaborateMD

MAY 25, 2023

Oncology medical billing is the process of submitting claims to insurance companies or other payers for oncology-related billing services associated with cancer management. The process involves verifying the patient’s coverage, accurately documenting medical history, submitting claims promptly, and ensuring compliance with regulations.

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Billing Medication Medical Coding Insurance 52

ACMA Blog

OCTOBER 8, 2024

Their knowledge of insurance coverage, regulations in patient assistance, and health policy empowers healthcare providers with tools that reduce hurdles in treatment access. Product lifecycle management necessitates up-to-date databases that can be proactively managed. Data sourced from (Mills, 2021).

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Documentation Medication Billing Follow-Up 52

Arkenea

JULY 12, 2024

A referral process involves obtaining patient information such as insurance details, and demographics; also scheduling appointments. It also helps to maintain the flow of data between healthcare providers, allowing for timely interventions, follow-up care, and medications.

Medication 52

Medication Follow-Up Appointments Tests 52

Health Prime

JULY 18, 2024

The bad news is that if claims are not handled, the average cost to rework a claim is $25.20, which quickly adds up. Denial management refers to identifying, analyzing, and resolving denied claims from insurance companies or payers. Health Prime compiled a list of 10 Frequently Asked Questions (FAQ) about denial management: 1.

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Billing Patient Satisfaction Documentation Medication 81

Coronis Health

AUGUST 31, 2023

Medical codes are used to support the claims sent to a patient’s insurance provider, and claims paid by patients and/or insurance companies drive the financial operations of medical organizations. These tools speed up the coding process and increase accuracy and efficiency.

Hospital 52

Hospital Medical Coding Billing Documentation 52

Valant

MARCH 2, 2024

The up-front financial considerations include adequate staffing, suitable technology, and the necessary training. Rejected claims happen, but a software that simplifies claim creation, and that offers in-depth reporting features to back up the claims submitted, can reduce both claim denials the time spent on resubmitting or appealing denials.

Billing 52

Billing Documentation Follow-Up Insurance 52

Relias

JULY 4, 2023

A majority said that up to 20% of their charges were incorrectly coded. This coordinated partnership requires a joint effort toward the common goal of accurate charges, identification and resolution of any discrepancies, and signed documentation indicating completion. Yet 40% of their organizations addressed it once a month or less.

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Follow-Up Medical Coding Documentation Best Practices 52

Valant

JANUARY 16, 2024

Unbillable admin tasks outside of appointment times can eat up a shocking amount of your day. Auto-generating narratives, check boxes, and the ability to pull material forward from a previous note all make it easier to capture and document info quickly. And much of that comes down to your EHR workflow.

Patient Care 52

Patient Care Billing Documentation Appointments 52

ACMA Blog

JUNE 25, 2024

It is the insurance or payers’ way of controlling costs by approving or denying certain medications, procedures, or devices that may not usually be covered or is on a higher tier on the formulary. Clinical Documentation Specialist (CDS): A CDS can help in the PA process by accurately documenting patient records.

Documentation 40

Documentation Medical Assistant Certification Insurance 40

MedVA

DECEMBER 7, 2023

When administrative tasks pile up, your team will begin bringing work with them mentally and literally, worrying about work. Streamline Administrative Tasks: Traditional administrative tasks, such as data entry, documentation, and billing, can be time-consuming and mentally draining for healthcare providers and administrative staff.

Medical Assistant 52

Medical Assistant Medication Appointments Follow-Up 52

Minority Nurse

FEBRUARY 1, 2024

To this day, the legacies of structural racism live on in health disparities that would have no place in 21st-century America if we had already learned our lessons and lived up to the potential outlined in our country’s founding documents. Nonetheless, disproportionately negative statistics don’t lie.

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Follow-Up Documentation Insurance Medication 115

Valant

MARCH 1, 2024

Compliance with the Health Insurance Portability and Accountability Act ( HIPAA ) and other laws/regulations is mandatory. Getting on insurance panels (also known as insurance credentialing ) is an involved process that can sometimes take months and requires a lot of steps and paperwork. Your EHR software can help with this.

Billing 52

Billing HIPAA Patient Centered Care Scheduling 52

Coronis Health

AUGUST 10, 2023

Best practices in hospital billing and coding processes are key to guiding coders as they navigate the complexities of chart documentation. Revision of the Medicare Physician Fee Schedule, changing the way providers are reimbursed for evaluation and management services, which affects coding and documentation requirements.

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Best Practices Hospital Medical Coding Documentation 52

Valant

MARCH 20, 2024

Reduced revenue or profitability can be the result of missed billing opportunities, inefficient billing processes , or changes in insurance reimbursement rates, among other things. In addition, fluctuations in insurance coverage or changes in policies can lead to delays in reimbursements, or lower reimbursement rates for specific services.

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Billing Communication Documentation Patient Satisfaction 52

Health Prime

FEBRUARY 7, 2024

Establish a robust system that verifies insurance information before the appointment. Patient statements Patient billing statements are comprehensive documents that provide patients with a summary of the services they have received and the associated costs. This process starts before the patient is checked in.

Billing 52

Billing Follow-Up Communication Insurance 52

The Healthcare Blog

MAY 14, 2024

The sub-title sums up his thesis: “Bureaucratic bloat has siphoned power away from instructors and researchers.” It’s well documented that the U.S. Just as all the college administrators helps keep driving up college tuition, so do all those healthcare administrators keep healthcare spending high. So it is with healthcare.

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Follow-Up Documentation Hospital Insurance 116

CareerStep

NOVEMBER 14, 2023

They’re used for billing and insurance reasons. Think of it as a simplified language for a patient’s medical history, because every doctor and insurance company in the U.S Checking patient insurance coverage and eligibility before billing. uses the same codes. But, what does a medical coder’s typical day look like?

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Billing Medical Coding Medication Certification 52

Medical Advantage

NOVEMBER 1, 2023

Typically, these factors are grouped into six main categories, namely; patient access, charge capture, claim submission, payment posting, follow-up, and collections. Follow-up is another crucial phase in which the organization tracks payment processes to ensure that the services offered are paid for in full.

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Follow-Up Billing Documentation Scheduling 52

Health Populi

MARCH 2, 2021

But another patient side-effect of COVID-19 has been the digital transformation of many patients , documented by data gathered by Rock Health and Stanford Center for Digital Health and analyzed in their latest report explaining how the public health crisis accelerated digital health “beyond its years,” noted in the title of the report.

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Follow-Up Insurance Hospital Medication 174

Minority Nurse

FEBRUARY 22, 2024

During the COVID-19 pandemic, the National Council of State Boards of Nursing (NCSBN) (2022) estimated over 100,000 registered nurses left the profession and predicted that another 800,000 nurses would follow them by 2027. Layoff are ramping up among hospitals and health systems. The sentinel event data 2022 annual review.

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Patient Care Hospital Critical Thinking Patient Safety 111

Doximity

DECEMBER 20, 2022

I use it regularly for faxing prior authorizations and clinical documents to insurance companies as well as calling patients when working remotely.” Jordan Orofino, PharmD, Chicago, IL To sum up, here are the benefits for U.S. Need to set up Dialer? Full set-up and usage details are available here.

Follow-Up 52

Follow-Up Appointments Documentation HIPAA 52

ACMA Blog

OCTOBER 16, 2023

It is the insurance or payers’ way of controlling costs by approving or denying certain medications, procedures, or devices that may not usually be covered or is on a higher tier on the formulary. Clinical Documentation Specialist (CDS) : A CDS can help in the PA process by accurately documenting patient records.

Medical Assistant 40

Medical Assistant Documentation Certification Medical Coding 40

Top Practices

JUNE 27, 2023

A podiatry practice will have dozens of systems and subsystems, that need to be created but there are a few that should be top priority to set up and follow. When creating these systems for your practice, document them in writing step-by-step protocols and develop scripts and training programs to guide staff members in their use.

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Patient Satisfaction Communication Continuing Education Follow-Up 52

Northwest Career College

APRIL 17, 2024

These duties may include scheduling patient appointments, maintaining patient records, directing tasks that follow up on processing billing and coding and coordinating communications between the patient and other health staff with the provider.

Medical Assistant 40

Medical Assistant Medication Appointments Vital Signs 40