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

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.

Billing 105

Billing Medication Follow-Up Appointments 105

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

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 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 110

HIPAA Follow-Up Best Practices Documentation 110

CollaborateMD

APRIL 3, 2025

” 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. Following health insurance policies and procedures. ” “Do I have all the correct patient information?”

Billing 52

Billing Medication HIPAA 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 97

Billing Medical Coding Documentation Insurance 97

ACI Medical & Dental School

JANUARY 14, 2025

Document medical histories and reason for the visit. Verify patient insurance information and process any necessary paperwork. Educate patients about managing their health conditions and following physician instructions. Afternoon: Follow-Up: Call patients to remind them of upcoming appointments.

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Medical Assistant Medication Vital Signs 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

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?

Documentation 98

Documentation HIPAA Appointments Follow-Up 98

Health Prime

FEBRUARY 5, 2025

This leads to the following problems: Coding errors Denials of claims Revenue loss Therefore, serious investment in billing personnel training, technology-enabled coding assistance tools, and partnerships with experienced billing services will facilitate smooth coding processes and compliance.

Billing 52

Billing Medication Scheduling Insurance 52

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

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. The claim is then submitted to the patient’s insurance company for payment.

Medical Assistant 52

Medical Assistant Billing Insurance Medication 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

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

Practice Index

JANUARY 9, 2025

Catch up with the last month of 2024 for anything you might have missed! While supporting practices to set up Holiday Manager, weve heard some questions that pop up again and again, so if youre thinking about starting 2025 with a better way of managing your leave, read on!

Follow-Up 59

Follow-Up Insurance Documentation Communication 59

Arkenea

APRIL 10, 2025

This approach can free up internal resources, reduce time to market, and provide access to niche skills, especially in emerging technologies such as artificial intelligence, blockchain, and the Internet of Things. Scalability Outsourced teams can flex up or down based on project phases.

Tests 52

Tests Communication Documentation Follow-Up 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 105

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 79

Medical Terminology Bookkeeping Billing Insurance 79

Health Prime

JULY 27, 2023

It involves obtaining approval from insurance companies before a specific procedure, treatment, or medication is administered. The prior authorization process acts as a bridge between healthcare providers and insurance companies, safeguarding the financial interests of both parties.

Insurance 52

Insurance Documentation Follow-Up Communication 52

The HIPAA Journal

APRIL 4, 2025

Mercer County Joint Township Community Hospital in Coldwater, Ohio, has suffered a significant data breach involving the electronic protected health information of up to 88,541 individuals. The post Mercer County Joint Township Community Hospital Cyberattack Affects Up to 88,500 Individuals appeared first on The HIPAA Journal.

Hospital 60

Hospital Follow-Up HIPAA Insurance 60

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

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.

Follow-Up 116

Follow-Up Hospital Documentation Insurance 116

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

Health Prime

JULY 27, 2023

It involves obtaining approval from insurance companies before a specific procedure, treatment, or medication is administered. The prior authorization process acts as a bridge between healthcare providers and insurance companies, safeguarding the financial interests of both parties.

Insurance 40

Insurance Documentation Follow-Up Communication 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.

Billing 52

Billing Documentation Follow-Up Best Practices 52

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

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

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

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

Arkenea

MARCH 29, 2025

Covered Entities (CE): These are involved in transmitting, storing, and creating ePHI, so they must follow HIPAA compliance rules. Covered entities include health insurance companies, health plans, healthcare programs by the government, healthcare providers, and healthcare clearinghouses. More: HIPAA-compliant web hosting servers 4.

HIPAA 52

HIPAA Business Associate Documentation Follow-Up 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

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

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

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