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 Prime

JULY 18, 2024

The bad news is that if claims are not handled, the average cost to rework a claim is $25.20, which quickly adds up. Denial management refers to identifying, analyzing, and resolving denied claims from insurance companies or payers. Health Prime compiled a list of 10 Frequently Asked Questions (FAQ) about denial management: 1.

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Billing Patient Satisfaction Documentation Medication 105

Valant

SEPTEMBER 5, 2024

It supports your claims and demonstrates compliance with insurance regulations. Follow these best practices for documenting group treatment: Be specific. Stay up-to-date on unique documentation requirements for group therapy. Challenge: Incorrect coding Solution: Study up on CPT and modifier codes for group therapy.

Documentation 52

Documentation Billing Follow-Up Best Practices 52

Health Prime

FEBRUARY 7, 2024

Establish a robust system that verifies insurance information before the appointment. Customized statements include detailed information about services, insurance adjustments, patient responsibilities, etc. Past the time of service, polite but persistent follow-up activities are crucial to collecting balances.

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Billing Follow-Up Communication Insurance 52

Valant

MARCH 1, 2024

Compliance with the Health Insurance Portability and Accountability Act ( HIPAA ) and other laws/regulations is mandatory. Getting on insurance panels (also known as insurance credentialing ) is an involved process that can sometimes take months and requires a lot of steps and paperwork. Your EHR software can help with this.

Billing 52

Billing Patient Centered Care HIPAA Follow-Up 52

Valant

DECEMBER 16, 2024

Read on to learn how your practice can keep up with the current rules and prepare for future changes. Parity laws have upped the expectations for documenting and justifying treatment. If they feel that insurance coverage will be confusing, they may opt out of treatment rather than risk an unexpected bill. Heavier documentation.

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Billing Documentation Follow-Up Best Practices 94