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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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Common Myths About Medical Assistants

Scrubs

Medical assistants are crucial in healthcare settings, serving as the backbone of clinical operations. However, there are several myths and misconceptions surrounding the role of medical assistants. In reality, medical assistants typically complete accredited training programs or earn an associate’s degree in medical assisting.

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The impact of coding errors on medical billing: How to avoid common pitfalls 

Health Prime

In the intricate world of medical billing, accuracy is paramount. Your practice should consider the importance of the medical coding process when ensuring healthcare providers collect all money due to services rendered. Increased denials: Insurance companies are quick to deny claims with coding errors.

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3 Ways to Get Credentialed with Insurance Companies

Valant

Insurance credentialing is an important, intricate process that results in you becoming a “paneled,” in-network provider for a health insurance plan. In this article, we will explain how to get credentialed with insurance companies using the three most common methods. Blog What Is an Insurance Panel? Medicare ).

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Understand your Revenue Cycle to set your medical practice for success 

Health Prime

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.

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5 Risk Control Considerations as Nurse Practitioners’ Scope of Practice Expands

Minority Nurse

This means NPs can evaluate patients, diagnose, order, and interpret diagnostic tests, and initiate and manage treatments (including prescribing medications) under the licensing authority of the State Board of Nursing. Therefore, establishing clear communication and maintaining thorough documentation is essential. Documentation.

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Maine Hospital Using AI to Record Patient Conversations

Scrubs

Her regular doctor, Dr. Rebecca Hemphill, used the AI app during her last two medical appointments at MaineHealth. Nobody went into medicine to write notes or fill out insurance authorization forms,” said J. Scott Smitherman, chief medical information officer at Providence Health. It feels more like my needs are being met.

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