Sensible Medicine

MAY 25, 2023

“The Centers for Medicare and Medicaid Services should make establishing payment codes for products involving women’s heart disease a priority to prompt private insurers to cover new service lines.” Insurers will be forced to raise rates to cover this new charge. ” U.S.

Tests 227

Tests Follow-Up Diagnostics Insurance 227

Scrubs

MARCH 21, 2023

MaineHealth recently announced it is using AI to automatically record conversations between doctors and their patients during a check-up or follow-up visit. We end up doing what we went into medicine for,” she said. Nobody went into medicine to write notes or fill out insurance authorization forms,” said J.

Hospital 264

Hospital Follow-Up Appointments Documentation 264

Health Populi

APRIL 1, 2019

For mainstream Americans, “the math doesn’t add up” for paying medical bills out of median household budgets, based on the calculations in the 2019 VisitPay Report. Patients Consider Costs and Insurance Essential to Their Overall Health Experience appeared first on HealthPopuli.com. Given a $60K median U.S.

Insurance 113

Insurance Billing Medication Follow-Up 113

Prism Career Institute

MAY 6, 2025

It’s also crucial to maintain patient confidentiality and follow Health Insurance Portability and Accountability Act (HIPAA) regulations. They also may work with a patient to schedule any follow-up appointments. This can be done by having up-to-date documentation, such as a CPR certification.

Medical Assistant 52

Medical Assistant Medication Follow-Up Medical History 52

The HIPAA Journal

APRIL 16, 2025

The hackers encrypted files and stole data such as names, addresses, telephone numbers, email addresses, dates of birth, demographic information, Social Security numbers, drivers license numbers, medical record numbers, health information, payment information, and health insurance information.

Follow-Up 68

Follow-Up HIPAA Documentation Scheduling 68

Practice Index

MARCH 6, 2025

Lords bid to exempt practices from NI increases Practices could still be exempted from the increase in employers National Insurance rates following a vote in the House of Lords. The Lords voted to amend the National Insurance Act to protect health and care providers. It states that the dispute with Government may be over.

Huddles/Rounds 52

Huddles/Rounds Follow-Up Appointments Insurance 52

Practice Index

JANUARY 2, 2025

The BMA has called for an increase of 20% plus inflation for salaried GPs, alongside a commitment to annual uplifts in the following years to reverse the effects of over a decade of underfunding. Im not getting my hopes up! Another Practice Manager we spoke to summed up the mood: The ongoing pay dispute is not just about numbers.

Follow-Up 98

Follow-Up Insurance Patient Care Medication 98

Health Populi

NOVEMBER 1, 2022

While consumers’ satisfaction with inpatient care experiences improved a few points over the past year, health insurance and hospitals still fall in the bottom-third of all industries with which people interact, according to the American Customer Satisfaction Index (ACSI) Insurance and Health Care Study 2021-2022.

Insurance 117

Insurance Follow-Up Hospital 117

Health Populi

MAY 21, 2020

Patients’ concerns of COVID-19 risks have led them to self-ration care in the following ways: 41% have delayed health care services. Nearly every respondent in the study reported having health insurance coverage. Another 8% had Medicaid or a state health insurance program.

Insurance 161

Insurance Tests Follow-Up Huddles/Rounds 161

Health Prime

DECEMBER 11, 2024

Wrapping up your practice for the New Year includes: Reconciling all accounts accurately Sorting out outstanding claims Updating patient information These measures will prevent discrepancies that lead to financial loss, reduce mistakes, and speed up the claim approval process, allowing your practice to continue running without glitches.

Billing 52

Billing Medication Follow-Up Insurance 52

Sensible Medicine

JANUARY 19, 2024

Pumps should be covered by insurance, and other supplies. There is no credible evidence breast feeding improves IQ (even the one RCT that *spuriously* claimed this lost that claim in follow up). It's completely reasonable to *gently* encourage breast feeding, and teach (not guilt) new mothers to do it.

Follow-Up 166

Follow-Up Insurance Hospital 166

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. The number of healthcare data breaches keeps going up year after year.

Follow-Up 240

Follow-Up Documentation HIPAA Patient Records 240

The Healthcare Blog

FEBRUARY 25, 2025

OK, there is a need to verify health insurance coverage, but one might expect this to be a simple matter of checking eligibility->coverage->currency-with-premiums, and something that can be done asynchronously. Apparently she hadn’t bothered, so here we were again.

Appointments 73

Appointments Follow-Up Insurance Medication 73

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

Health Populi

JULY 26, 2022

billion investment makes ONEM the third largest acquisition in Amazon’s portfolio, following Whole Foods at $13.7 For the former, Amazon leadership is talking up the company’s expertise in consumer experience and delight, efficiency and engagement (which I addressed in yesterday’s Day 1 post ).

Medication 165

Medication Follow-Up Insurance HIPAA 165

EvidenceCare

MAY 16, 2025

These improvements reflect stabilization following pandemic-related disruptions and cost pressures. However, hospitals with a high share of Medicaid patients continue to see lower operating margins (2.3%) compared to those with more commercially insured patients (7.0%). and operating margins to 5.2%.

Hospital 130

Hospital Follow-Up Collaboration Discharges 130

Valant

MAY 30, 2024

There are four critical functions that practitioners should evaluate for outsourcing or hiring: billing, payroll, insurance credentialing, and human resources (HR). Changes in regulations, insurance requirements , and technology mean that practitioners must be proactive to meet the evolving needs of their patients and the industry as a whole.

Billing 105

Billing Insurance Follow-Up Patient Satisfaction 105

The Healthcare Blog

DECEMBER 10, 2024

Following the surge, investment plummeted. What were left with entering into 2025 are a smorgasbord of solutions clamoring to attach themselves to traditional enterprise incumbents (Health Insurance Providers, Electronic Health Records, Hospital Systems). Those regions are ripe for follow-on expansion and digital scale.

Insurance 67

Insurance Follow-Up Collaboration Patient Support 67

Health Populi

APRIL 28, 2021

In movies in particular, we’ve seen health care costs and hassles play featured in plotlines in As Good as it Gets [theme: health insurance coverage], M*A*S*H [war and its medical impacts are hell], and Philadelphia [HIV/AIDS in the era of The Band Played On], among dozens of others. Here’s the ad you can watch for yourself.

Insurance 143

Insurance Follow-Up Medication Billing 143

Health Populi

JUNE 2, 2021

These increases range from the highest percentage change for inpatient care, over 10%, followed by professional services (e.g., up, compared with the largest cost increase across categories in 2020 of 7.2%. Each year, I figure out what the average PPO cost could buy someone in exchange for that health insurance.

Insurance 174

Insurance Follow-Up Tests Medication 174

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 Populi

OCTOBER 5, 2020

Power has studied including health insurance, insurance and financial services. Across all providers, AmWell scored highest at 885, followed by Doctor on Demand with 879 points. Cigna, the highest-scoring payer-backed telehealth organization, racked up 874 points on the 1,000-point scale. In the study, J.D.

Physical Exams 147

Physical Exams Customer Service Insurance Follow-Up 147

Health Populi

AUGUST 21, 2023

” HealthEdge’s latest research into health consumers’ perspectives finds peoples’ satisfaction with their health insurance plans lacking, with members seeking easier access their personal health information, high levels of service, and rewards for healthy behaviors.

Insurance 62

Insurance Follow-Up Care Plan Communication 62

Scrubs

MAY 18, 2024

Nurses in these settings play a pivotal role in providing medical care and guiding patients through the complexities of the healthcare system without insurance. Access to Affordable Online Medical Resources As healthcare evolves, the Internet has become a crucial resource for managing health, especially for those without insurance.

Insurance 130

Insurance Patient Advocacy Tests Extended Care 130

Sensible Medicine

AUGUST 2, 2024

When I later saw these patients in follow-up, I often had to re-do my initial consult as I did not have the required details documented. I also initially struggled to get many medications approved by insurance as I had not documented (to their satisfaction) all the previous drugs trialed by the patient.

Documentation 197

Documentation Follow-Up Medication Scheduling 197

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. Ensures compliance with insurance requirements.

Medication 52

Medication Billing Insurance HIPAA 52

Health Populi

MARCH 2, 2021

Most of these live video calls were also done through a service offered by consumers’ health care providers (doctors/clinicians), followed by services offered by insurance companies. Willingness in sharing health data with insurers, pharmacies, research institutions all fell between 2019 and 2020.

Follow-Up 174

Follow-Up Hospital Insurance Medication 174

CollaborateMD

APRIL 3, 2025

” With all of these concerns, it’s vital that providers and billing departments understand and follow the key elements of proper medical billing compliance to run a successful practice. Following health insurance policies and procedures. ” “Do I have all the correct patient information?”

Billing 52

Billing Medication HIPAA Follow-Up 52

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.

Medication 52

Medication Billing Documentation Appointments 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

The HIPAA Journal

APRIL 29, 2025

The review of the account confirmed it contained names, addresses, birth dates, Social Security numbers, drivers license and other ID numbers, financial information, and limited health and health insurance information related to treatment and prescriptions. The breach was reported to the Maine Attorney General as affecting 5,971 individuals.

Follow-Up 103

Follow-Up HIPAA Best Practices Documentation 103

Health Prime

JANUARY 1, 2025

Delays in credentialing can lead to a period where the physician is not working or seeing patients with specific insurances. This lets your staff focus on patient care while ensuring providers are appropriately credentialed for seamless interactions with insurance companies. Reach us at sales@hpiinc.com.

Billing 52

Billing Medication Insurance Patient Care 52

Health Prime

FEBRUARY 5, 2025

This leads to the following problems: Coding errors Denials of claims Revenue loss Therefore, serious investment in billing personnel training, technology-enabled coding assistance tools, and partnerships with experienced billing services will facilitate smooth coding processes and compliance.

Billing 52

Billing Medication Scheduling Insurance 52

Health Populi

JULY 10, 2020

health care providers set up virtual care arrangements to convene with patients. The top reasons health consumers sought virtual care were for wellness check-ins and routine check-ups, among 41% of virtual care consumers. One-quarter of people found virtual care info via an insurance company site or third-party channel like ZocDoc.

Follow-Up 116

Follow-Up Insurance Medication Hospital 116

Health Prime

MARCH 28, 2024

Monitoring credit balances and following best practices in the organization can help avoid financial risks. Implement a systematic review of patient accounts, insurance claims, and payments. This team should focus on comparing billing records with payment receipts and insurance reimbursements. Subscribe to the Health Prime blog.

Billing 105

Billing Communication Patient Education Insurance 105

The HIPAA Journal

MAY 2, 2024

BioPlus Specialty Pharmacy Services has proposed a settlement to resolve a class action lawsuit that was filed in response to a 2021 data breach that exposed the data of up to 350,000 patients. The Florida specialty pharmacy chain notified the affected individuals within a month and offered them complimentary credit monitoring services.

Follow-Up 109

Follow-Up HIPAA Best Practices Documentation 109

We Care Online

NOVEMBER 5, 2024

For example, a patient with diabetes can have virtual check-ups to monitor blood sugar levels, review medication adjustments, and discuss lifestyle changes without needing to travel. Simple gestures like addressing patients by name, using empathetic language, and following up on previous discussions can help humanize digital interactions.

Medication 52

Medication Follow-Up Patient Satisfaction Communication 52