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

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

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 99

Billing Medication Follow-Up Appointments 99

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

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 80

Documentation Billing Medical Coding Insurance 80

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

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

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 94

Billing Medical Coding Medication Best Practices 94

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.

HIPAA 98

HIPAA Documentation Appointments Follow-Up 98

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

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 HIPAA 102

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 95

HIPAA Documentation Billing Insurance 95

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 70

Billing Medical Coding Documentation Insurance 70

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.

Vital Signs 98

Vital Signs Documentation 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

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 98

HIPAA Follow-Up Best Practices Documentation 98

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

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.

Follow-Up 174

Follow-Up Insurance Hospital Medication 174

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 82

Billing Documentation Continuing Education Medical Coding 82

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 81

Medical Terminology Bookkeeping Billing Insurance 81

Scrubs

OCTOBER 20, 2023

Glasses Interestingly, research published in the Journal of Advanced Nursing has documented the prevalence of computer vision syndrome (CVS) among nurses who utilize video display terminals during their shifts. Symptoms of CVS include blurred vision, eye pain, tearing, headache, and difficulty focusing.

Hospital 147

Hospital Admissions Documentation Insurance 147

Health Populi

JUNE 24, 2020

The second table from the PwC report details patients delaying care by consumer segment, health, and insurance status. PwC’s Health Research Institute found that one-fifth of people with employer-sponsored health insurance delayed over 70% of the care they should have received beginning in March until at least early May.

Insurance 112

Insurance Hospital Medication Documentation 112

Coronis Health

JULY 10, 2024

Do you ever encounter situations where claims are denied due to typos or missing information in patient demographics or insurance details? Coronis Can Help: Our team verifies patient information with insurance companies before submitting claims, minimizing errors and denials due to inaccurate demographics or coverage details.

Billing 52

Billing Medication Documentation Medical Coding 52

ACMA Blog

JULY 9, 2024

FTC Conducts Investigation into PBMs Because PBM practices lack transparency and accountability to the public, in 2022, the Federal Trade Commission (FTC) requested data and documents of business practices to the six largest PBMs: Caremark Rx, LLC, Express Scripts, Inc., OptumRx, Inc., Humana Pharmacy Solutions, Inc.,

Insurance 98

Insurance Patient Centered Care Medication Certification 98

Health Populi

APRIL 19, 2021

While self-rationing care due to cost has still been a feature of American health care economics during the COVID-19 pandemic ( documented by The Commonwealth Fund , among other research studies), HealthLine found that between February and December 2020, fewer consumers were likely to consider the cost of care before a visit to the doctor.

Insurance 120

Insurance Documentation Medication 120

Scrubs

NOVEMBER 2, 2023

This knowledge is essential for accurately handling patient records, insurance claims, and other healthcare-related documents. Medical administrative assistants must communicate effectively with medical professionals and patients, requiring a working knowledge of medical concepts.

Medical Assistant 147

Medical Assistant Medical Administrative Assistant Medication Medical Terminology 147

Valant

AUGUST 2, 2024

In addition, it’s important to be able to obtain prior authorization from insurance and track prescription statuses. Telehealth Capabilities HIPAA-compliant telehealth capabilities allow you to treat patients remotely in individual or group therapy sessions.

Billing 90

Billing Medical History HIPAA Collaboration 90

Valant

JULY 25, 2024

Always document the actual time spent to ensure accurate billing. Insurance Considerations: Reimbursement varies by insurer, degree level of the provider, and age requirements (often 18 or 21). Some insurers may not reimburse for 90846, so verify with each insurance company.

Billing 52

Billing Documentation Insurance Communication 52

Valant

AUGUST 20, 2024

Documentation: How will you document the group session along with assessing each individual as needed? Billing: Competent billing becomes even more important when managing reimbursement for multiple patients with differing insurance at the same appointment.

Billing 105

Billing Documentation Scheduling 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. At Health Prime, we can help!

Medication 52

Medication Billing Documentation Appointments 52

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

Health Populi

MAY 30, 2018

These concerns fall into the buckets of health insurance coverage, or lack thereof; insurance denials; affordability for the breakthrough therapies; and, potential risks of future denials for insurance based on the patient’s personalized genomic or other health data.

Insurance 69

Insurance Tests HIPAA Diagnostics 69