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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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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. Comprehensive patient registration Ensuring accurate and thorough patient registration is the first crucial step in the revenue cycle.

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5 strategies for mental health providers to enhance reimbursements 

Health Prime

Mental health providers must ensure they use the correct diagnosis and procedure codes when submitting claims to insurance companies. Incorrect coding can result in claim denials or payment delays, negatively impacting cash flow and patient satisfaction.

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10 Frequently Asked Questions (FAQ) About Denial Management 

Health Prime

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.

Billing 105
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A Brief Outlook on the Medical Insurance Verification Software

Arkenea

Medical insurance verification software is developed to automate the process of verifying patientsinsurance 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

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Friday Reflection 23: The Ghost Patient Panel

Sensible Medicine

This panel is made up of people who used to be my patients but no longer are — people who left my practice without telling me. They might have fired me, lost or changed their health insurance, moved, or died without my knowledge. A patient joins the ghost-patient panel when I realize I no longer see them.

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5 Signs Your Behavioral Health Practice Needs to Regain Centralized Control (And How to Do It)

Valant

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.

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