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The Unexpected Burden of Billing for Small Behavioral Health Practices

Valant

Billing often becomes one of the biggest administrative burdens for solo and small behavioral health practices. Behavioral health providers managing both clinical care and business operations face unique challenges: complex prior authorization requirements, extensive documentation standards, and insurance coverage barriers.

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How to bill for a house call visit

Mobius MD

Here’s a quick overview of tips and CPT codes for the next time you bill for a house call visit. Consider this when you bill for a house call Medicare reimburses providers for home visits only if they are medically necessary. In the case of house calls , physicians need to document that the home visit was medically necessary.

Billing 59
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Revenue Cycle Staffing Challenges: Tackling Staff Shortages and Burnout

Relias

A separate 2023 hospital poll indicated that 100% of executives agreed that staffing shortages have negatively impacted RCM rates. Focus areas for training should include: Annual coding and billing guideline updates Denial prevention strategies Regulatory changes (e.g.,

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April 2025 Healthcare Data Breach Report

The HIPAA Journal

Two large data breaches were reported in April that occurred way back in 2023, a ransomware attack on the City of Long Beach and a cyberattack on Dameron Hospital in California. The mailing vendor sent out 1095-C tax forms, however, an 18-digit code on the front of the envelope included each recipients Social Security number.

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Azura Vascular Care Agrees to $3.15 Million Data Breach Settlement

The HIPAA Journal

On October 9, 2023, Azura Vascular Care identified suspicious network activity, with the forensic investigation confirming that hackers had access to its network between September 27, 2023, and October 9, 2023, during which time they potentially stole the protected health information of patients.

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Proactive denial management: A revenue game changer for small practices

Medical Economics

Industry data showed that insurers on HealthCare.gov denied about 19% of in-network claims in 2023 ; that’s $73 million out of $319 million in claims filed. Appeal faster with templates Maintain three ready-to-use letters in your billing system: one for medical-necessity denials, one for coding edits and one for missing prior authorizations.

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The Trump administration wants to onshore drug manufacturing. Technologists are answering the call.

Healthcare Dive - Practice Management

The FDA has been enthusiastic about continuous manufacturing, issuing initial guidance in 2020 meant to encourage manufacturers to harness similar technologies , before finalizing its guidance in 2023. This administration wants to do a lot, and they want to do it with not as many resources as have previously been used,” she said.

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