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.

Follow-Up 174

Follow-Up Insurance Hospital Medication 174

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

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.

HIPAA 98

HIPAA Follow-Up Best Practices Documentation 98

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.

Medical History 98

Medical History Physical Exams Vital Signs Documentation 98

Arkenea

JULY 12, 2024

Medical insurance verification software is developed to automate the process of verifying patients’ insurance coverages. This software is connected to the insurance company’s database to retrieve real-time data on a patient’s insurance status. In 2022, 92.1 percent of people, or 304.0 percent and 36.1

Insurance 52

Insurance EHR / EMR Medication Patient Satisfaction 52

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.

Documentation 52

Documentation Medical Coding Admissions Follow-Up 52

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.

Documentation 52

Documentation Medical Coding Admissions Follow-Up 52

Health Prime

OCTOBER 10, 2024

Mental health providers must ensure they use the correct diagnosis and procedure codes when submitting claims to insurance companies. A 2023 IGNUX report states that hospital coding mistakes make up 63% of medical billing errors. Timely submission of claims Submitting claims promptly is essential for timely reimbursements.

Billing 70

Billing Medical Coding Documentation Insurance 70

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.

Medical Terminology 81

Medical Terminology Bookkeeping Billing Insurance 81

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

Health Prime

DECEMBER 11, 2024

Wrapping up your practice for the New Year includes: Reconciling all accounts accurately Sorting out outstanding claims Updating patient information These measures will prevent discrepancies that lead to financial loss, reduce mistakes, and speed up the claim approval process, allowing your practice to continue running without glitches.

Billing 52

Billing Medication Follow-Up Insurance 52

Valant

SEPTEMBER 5, 2024

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.

Documentation 52

Documentation Billing Follow-Up Best Practices 52

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.

Medication 52

Medication Billing Documentation Appointments 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 Hospital Documentation Insurance 118

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.

Documentation 72

Documentation Follow-Up Medication Scheduling 72

Valant

DECEMBER 16, 2024

Read on to learn how your practice can keep up with the current rules and prepare for future changes. Heavier documentation. Mental healthcare claims usually require more documentation than physical healthcare. Parity laws have upped the expectations for documenting and justifying treatment.

Billing 52

Billing Documentation Follow-Up Best Practices 52

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.

Patient Care 111

Patient Care Hospital Critical Thinking Patient Safety 111

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.

Billing 52

Billing Documentation Follow-Up Best Practices 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 82

Sensible Medicine

JUNE 16, 2023

There is also “Enigmas,” a list of patients I have seen with another doctor whose presentation had confused us and whose evaluation I want to follow. This panel is made up of people who used to be my patients but no longer are — people who left my practice without telling me. And then there is the ghost patient panel.

Insurance 93

Insurance Patient Satisfaction Follow-Up Documentation 93

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. Automatically flagging errors before claims are submitted to insurance providers. Reducing duplication errors in medical claims documentation.

Medication 52

Medication Billing Insurance HIPAA 52

The Healthcare Blog

APRIL 2, 2024

billion (or 60% of its total revenues) represent clinical and business services provided to United’s Health Insurance business. United channeled almost $52 billion of that cash into buying health-related businesses, nearly all of which end up housed inside Optum. It is a sprawling nationwide roll-up of healthcare assets.

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Tests Hospital Insurance Medication 132

The Healthcare Blog

DECEMBER 18, 2024

If you missed it read Part 1 & Part 2 By JEFF GOLDSMITH Two major changes in health insurance ensued as the US health system entered the 21 st century- a strategic shift of health cost risk from providers to patients and the emergence of machine driven managed care. Some 60% of hospital bad debts are now from patients with insurance.

Insurance 59

Insurance Hospital Follow-Up Medication 59

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

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

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.

Billing 52

Billing Medication Medical Coding Insurance 52

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

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

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.

Follow-Up 52

Follow-Up Medical Coding Documentation Best Practices 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

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 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

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

Sensible Medicine

DECEMBER 15, 2023

Most patients depart because of the realities of life: a move, loss or change of insurance, death. They were healthy and needed to deal with a single issue or felt like it was time for a “check-up.” ” He left without making a follow up appointment and I never saw him again.

Tests 114

Tests Diagnostics Follow-Up Scheduling 114

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.

Best Practices 52

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.

Billing 52

Billing Communication Documentation Patient Satisfaction 52

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.

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Medication Insurance Documentation Follow-Up 40