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As a Medication Aide, you play a crucial role in ensuring that residents and patients receive the right medications safely and effectively. Staying up-to-date with the latest practices, regulations, and medication management techniques is essential to providing the highest quality of care.
The panel featured Jackie Kimmel , Senior Director of Strategy Catalyst for The Health Management Academy , Dr. Adam Fall , Corporate Medical Director of Utilization Management at Erlanger , and Dr. Jeny McNair , President and Chief Physician Advisor at Physician Advisory Services of Med-Metrix.
Physicians spend a significant amount of time on administrative work, from writing letters to handling insurance documentation. She estimates that this prompt saves her up to two hours per week , and sometimes even more when demand is high. Follow-up in three months with repeat labs. Jacob Mathew, Jr.,
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.
This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. This section delves into the specific criteria and expectations set by CERT audits, emphasizing the need for meticulous attention to detail and documentation accuracy.
Medical billing audits are a great tool for achieving compliance and safeguarding revenue. Regular audits help medical practices stay on top of these changes and comply with coding and billing rules defined by the CMS (Centers for Medicare & Medicaid Services) and private payers. Why do these audits matter?
Whether you’re a physician starting a practice or a healthcare provider working to expand patient access, getting medical insurance credentialing is vital. RELATED ARTICLE: Optimizing Insurance Payer Reimbursement with RCM Services What is Medical Insurance Credentialing? Unfortunately, it’s also a very taxing process.
So, she started documenting her studying process on social media. “I Beggs shared the videos on TikTok where she quickly racked up hundreds of thousands of views. She now has over 600k followers on the app. She said she feels a responsibility to show up for her audience now that she’s built such a devoted following.
Running a successful medical practice requires more than providing excellent patient care. Reports are a great data-driven means of benchmarking the performance of specific processes or functions within your medical practice. Five essential reports every medical practice should run 1. At Health Prime, we can help!
The presence and importance of the computer and electronic medical record (EMR/EHR) adds an often unwanted and distracting third party to an intimate and personal discussion between provider and patient. When I later saw these patients in follow-up, I often had to re-do my initial consult as I did not have the required details documented.
Students interested in becoming Medical Assistants are often curious about what the work schedule will be like. Medical Assistants in New Jersey typically work full-time hours , which means they usually work about 40 hours per week. Some Medical Assistants may work part-time, which could range from 20 to 30 hours per week.
Being so close to the New Year, it is of high importance that your medical practice finishes its medical billing in good time. This will go a long way toward your medical practice’s financial health and operational efficiency. Here are three essential tasks to help you wrap up your medical billing for the New Year: 1.
Healthcare practices are often plagued with medical billing compliance questions like: “Am I upcoding?” ” 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.
MaineHealth recently announced it is using AI to automatically record conversations between doctors and their patients during a check-up or follow-up visit. Her regular doctor, Dr. Rebecca Hemphill, used the AI app during her last two medical appointments at MaineHealth. It feels more like my needs are being met.
Youve found the best EMR for your specialty and streamlined your documentation workflow. However, managing a successful medical practice in 2025 will require lots of work beyond the EMR. Here are 6 of our favorite medical practice software tools in 2025, each with a different purpose.
Despite its significance, the manual processes involved in tackling medical claims are error prone and time-consuming. Join us as we examine how automation revolutionizes medical claims processing accuracy and improves outcomes across the healthcare spectrum. Reducing duplication errors in medical claims documentation.
Mobile apps for physicians can enable communication with patients and other providers, enhance medical education, inform clinical decision-making, and streamline documentation. But with thousands of medical apps available for Apple and Android smartphones, where should you start?
Popular solutions include improving documentation efficiency (a pain point for physicians) and care team coordination. Use pre-visit planning and pre-appointment lab testing to reduce time wasted on the review of follow-up results. The post What is the Quadruple Aim of healthcare?
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.
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.
In other words, the MA plan may focus its medical reviews on stays of any length in order to ensure compliance with the Two-Midnight Rule. This also means that the medical record must support the reasonableness of the clinician’s admission decision regardless of the total time spent in the facility.
For example, Bergman reports a 2002 study in which ventilated premature babies were placed to sleep on either their tummies or backs, and the following states were measured: quiet sleep, active sleep (which is less restorative than quiet sleep), crying time, number of stress responses (startle, tremor, and twitch), and oxygen saturation.
As healthcare systems become more complex, physicians are spending more time on administrative tasks, including clinical documentation. Team documentation is a powerful way to streamline patient visits and EHR data entry so the entire team can focus on delivering excellent care. What is team documentation?
Medical billing is a vital yet often overlooked aspect of practice management in the dynamic healthcare landscape, where the primary focus is on providing quality patient care. However, amid the intricacies of coding regulations, payer policies, and administrative tasks, medical practices encounter many challenges in the billing process.
We’ve also written about other AI topics, such as an introduction to generative AI for doctors , the accuracy of AI-generated clinical notes , patient perspectives on AI , the best AI medical scribes , and whether AI can reduce physician burnout. Today, we’ll explore how AI can help physicians streamline their daily work.
While we often focus our blog articles on streamlining clinical documentation , managing the deluge of messages in your EHR is equally important. For the average PCP seeing 20 patients per day, that adds up to over 13 hours per week. Streamline Prescription Refills Medication refills can be a serious time drain.
In the Fear of Going Out Era spawned by the COVID-19 pandemic, many patients were loath to go to the doctor’s office for medical care, and even less keen on entering a hospital clinic’s doors. Virtual care, especially in a pandemic, is important for older people to have as a go-to for medical care when clinically appropriate.
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.
Reviewed by Becky Byrns , CHDS, CHDP-S, CEHRS, MSK and Healthcare Documentation, Health and Wellness Program Manager at CareerStep. Precise and accurate documentation is critical in healthcare and medical transcriptionists play a vital role.
The information recorded may include symptoms, medical history, test results, diagnoses, treatment plans, prescription medications, and progress made at appointments. Plan : Further diagnostic tests and other tasks are included here, along with proposed treatment including patient education, medications, further therapy, and so on.
When diagnoses are reported only using enrollees’ HRAs and HRA-linked chart reviews and there are no follow-up visits, procedures, or tests, HHS-OIG is concerned that the diagnoses may be inaccurate and therefore the payments made by the CMS may be improper. HHS-OIG’s analysis of MA encounter data identified 1.7
Accurate coding is key Accurate medical coding is one fundamental aspect of maximizing reimbursements. A 2023 IGNUX report states that hospital coding mistakes make up 63% of medical billing errors. Additionally, outsourcing medical coding is an effective option for optimizing processes and alleviating administrative burden.
This being an academic publication, two footnotes informed us that dangling money in front of our eyes can cause people to see what you want to see and come up with an elastic justification for truth. When a new billing code pays more to individual surgeons, significant change swiftly follows, even if only in documentation.
Denial management is crucial in medical billing, ensuring healthcare providers receive rightful reimbursement for their services. However, navigating denial management can often be challenging for medical practices. According to an MGMA Stat Poll , 69% of healthcare leaders reported their organization’s denials have increased.
Failing to follow best practices for therapy notes and progress notes can have legal and professional repercussions. They don’t appear in medical records and cannot be shared with a third party except by the patient’s written consent. The following is not an exhaustive list and state laws may apply, so check regulations in your state.
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.
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.
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. As the healthcare industry continues to evolve, these skills will remain invaluable for medical assistants.
People travel further and wait longer for medical services than for veterinary care (second in this line-up), auto repair, banking, and household services. In terms of personal opportunity costs, Altarum gauged the following lost-times: A working person loses 90 minutes of work-time. Why should that be, in a physical sense?
Let’s start with the pocketbook of the patient — now a key payer in health systems’ revenue cycle management processes on the health system side, and continuing challenge for medical debt for U.S. And convenience actually mashes up costs for everyday people in the form of time-costs. PwC’s 2024 U.S.
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We created Mobius MD to improve your medical office workflow. One of our most popular innovations is Conveyor , the app that turns your mobile device into a microphone for instant medical dictation on any computer. For example, with Conveyor, you can dictate into a Microsoft Word document, an email, or an EMR.
Running a successful medical practice requires more than providing excellent patient care. Reports are a great data-driven means of benchmarking the performance of specific processes or functions within your medical practice. Five essential reports every medical practice should run 1. At Health Prime, we can help!
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 documentingmedical history, submitting claims promptly, and ensuring compliance with regulations.
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