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

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

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

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 Documentation 141

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 93

Billing Medication Follow-Up Appointments 93

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 Insurance 98

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 87

Billing Medical Coding Medication Best Practices 87

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 52

Documentation Diagnostics Best Practices Collaboration 52

Valant

SEPTEMBER 3, 2024

Behavioral health billing codes are also complex, and insurance claims and authorizations may be more difficult to secure. Like DBT, because CBT is evidence-based and can be effective in a relatively short time, it is more likely to be covered by insurance. These needs are best served by an EHR tailored to this field.

Appointments 52

Appointments Billing Documentation Scheduling 52

Healthcare Dive - Practice Management

JUNE 10, 2024

From 2020 to 2022, CityMD falsely documented insured patients as uninsured before fraudulently billing the federal government for their COVID-19 care, according to regulators. CityMD denies the allegations.

Documentation 44

Documentation Billing Insurance 44

Valant

APRIL 30, 2024

Understanding Treatment Plans in Counseling A treatment plan is a document that records a patient’s current mental health status and lays out goals for the outcome of their treatment. This document provides a clear roadmap you can use to ensure your treatment stays on track with a client’s goals.

Documentation 52

Documentation Communication Insurance Collaboration 52

EvidenceCare

APRIL 16, 2024

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.

Documentation 130

Documentation Admissions Discharges Billing 130

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

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

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 246

Follow-Up Documentation HIPAA Patient Records 246

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

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 76

Billing Documentation Continuing Education Medical Coding 76

Sensible Medicine

AUGUST 2, 2024

I often say to patients (as I apologize for documenting while I get to know them) that I had sworn as a medical student never to be the doctor that types during visits—and when I first became an attending, I held to that. Ideally, I would have a schedule where I could document in the time after a patient leaves the visit.

Documentation 62

Documentation Follow-Up Medication Scheduling 62

Valant

JANUARY 30, 2024

External Audit Requirements In the behavioral health field, audits involve a comprehensive examination of a practice’s compliance with regulations and standards, such as those from states and insurance providers. Compliance with audit requirements fosters trust and credibility with patients, insurers, and regulatory bodies.

Billing 52

Billing Documentation Follow-Up Best Practices 52

MedCerts

JULY 24, 2024

In this essential role, you’ll wear many hats as you converse with patients, pharmacists, doctors and insurance companies about different aspects of a patient’s prescriptions and medical information. This role may also involve administrative tasks, such as patient intake, treatment area prep, clerical duties and documenting patient responses.

Medical Assistant 68

Medical Assistant Insurance Patient Care Appointments 68

DrChrono

MARCH 13, 2024

Front office staff need to know how to check patients’ insurance. Doctors and nurses must know and document the correct codes when they prescribe treatment. Revenue cycle management (RCM) affects every part of your healthcare practice. That’s why it’s crucial that all your staff members understand their part in the process.

Follow-Up 40

Follow-Up Documentation Billing Insurance 40

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

DrChrono

FEBRUARY 23, 2024

Front office staff need to know how to check patients’ insurance. Doctors and nurses must know and document the correct codes when they prescribe treatment. Revenue cycle management (RCM) affects every part of your healthcare practice. That’s why it’s crucial that all your staff members understand their part in the process.

Follow-Up 40

Follow-Up Documentation Billing Insurance 40

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 89

HIPAA Follow-Up Best Practices Documentation 89

CollaborateMD

MAY 25, 2023

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 documenting medical history, submitting claims promptly, and ensuring compliance with regulations.

Billing 52

Billing Medication Medical Coding Insurance 52

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 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 76

Billing Patient Satisfaction Documentation Medication 76

ACMA Blog

JUNE 25, 2024

It is the insurance or payers’ way of controlling costs by approving or denying certain medications, procedures, or devices that may not usually be covered or is on a higher tier on the formulary. Clinical Documentation Specialist (CDS): A CDS can help in the PA process by accurately documenting patient records.

Documentation 40

Documentation Medical Assistant Certification Insurance 40

Practice Management Institute

FEBRUARY 14, 2024

Beyond the front desk there’s a whole team of professionals that support the clinicians by protecting patient privacy and enforcing compliance guidelines, reviewing medical documentation, processing insurance claims, billing, and posting payments.

Medical Coding 52

Medical Coding Medication Certification Billing 52

Coronis Health

AUGUST 31, 2023

Medical codes are used to support the claims sent to a patient’s insurance provider, and claims paid by patients and/or insurance companies drive the financial operations of medical organizations. However, depending on the nature of the patient’s diagnosis and treatment, reimbursement can take weeks or months to be processed.

Hospital 52

Hospital Medical Coding Billing Documentation 52

19 Labs

JULY 8, 2024

This collaboration adds the ability to streamline how schools send and collect consent forms and other documents to the GALE platform. Real-Time Data Access and Storage: Digital collection, upload, and storage of insurance cards and medical history accessible on any device.

HIPAA 89

HIPAA Diagnostics Medical History Communication 89

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

Medical Terminology Blog

DECEMBER 12, 2023

Have access to healthcare documents. Navigating Healthcare Systems – helps you navigate complex healthcare systems, insurance forms, and medical billing statements more effectively. You probably: Have contact between you and your provider online. Need to be your advocate to get the best care.

Medical Terminology 52

Medical Terminology Medication Documentation Communication 52

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

Arkenea

JULY 8, 2024

HIPAA (Health Insurance Portability and Accountability Act) rules and regulations ensure that ePHI (Protected Health Information) is safe and secure from potential hackers. ’ HIPAA classifies retention for two types of documents – HIPAA medical records retention and HIPAA retention for other documents.

HIPAA 52

HIPAA Documentation Business Associate Best Practices 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

Valant

MARCH 20, 2024

Reduced revenue or profitability can be the result of missed billing opportunities, inefficient billing processes , or changes in insurance reimbursement rates, among other things. In addition, fluctuations in insurance coverage or changes in policies can lead to delays in reimbursements, or lower reimbursement rates for specific services.

Billing 52

Billing Communication Documentation Patient Satisfaction 52