Physicians Practice

JUNE 9, 2025

Coding Q&A Podcast 2: Problem management credits; A/P notes for AWVs Drew Boxler ; Bill Dacey, MBA, MHA, CPC, CPC-I November 25th 2020 Podcast Coding expert Bill Dacey, principal of The Dacey Group, answers viewers questions in this second installment of our Coding Q&A podcast series. 'We'll

Billing 52

Billing Communication Documentation Patient Satisfaction 52

The Healthcare Blog

DECEMBER 18, 2024

Instead of shopping for care, consumers found themselves saddled with almost $200 billion in medical bills they could not pay, and hospitals and physicians ended up eating most of it. In a stunning rapid fire $20 billion acquisition spree from 2019 to 2021, UnitedHealth Group bought Equian, Change Healthcare and naviHealth.

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Insurance Hospital Follow-Up Medication 57

Valant

JULY 29, 2024

Altered mental status, unspecified (R41.82) is a billable ICD-10 diagnostic code under HIPAA regulations from October 1, 2020, to September 30, 2021. ICD-10 Code for Altered Mental Status In this blog post, Valant discusses the ICD-10 code for Altered Mental Status.

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Diagnostics HIPAA Insurance Medication 97

Relias

DECEMBER 8, 2022

The PEPPER gives your organization a snapshot of your case mix, coding, and billing practices and compares you to other providers in the nation, Medicare Administrative Contractor jurisdiction, and state. Most states’ retrieval rates of the 2021 home health agencies PEPPER stood at 40% to 59%. Average case mix. Admission source.

Acute Care 52

Acute Care Interdisciplinary Team Billing Hospice 52

Mobius MD

JULY 1, 2024

Between EHR documentation, inbox management, prior authorizations, and other clerical tasks, it’s a wonder physicians have time to care for patients. Now, they face growing demands associated with documentation and regulatory compliance. Significant changes include: 2021: Major revisions to the office visit E/M guidelines.

Documentation 52

Documentation Follow-Up Best Practices Patient Care 52

Mobius MD

AUGUST 8, 2024

Despite the many headaches caused by a growing clinical documentation burden, it’s great to know that the best EHR systems are improving. Many organizations adopt Epic because it provides a comprehensive system for managing patient records, scheduling, billing, and clinical workflows.

Acute Care 52

Acute Care Hospital Follow-Up Documentation 52

Health Populi

FEBRUARY 3, 2021

adults had problems paying medical bills, largely delaying care due to cost for a visit or for prescription drugs. The report synthesizes studies that documented patients avoiding seeking physician care, noting the phenomenon was “unlike anything the industry had seen: By June 30, 2020, 41% of U.S.

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Medication Appointments Scheduling Documentation 71

ACMA Blog

MAY 21, 2024

However, navigating the complexities of RCM can be challenging, with billing errors, claim denials, and inefficiencies leading to financial losses and administrative burden. Detecting and Correcting Billing Errors Billing errors are a prevalent issue in healthcare, often resulting in delayed or denied reimbursements.

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Billing Patient Satisfaction Documentation Patient Experience 40

Valant

FEBRUARY 1, 2024

In-house billing can boost efficiency, reduce spending, improve revenue streams, and simplify compliance—even with ever-evolving regulations. This medication helps by rectifying a precipitous drop in a metabolite of progesterone that occurs after giving birth, as well as by increasing the activity of GABAA receptors ( Cornett et al.,

Medication 52

Medication Billing Communication Patient Education 52

Arkenea

MARCH 29, 2025

Nearly 45 million records were exposed or stolen in 2021. Business associates include billing and healthcare claims companies who help doctors get paid for offering their services. The entire risk analysis is documented and reviewed periodically to prevent ePHI violations. More: HIPAA-compliant web hosting servers 4.

HIPAA 52

HIPAA Business Associate Documentation Follow-Up 52

Healthcare Law Insights blog

JANUARY 9, 2025

million worth of fraudulent billings to health programs, both for himself and the hospitals where his fraudulent procedures were performed. Dr. Perwaiz was sentenced in May 2021. Chesapeake Regional then billed Medicaid and other healthcare programs. The hospital was not charged until January 2025.

Hospital 52

Hospital Sterilization Follow-Up Documentation 52

Health Prime

JULY 6, 2023

According to the 2021 Internet of Healthcare Report , 90% of healthcare executives said their organization relies on multiple systems for at least one process, including claims processing and clinical documentation. We manage your billing, coding, and claim submissions, so you can get back to what matters the most: your patients.

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Discharges Scheduling Admissions Appointments 52

Northwest Career College

MARCH 18, 2025

If you have ever considered a medical billing and coding career, you likely have come across the terms ICD-10 and CPT codes by now. Both types of codes are critical to medical billing and coding. But what do the two codes mean, and how different are they? The ICD-10 code might be J02.9, indicating an unspecified acute pharyngitis.

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Medication Billing Insurance Communication 40

Health Prime

JULY 6, 2023

According to the 2021 Internet of Healthcare Report , 90% of healthcare executives said their organization relies on multiple systems for at least one process, including claims processing and clinical documentation. We manage your billing, coding, and claim submissions, so you can get back to what matters the most: your patients.

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Discharges Scheduling Admissions Appointments 40

Relias

AUGUST 22, 2023

However, the realities may include long work hours, an organizational focus on billing and insurance reimbursement, lack of respect from colleagues and leadership, a lack of autonomy, and other common challenges. Put together, this resulted in 330,000 healthcare workers leaving their jobs in 2021 alone.

Teamwork 52

Teamwork Documentation Billing Insurance 52

The HIPAA Journal

APRIL 27, 2025

The first request was made on December 30, 2020; however, the EEG tracing was not provided until September 29, 2021, 9 months after the first request was made. In the Fall of 2021, OCR received complaints from 6 individuals who claimed not to have been provided with a copy of their requested records in a timely manner.

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HIPAA Business Associate Hospital Medication 72

Doximity

NOVEMBER 11, 2021

You can learn about ChenMed by visiting chenmed.com , or visit the upcoming ChenMed Physician Career Fair on November 18, 2021. And I said well, how are you going to have this model where the doctors don’t bill? It took a big chunk of my time and my doctor’s time, the nurse practitioners, were with the documentation for reimbursement.

Unit Organization and Environment 52

Unit Organization and Environment Billing Follow-Up Medication 52

ACMA Blog

OCTOBER 8, 2024

Reactive case management occurs when prior authorization for treatment is denied, affecting timeliness of patient treatment (Braxton, 2024)(DeMarzo & Ayoub, 2021). Data sourced from (Mills, 2021). Additionally, the software is capable of accepting proprietary internal documents.

Documentation 52

Documentation Medication Billing Follow-Up 52

The HIPAA Journal

JUNE 2, 2025

Cal/OSHA is working on an update to the 2023 legislation that introduced a new requirement for employers in California to develop and implement a workplace violence prevention plan.Senate Bill 553, Workplace Violence Prevention in General Industry , was signed into law on September 30, 2023, and took effect on July 1, 2024.

Emergency Response 59

Emergency Response HIPAA Documentation Billing 59

NHA Now

JULY 9, 2020

With an ever-evolving healthcare system, certified medical billing and coding professionals have to stay on top of changing codes, practices, and regulations. Errors include insufficient documentation and incorrect coding.

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Documentation Continuing Education Billing Medical Assistant 40

Arkenea

JUNE 27, 2024

Reports say that medical errors are one of the leading causes of death, and electronic medical records leave little to no room for documentation errors. The rise in the adoption of EMR isn’t just limited to error-free documents or mandates. Cloud-based EMR fits the bill aptly. billion in 2021 at a 16.3

Acute Care 52

Acute Care EHR / EMR Documentation Hospital 52

Arkenea

DECEMBER 2, 2024

According to a report published by Chime, 83 percent of acute care organizations stated high use of patient portals by users in 2021, as compared to 74 percent in 2020. It also minimized human errors by ensuring an optimized medical billing process. Online payments allow patients to self-manage their bills and balances.

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HIPAA Appointments Scheduling EHR / EMR 52

NHA Now

FEBRUARY 8, 2021

How can you stay current with the rapidly evolving medical billing codes related to COVID-19? Encounter for screening for COVID-19 * *From the ICD-10-CM Official Guidelines for Coding and Reporting FY 2021: “ During the COVID-19 pandemic, a screening code is generally not appropriate. The additional codes are: Z11.52

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Tests Documentation Billing Certification 52

Relias

MARCH 13, 2023

As a result, the Centers for Medicare and Medicaid Services (CMS) public rule on price transparency requirements for hospitals came into effect on January 1, 2021. In addition, billing codes for the final diagnosis may differ from what is on the price estimator. Additional rules took effect in July 2022.

Hospital 52

Hospital Documentation Billing Insurance 52

Valant

APRIL 21, 2025

For example, staff members who handle billing need insurance information, but not detailed clinical notes. Practices should define role-based access levels, granting providers full clinical access while limiting administrative staff to only scheduling and billing permissions. Vendor and contractor access should be strictly managed.

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HIPAA Patient Records Best Practices Documentation 71

Valant

JANUARY 23, 2025

Woodstream Wellness, an Ohio-based mental health practice, opened in 2021 with a commitment to patient care and a vision for growth. Woodstream leveraged Valant’s training tutorials to create workshops for providers, covering everything from documentation to appointment scheduling. Recognizing this, they turned to Valant.

Patient Records 52

Patient Records Appointments Collaboration Documentation 52

Health Populi

NOVEMBER 27, 2019

The 2019 ACSI report bundles finance/banks, insurance (property/casualty, life and health) and hospitals together in one document. I would also add growing dissatisfaction with out-of-network hospital bills related to emergency room costs, frequently covered in hometown news media.

Hospital 71

Hospital Patient Satisfaction Insurance Follow-Up 71