The HIPAA Journal

OCTOBER 29, 2024

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

Follow-Up 109

Follow-Up Tests HIPAA Documentation 109

Arkenea

APRIL 10, 2025

Rather than building and maintaining a large inhouse team, businesses partner with specialized vendors to handle design, development, testing, and deployment. Quality assurance: Manual and automated testing, security audits, compliance checks. Scalability Outsourced teams can flex up or down based on project phases.

Tests 52

Tests Communication Documentation Follow-Up 52

Valant

JULY 24, 2024

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.

Medical History 98

Medical History Physical Exams Vital Signs Documentation 98

CareerStep

JULY 19, 2024

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 transcription key provided by the client showed the lab test and value “IB 4.4.”

Medical Terminology 98

Medical Terminology Documentation Tests Follow-Up 98

Mobius MD

NOVEMBER 18, 2024

Specifically, we’ll discuss how AI can: Automate Clinical Documentation Support Clinical Decision-Making Triage Patient Communication Diagnose Medical Images Automate Routine Tasks Each topic includes a Software Spotlight, highlighting practical tools that illustrate AI’s impact in real-world settings.

Triage 52

Triage Documentation Appointments Diagnostics 52

ACI Medical & Dental School

JANUARY 14, 2025

Document medical histories and reason for the visit. Perform basic lab tests and prepare samples for external labs. Educate patients about managing their health conditions and following physician instructions. Afternoon: Follow-Up: Call patients to remind them of upcoming appointments.

Medical Assistant 52

Medical Assistant Medication Vital Signs Scheduling 52

MedCerts

APRIL 30, 2024

It follows a structured curriculum that covers the following aspects of Microsoft Office: Word : Ideal word processing application, allowing you to prepare and edit documents easily. MOS training in Word equips you with advanced formatting skills, enabling you to create polished documents with tables, graphics and styles.

Certification 84

Certification Follow-Up Tests Documentation 84

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 Appointments HIPAA Follow-Up 98

The HIPAA Journal

MAY 2, 2024

The software also proves a company has made a good faith effort to comply with HIPAA by maintaining full documentation of compliance activities. Many HIPAA compliance software solutions include templates for policies and HIPAA documents, such as business associate agreements.

Tests 52

Tests HIPAA Business Associate Certification 52

Arkenea

APRIL 8, 2025

Key Takeaways Healthcare developers must follow the three key HIPAA rules during API development: HIPAA security rule, privacy rule, and the breach notification rule. This article discusses key HIPAA rules and steps that developers can follow while building a HIPAA API. Key Rules for Developing a HIPAA API 1.

HIPAA 52

HIPAA Tests Documentation Follow-Up 52

Mobius MD

SEPTEMBER 16, 2024

An easy starting point is to document and assess the most common patient visit types in your clinic or department. Streamline clinical documentation When providers can manage their documentation load, they’re more likely to be on time and prepared to provide excellent patient care. But are patients using it?

Documentation 52

Documentation Scheduling Appointments Tests 52

Health Prime

JULY 27, 2023

Above all, familiarize yourself with the specific prior authorization forms, submission procedures, and documentation requirements. Ensure all necessary documentation, such as medical notes, test results, and treatment plans, is complete and readily available. CPT code or specific procedure ordered. The ICD10 code.

Insurance 52

Insurance Documentation Follow-Up Communication 52

Relias

APRIL 10, 2025

The CMS Emergency Preparedness Rule outlined a framework that healthcare providers and suppliers must follow to participate in Medicare and Medicaid programs. Training and testing program To ensure readiness, organizations must provide initial and annual training to staff on emergency policies and procedures.

Tests 52

Tests Best Practices Communication Long Term Care 52

Arkenea

JULY 12, 2024

It also helps to maintain the flow of data between healthcare providers, allowing for timely interventions, follow-up care, and medications. Plus, the system displays completed patient forms and sends alerts if some documents are missing or lacking certain data. Patients no longer have to worry about ‘what’s next?’

Medication 52

Medication Follow-Up Appointments Tests 52

Arkenea

OCTOBER 16, 2024

Healthcare website accessibility tools and best practices help hospitals to up their accessibility game and design a compliant site for users. Tapping into a volatile patient base can help up the revenue of the hospitals , and augment patient experience and satisfaction. Did you know that only 4.9 percent were non-compliant.

Best Practices 84

Best Practices Hospital Tests Communication 84

Mobius MD

JULY 1, 2024

Between EHR documentation, inbox management, prior authorizations, and other clerical tasks, it’s a wonder physicians have time to care for patients. Now, they face growing demands associated with documentation and regulatory compliance. Nobody likes paperwork, but practicing medicine requires a lot of it.

Documentation 52

Documentation Best Practices Follow-Up Patient Care 52

Health Prime

JULY 27, 2023

Above all, familiarize yourself with the specific prior authorization forms, submission procedures, and documentation requirements. Ensure all necessary documentation, such as medical notes, test results, and treatment plans, is complete and readily available. CPT code or specific procedure ordered. The ICD10 code.

Insurance 40

Insurance Documentation Follow-Up Communication 40

MedCerts

FEBRUARY 22, 2024

The NCCT Surgical Tech certification examination is a comprehensive test designed to assess your knowledge and skills in the operating room. Candidates should also provide documentation of completing a Surgical Technology program within 60 days of graduation. What Is the NCCT TS-C Surgical Tech Exam?

Sterilization 52

Sterilization Certification Tests Documentation 52

CollaborateMD

MAY 25, 2023

The process involves verifying the patient’s coverage, accurately documenting medical history, submitting claims promptly, and ensuring compliance with regulations. Accurate documentation of the patient’s medical history, examination, and treatment is crucial for oncology billing, including tracking all CPT and diagnosis codes.

Billing 52

Billing Medication Medical Coding Insurance 52

Healthcare Law Insights blog

JUNE 30, 2023

Food and Drug Administration (FDA) published a draft guidance document with foundational considerations for researchers that are developing psychedelic drugs for the treatment of medical conditions. The document frequently refers readers to existing guidance while noting key considerations that are unique to psychedelic drugs in each section.

Documentation 52

Documentation Tests Follow-Up Medication 52

Coronis Health

AUGUST 31, 2023

These tools speed up the coding process and increase accuracy and efficiency. Changes in healthcare regulations and compliance standards – regulations constantly change in healthcare. Perform regular audits – regular audits bring issues to the forefront so you can address them promptly. Accurate coding means getting reimbursed promptly.

Hospital 52

Hospital Medical Coding Billing Documentation 52

Healthcare Law Insights blog

JANUARY 9, 2025

emissions testing, and TD Bank pled guilty in 2024 for alleged anti-money laundering program failures. Dr. Javaid Perwaiz was indicted and convicted following trial in federal court of healthcare fraud. Dr. Perwaiz was convicted of healthcare fraud following trial, and at sentencing found to have caused $20.8

Hospital 52

Hospital Sterilization Follow-Up Documentation 52

A Young Doctor's Journey

JULY 9, 2021

In order to qualify for that, you must take the Occupational English Test for Medicine (OET Medicine) and pass with a “Grade B” or higher (350 points or more on each of the four sections). There are VERY limited testing opportunities – about two dates a month/location, so you have to plan ahead.

Tests 52

Tests Scheduling Follow-Up Certification 52

Arkenea

JANUARY 25, 2025

The cost depends on the team, features, functionalities, and the time required to wrap up the development process. Furthermore, the use of abbreviations or suffixes can mislead pharmacists and they can end up giving the wrong drug to patients. The cost of custom e-prescription software development is around $20,000 to $700,000 or more.

Transfers 52

Transfers Medical History HIPAA Follow-Up 52

Healthcare Law Insights blog

AUGUST 8, 2023

A transaction in which the parties meet the size of entity test is subject to reporting if it has one or more of the following characteristics: The proposed fair market value of the transaction exceeds $25 million and concerns the provision of health care services.

Documentation 52

Documentation Follow-Up Acute Care Transfers 52

Arkenea

DECEMBER 11, 2024

By utilizing smart devices and apps to automate medical operations, hospitals may free up staff time for other, more critical responsibilities while also saving time and effort. Thanks to the development of medical device software, smartphones and smartwatches are doubling up as diagnostic equipment.

Medication 52

Medication HIPAA Follow-Up Tests 52

Health Populi

JUNE 5, 2024

Consider automating administrative tasks from patient scheduling appointment, supporting clinical decision making based on patient data across the continuum of care and regardless of site of care, easing clinical documentation, and providing real-time understanding of risks and areas for improvement.

Unit Organization and Environment 71

Unit Organization and Environment Collaboration Documentation Acute Care 71

Northwest Career College

OCTOBER 24, 2024

Be sure to highlight tasks managed, such as organizing case files, setting court dates, and drafting legal documents. What to Focus On: Experience with legal documentation and procedures. The following question helps employers determine how you would react under stress and solve the problem presented to you.

Documentation 40

Documentation Follow-Up Scheduling Certification 40

Arkenea

JULY 2, 2024

HL7 promotes data sharing of records, lab reports, test results, etc., These challenges are as follows: A lack of a consistent data model, it is more implied. CDA includes the following elements for all clinical documents – stewardship, persistence, potential for authentication, wholeness, context, and human readability.

Documentation 52

Documentation Follow-Up Discharges Clinical Operations 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

Health Prime

JULY 6, 2023

Automation in healthcare can lead to multiple benefits for your practice, such as decreased manual efforts, reduced errors, increased capacity, and speeding up administrative processes. Here are five ways you can automate your practice’s workflows to free up your staff’s time, increase revenue and focus on your patients: 1.

Discharges 52

Discharges Scheduling Admissions Appointments 52

Medical Advantage

JULY 17, 2024

Through EHRs, all authorized providers involved in a patient’s care can access up-to-date and accurate information, facilitating coordinated and efficient care. The following sections illustrate some of the primary advantages of implementing EMRs in healthcare practices.

EHR / EMR 52

EHR / EMR Patient Records Medical History Follow-Up 52

Practice Index

JUNE 20, 2024

The campaign was launched following a survey of practices undertaken in December. The LMCs’ Medical Director, Dr Elliott Singer, said: “The document covers steps practices can take to reduce the chances of patient behaviour escalating into abuse or violence. There would also be an expansion of “self-referral” for some patients.

Huddles/Rounds 52

Huddles/Rounds Appointments Follow-Up Patient Satisfaction 52

Relias

MARCH 17, 2023

For 2023, its list of patient safety goals for hospitals includes the following: Identify patients correctly. The guidance encourages teams to communicate better with each other when delivering results — specifically, to “get important test results to the right staff person on time.” Improve staff communication. Use medicines safely.

Patient Safety 52

Patient Safety Communication Teamwork Follow-Up 52

Arkenea

JANUARY 25, 2025

Typically, message events are of the following two forms: Flat Files- HL7 Version 2.4 Typically, message events are of the following two forms: Flat Files- HL7 Version 2.4 HL7 messages consist of the following components: 1. The HL7 message structure of ACK includes a MSH (Message Header) segment followed by ACK.

Transfers 52

Transfers Discharges Communication Documentation 52

Practice Index

FEBRUARY 29, 2024

I know this has come up a bit in the Practice Index forum lately and I spoke to Robyn Clark, a Managing Partner, about it before today’s session. This gives you time to read over how they think they’re doing, and any other issues that they’re likely to bring up in the meeting, giving you time to prepare a response.

Follow-Up 69

Follow-Up Documentation Communication Tests 69

Arkenea

DECEMBER 2, 2024

Furthermore, the billing process can be automated to avert issues such as duplicate entries, clogged workflows, and document errors. Providing healthcare price transparency ameliorates patient retention and engagement as patients will end up seeking care from services with lower pricing.

Appointments 52

Appointments Scheduling Billing Communication 52