Sensible Medicine

JUNE 16, 2023

They might have fired me, lost or changed their health insurance, moved, or died without my knowledge. This can happen while watching my daughter’s track meet; during a swim; even while documenting another patient’s visit. He was on Medicare, so insurance changes would not have affected him.

Insurance 243

Insurance Patient Satisfaction Follow-Up Documentation 243

The HIPAA Journal

MARCH 19, 2025

On January 14, 2025, an employee emailed a document to a personal email account. California Department of Child Support Services The State of California Department of Child Support Services has notified the California Attorney General about a potential unauthorized disclosure of sensitive data in an email incident.

HIPAA 75

HIPAA Documentation Insurance Medication 75

Medbridge

NOVEMBER 8, 2024

On top of their duty to treat patients, physical therapists (PTs) manage complex documentation, billing, and coding tasks critical to ensuring proper reimbursement for services from insurers. Physical therapy billing units are at the core of this process, providing a standardized way to quantify services during therapy sessions.

Billing 52

Billing Documentation Insurance 52

Scrubs

AUGUST 22, 2023

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. Creating a public relations strategy is key to overcoming a data security breach.

Follow-Up 240

Follow-Up Documentation HIPAA Patient Records 240

Health Prime

AUGUST 29, 2024

Medical insurance claim submission is a critical step in the medical billing process. It determines the reimbursement the healthcare provider will receive from the insurance company. This includes errors in patient names, dates of birth, insurance policy numbers, and other personal details.

Documentation 98

Documentation Billing Medical Coding Insurance 98

Health Populi

FEBRUARY 27, 2024

That’s the mantra coming out of this week’s annual Capitol Conference convened by the National Association of Benefits and Insurance Professionals (NABIP). FYI you might know of NABIP by its former acronym, NAHU, the National Association of Health Underwriters).

Billing 141

Billing Insurance HIPAA Hospital 141

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. At Health Prime, we can help!

Medication 52

Medication Billing Documentation Appointments 52

Scrubs

MARCH 21, 2023

Nobody went into medicine to write notes or fill out insurance authorization forms,” said J. He added that medical payers now require so much documentation related to patients that “it’s almost an arms race.” Scott Smitherman, chief medical information officer at Providence Health.

Hospital 264

Hospital Follow-Up Appointments Documentation 264

EvidenceCare

JANUARY 12, 2024

For admitting clinicians, the key lies in distinguishing between genuine medical necessity and social admissions, ensuring meticulous documentation and rightful reimbursement. A crucial challenge arises when what may initially appear as a social admission could genuinely be medically necessary, yet the documentation lacks precision.

Admissions 130

Admissions Documentation Outpatient Care Hospital 130

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

APRIL 1, 2025

Individuals who were sent a notification that they were affected by the data breach may submit a claim for reimbursement of documented losses incurred as a result of the data breach up to a maximum of $10,000. Under the terms of the settlement, a $3.15

HIPAA 57

HIPAA Documentation Billing Scheduling 57

Health Prime

OCTOBER 10, 2024

Mental health providers must ensure they use the correct diagnosis and procedure codes when submitting claims to insurance companies. Document thoroughly and legibly Comprehensive and legible documentation is vital for successful mental health billing.

Billing 97

Billing Medical Coding Documentation Insurance 97

Health Prime

DECEMBER 11, 2024

Also, follow up with insurance companies to settle those claims immediately. Payment verification: Check each payment received against the expected receipt from the insurance provider and the patient. Document these adjustments properly to keep your records updated. This way, any discrepancy may be caught early.

Billing 52

Billing Medication Follow-Up Insurance 52

Health Prime

JUNE 13, 2024

Every code entered, every diagnosis documented, and every procedure billed must be meticulously coded to ensure proper reimbursement and compliance with regulations. Increased denials: Insurance companies are quick to deny claims with coding errors. Double-check documentation: Accurate coding begins with comprehensive documentation.

Billing 105

Billing Medical Coding Medication Best Practices 105

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

The HIPAA Journal

MARCH 21, 2025

A New York woman has avoided a jail term for a criminal violation of the Health Insurance Portability and Accountability Act (HIPAA), having been sentenced to probation. She must also pay thousands of dollars in restitution.

HIPAA 49

HIPAA Documentation Insurance 49

Relias

APRIL 28, 2022

Many participants have a role to play in the revenue cycle, and at each stage they must employ their specialized knowledge of how that patient interaction and service is documented in the patient’s health record. How Clinical Documentation Integrity Affects Revenue. CDI Affects More Than Financial Health.

Documentation 52

Documentation Hospital Patient Experience Billing 52

The HIPAA Journal

JULY 4, 2024

The types of data involved varied from individual to individual and may have included names, addresses, dates of birth, Social Security numbers, health insurance information, and/or health information. The incident was detected on June 14, 2024, and attempts were made to retrieve the documents, but it was not possible to retrieve them all.

HIPAA 120

HIPAA Documentation Billing Insurance 120

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 You’ll need ongoing training for your staff to improve your clinical documentation and avoid the following coding disasters. The documentation and coding are appropriate on our end. Insufficient Clinical Documentation or Underreported codes.

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 You’ll need ongoing training for your staff to improve your clinical documentation and avoid the following coding disasters. The documentation and coding are appropriate on our end. Insufficient Clinical Documentation or Underreported codes.

Documentation 52

Documentation Medical Coding Admissions Follow-Up 52

Scrubs

JULY 23, 2023

Switching Careers If you’re no longer in love with nursing, here’s what ex-nurses had to say: I used to work for one of the huge health insurance companies in my state. If you don’t want to have to do additional schooling to switch careers, I highly recommend looking at health insurance companies for your next gig.

Hospital 190

Hospital Insurance Medication Appointments 190

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

Valant

JULY 16, 2024

Progress notes help other practitioners or treating physicians stay up-to-speed on your work with a patient, and they inform insurance companies of the reliability and efficacy of your methods. They must contain certain information in orderly formatting so other providers and insurance companies can easily use them.

Documentation 98

Documentation HIPAA Appointments Follow-Up 98

Health Prime

MAY 30, 2024

Implement robust coding and documentation practices Accurate medical coding and detailed documentation are crucial elements in preventing underpayments. Therefore, it is important to ensure your staff is well-trained in coding practices and emphasize the importance of thorough documentation to support the services provided.

Billing 105

Billing Documentation Continuing Education Medical Coding 105

Valant

SEPTEMBER 10, 2024

This allows practitioners to spend more time on direct client care and less time on documentation. This leads to more efficient documentation processes and better overall practice management. This integration can reduce data entry time, minimize errors, and ensure consistency across all client documentation.

Documentation 98

Documentation Diagnostics Best Practices Collaboration 98

The HIPAA Journal

MAY 2, 2024

Hackers gained access to the BioPlus network for more than 2 weeks between October and November 2021, and potentially stole names, dates of birth, contact information, health insurance information, prescription information, and Social Security numbers. The maximum claim permitted depends on whether Social Security numbers were compromised.

HIPAA 111

HIPAA Follow-Up Best Practices Documentation 111

Health Prime

FEBRUARY 5, 2025

Other than these, whether due to wrong coding, incomplete documentation, or eligibility issues, the claims denied or rejected take a great deal of time and resources for follow-up or resubmission, delay reimbursement, and affect cash flow. This leads to claim denials and delays due to inappropriate or incorrect insurance information.

Billing 52

Billing Medication Scheduling Insurance 52

Valant

MAY 2, 2024

There are a number of factors to consider, such as service fees, patient volume, and reimbursement rates from insurance providers. Examples of overhead costs include rent, utilities, insurance premiums, administrative salaries, and software subscriptions. An operating budget has fixed, variable, and isolated costs.

Documentation 102

Documentation Patient Care Billing Insurance 102

Practice Index

DECEMBER 12, 2024

It's so easy to use and with just a few simple steps, you can accurately establish the impact of National Insurance, pension and National Minimum Wage changes for your practice. Best of our blogs Salary Calculator - FREE in the HUB - The only salary calculator you need has arrived!

Insurance 52

Insurance Documentation 52

Valant

SEPTEMBER 30, 2024

The Health Insurance Portability and Accountability Act (HIPAA) sets the standard for protecting sensitive patient data. These platforms ensure that patient privacy and data security remain paramount in the virtual therapy environment. What is HIPAA and Why is it Crucial in Teletherapy?

HIPAA 111

HIPAA Business Associate Certification Documentation 111

Valant

JULY 24, 2024

This information is shared with insurance companies to justify claims. Check out Valant’s clinical documentation features to learn more. The information recorded may include symptoms, medical history, test results, diagnoses, treatment plans, prescription medications, and progress made at appointments. So, what is SOAP ?

Medical History 98

Medical History Physical Exams Vital Signs Documentation 98

Minority Nurse

NOVEMBER 14, 2022

Nurses Service Organization (NSO) and CNA have published the new edition of the Nurse Practitioner Professional Liability Exposure Claim Report analyzing 232 closed professional liability claims against NPs, student NPs, and NPs covered through a CNA-insured healthcare business over five years (2017-2021). Incomplete physical assessment.

Documentation 98

Documentation Vital Signs Diagnostics Patient Safety 98

Valant

OCTOBER 23, 2024

These standardized codes ensure proper reimbursement and streamline the billing process for insurance companies and healthcare providers. They are used for billing purposes and help insurance companies determine appropriate reimbursement rates for different types of therapy sessions. What are CPT Codes for Psychotherapy?

Billing 59

Billing Documentation Insurance Best Practices 59

Health Prime

JULY 18, 2024

Denial management refers to identifying, analyzing, and resolving denied claims from insurance companies or payers. Claim denials can occur for various reasons, including incorrect patient information, coding errors, lack of prior authorization, incomplete documentation, and non-covered services. At Health Prime, we can help!

Billing 105

Billing Patient Satisfaction Documentation Medication 105

Sensible Medicine

DECEMBER 15, 2023

Most patients depart because of the realities of life: a move, loss or change of insurance, death. I can’t remember what I thought was going on, but other than documenting the concern, it does not seem like I really addressed it, diagnostically or therapeutically. Patients leave doctors’ practices all the time.

Tests 284

Tests Diagnostics Follow-Up Scheduling 284

Valant

APRIL 17, 2024

Not only is it a map for treating a client, it is necessary for compliance with insurance and governmental mandates. If you’re struggling to manage the logistics of treatment plan documentation and wondering how you’ll cope in light of practice growth, be encouraged. Automated workflows and documentation tools.

Documentation 102

Documentation HIPAA Best Practices Collaboration 102