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Preparing for CERT Audits and Practicing Compliant Documentation

EvidenceCare

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.

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Friday Reflection 23: The Ghost Patient Panel

Sensible Medicine

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 is the list of patients I am currently worried about. The patients on this list can only be fully enumerated at about 4:00 AM.

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Understand your Revenue Cycle to set your medical practice for success 

Health Prime

Regularly updating patient records is equally essential, as it helps prevent billing errors and delays. A well-maintained and up-to-date patient database contributes to the overall accuracy and efficiency of the revenue cycle. This information serves as the foundation for billing and reimbursement processes.

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How to Keep Patients Satisfied — and Raise Your Patient Satisfaction Scores

Relias

Patient experience is directly tied to patient retention, reimbursement, and in many cases, better patient outcomes. As a result, many organizations continuously look for new ways to improve their patient satisfaction as efficiently and effectively as possible. How can you raise your patient satisfaction scores?

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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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5 strategies for mental health providers to enhance reimbursements 

Health Prime

Incorrect coding can result in claim denials or payment delays, negatively impacting cash flow and patient satisfaction. A 2023 IGNUX report states that hospital coding mistakes make up 63% of medical billing errors. Mental health providers should stay informed of the latest coding changes and guidelines to maintain accuracy.

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Shaping the Future of Healthcare with Dr. Damon Broyles

EvidenceCare

Patients now have convenient access to healthcare professionals for routine check-ups, follow-ups, and chronic disease management. Virtual care not only increases convenience but also lowers healthcare costs while enhancing patient outcomes. “It’s