The HIPAA Journal

JULY 9, 2024

SouthCoast Health and Privia Medical Group in Georgia have notified patients about a cyberattack and data breach that occurred in June 2023. During that time, files on the network were viewed or copied.

Triage 123

Triage HIPAA Documentation Billing 123

Health Prime

JUNE 22, 2023

Medical billing plays a crucial role in the success of any healthcare practice, and gastroenterology is no exception. Gastroenterologists face unique challenges with medical billing due to the complex nature of their specialty. According to a recent Precedence Research report , the gastroenterology market size 2023 is USD 54.56

Best Practices 52

Best Practices Billing Medication Documentation 52

The HIPAA Journal

MAY 21, 2025

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.

Business Associate 77

Business Associate HIPAA Hospital Insurance 77

Health Prime

JUNE 22, 2023

Medical billing plays a crucial role in the success of any healthcare practice, and gastroenterology is no exception. Gastroenterologists face unique challenges with medical billing due to the complex nature of their specialty. According to a recent Precedence Research report , the gastroenterology market size 2023 is USD 54.56

Best Practices 40

Best Practices Billing Medication Documentation 40

CareerStep

NOVEMBER 14, 2023

If you’ve ever considered a job in healthcare but don’t want to work directly with patients, medical billing and coding may be a good fit! The American Medical Association (AMA) reported that as of spring of 2023, the U.S. What do medical coders do and what do medical billing professionals do? And why are they in demand?

Billing 52

Billing Medical Coding Medication Certification 52

Medical Economics

JULY 8, 2025

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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Mildred Elley

JUNE 17, 2025

Key legal assistant skills: Organizational skills Writing skills Technical skills Detail-oriented Interpersonal skills Adaptability Knowledge of legal terminology for documentation What skills do you need to be a paralegal? Paralegals are trained professionals who work behind the scenes with attorneys.

Documentation 52

Documentation Billing Customer Service Certification 52

Medbridge

MARCH 18, 2024

With the completion of the first performance year (2023) under Home Health Value-based Purchasing (HHVBP), understanding how your agency performed will help you improve your future performance.

Documentation 105

Documentation Billing 105

The HIPAA Journal

MAY 23, 2025

Over the course of two weeks, the hackers exfiltrated sensitive data such as full names, Social Security numbers, dates of birth, contact information, provider information, billing information, insurance information, medical record numbers, diagnoses, and treatment information. More than 50 facility partners were affected by the breach.

HIPAA 83

HIPAA Documentation Billing Insurance 83

Healthcare Law Insights blog

AUGUST 28, 2023

Evaluation and management (E/M) services have been called “the core” of healthcare billing. [1] 1] E/M is a catch-all claim, allowing medical professionals to bill for diagnosing or treating nearly any illness or injury. Department of Justice, Press Release, June 20, 2023, available at [link]. [3] 11, 2023). [4]

Billing 52

Billing Tests Documentation Insurance 52

Medbridge

MARCH 6, 2024

It’s been a year since the first performance year (2023) under Home Health Value-based Purchasing, and there’s a lot to unpack! We spoke to leading home health agencies to understand what went right, what went wrong, and what they want to improve to get ready for the payment adjustments coming in 2025.

Documentation 98

Documentation Billing 98

Valant

JANUARY 25, 2024

The International Classification of Diseases, Tenth Revision (ICD-10) released updates for 2024 related to behavioral health, which went into effect October 1, 2023. You can also find a list 2023 ICD-10 updates here , and a list of common codes for mental health disorders here. Blog ICD-10 Codes for Depression – F32.0–F33.3

Billing 52

Billing Documentation Scheduling Communication 52

Healthcare Law Insights blog

MAY 4, 2022

In the Federal omnibus spending bill signed in March 2022, Congress extended current Medicare reimbursement waivers applicable to telehealth services for five months beyond the end of the PHE. Bipartisan bills (i.e.

Billing 52

Billing Documentation 52

ACI Medical & Dental School

OCTOBER 24, 2023

ACI Medical & Dental School Prepares Students for In Demand Healthcare Jobs ( Updated for 2023 ) The National Healthcareer Association (NHA) has released their 2023 Industry Outlook , which continues to show that jobs for allied health professionals in the US are growing at 13%, a much faster rate than other professions.

Medical Administrative Assistant 52

Medical Administrative Assistant Medical Assistant Certification Continuing Education 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. Nobody likes paperwork, but practicing medicine requires a lot of it.

Documentation 52

Documentation Follow-Up Best Practices Patient Care 52

Relias

APRIL 27, 2023

Healthcare leaders face constant changes in regulations, billing rules, payer requirements, and technology. There are also qualitative benefits, like fewer billing complaints. Better retention As many as 58% of medical practices said that staffing is their biggest challenge for 2023, according to an MGMA Stat poll.

Critical Thinking 52

Critical Thinking Follow-Up Billing Best Practices 52

Valant

JULY 29, 2024

Check out the 2023 ICD-10 updates here. When To Use ICD-10 Code for Altered Mental Status, Unspecified – R41.82 Clinicians should only use the R41.82 diagnostic code when they do not have enough information available to them about a client’s specific condition.

Diagnostics 97

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. A high percentage in a target area may mean an increased risk of improper billing that your agency needs to investigate.

Acute Care 52

Acute Care Interdisciplinary Team Billing Hospice 52

ACMA Blog

OCTOBER 16, 2023

Pharmacy Billing Specialist (PBS) : Typically, specialty pharmacies utilize a PBS to optimize the billing process through their knowledge of billing regulations and healthcare system codes. Clinical Documentation Specialist (CDS) : A CDS can help in the PA process by accurately documenting patient records.

Medical Assistant 40

Medical Assistant Documentation Certification Medical Coding 40

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

Relias

OCTOBER 28, 2022

Under the first performance year of VBP in 2023, home health agencies will be scored in part on the patient’s perception of their communication and team discussion.” Documentation in the medical record. Document all coordination. If it didn’t get documented, it didn’t get done.”.

Hospice 52

Hospice Interdisciplinary Team Follow-Up Documentation 52

ACMA Blog

JUNE 25, 2024

Pharmacy Billing Specialist (PBS): Typically, specialty pharmacies utilize a PBS to optimize the billing process through their knowledge of billing regulations and healthcare system codes. Clinical Documentation Specialist (CDS): A CDS can help in the PA process by accurately documenting patient records.

Medical Assistant 40

Medical Assistant Documentation Insurance Certification 40

Health Populi

JUNE 18, 2024

The study was fielded between December 2023 and February 2024. The most prevalent use of automation across over one-half of the health care leaders’ organizations is with billing processes, appointment scheduling, patient check-in, staff scheduling, and clinical data entry.

Triage 71

Triage Appointments Collaboration Hospital 71

Relias

JUNE 1, 2023

More technology is not always the best solution In a recent healthcare provider survey , half of healthcare executives said the revenue cycle is a top priority for software investment in 2023. 5 – Educate clinicians on required documentation Clinicians sometimes omit important documentation.

Documentation 52

Documentation Admissions Follow-Up Scheduling 52

Relias

JUNE 1, 2023

More technology is not always the best solution In a recent healthcare provider survey , half of healthcare executives said the revenue cycle is a top priority for software investment in 2023. 5 – Educate clinicians on required documentation Clinicians sometimes omit important documentation.

Documentation 52

Documentation Admissions Follow-Up Scheduling 52

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.

Billing 40

Billing Patient Satisfaction Documentation Patient Experience 40

Relias

FEBRUARY 1, 2023

“It will be imperative for medical practices and organizations to focus on their billing and denial management to maximize revenue in 2023,” noted Cristy Good, MPH, MA, senior industry advisory and coding expert at MGMA. In 2023, we expect to see more providers embracing solutions such as using AI ,” said Considine.

Insurance 10

Insurance Billing Documentation Hospital 10

Healthcare Law Insights blog

NOVEMBER 10, 2023

On November 6, 2023, the Office of Inspector General (“OIG”) issued its long-awaited General Compliance Program Guidance (“Guidance”) “to help advance the industry’s voluntary compliance efforts in preventing fraud, waste, and abuse in the health care system.” Understanding the law around employing excluded individuals.

Patient Safety 59

Patient Safety Billing Huddles/Rounds Best Practices 59

Healthcare Law Insights blog

MARCH 13, 2023

On February 27, 2023, a jury in Minnesota federal court rendered a verdict in favor of the United States and against a surgical product distributor following a False Claims Act jury trial that lasted six weeks. [1] 8] For example, one flight aboard a private plane going on a hunting trip was billed to a physician for $185.73. [9]

Documentation 52

Documentation Billing Medication Hospital 52

The HIPAA Journal

APRIL 27, 2025

Northeast Surgical Group Northeast Surgical Group, a Michigan-based provider of surgical services, experienced a ransomware attack in 2023 that resulted in unauthorized access to ePHI and the encryption of the ePHI of all 15,298 of its patients. The ransomware group was able to access the ePHI of 31,248 individuals. million penalty.

HIPAA 81

HIPAA Business Associate Hospital Medication 81

Mobius MD

FEBRUARY 1, 2024

Documentitis is an inflammation affecting healthcare providers who spend too much time on the computer to meet burdensome documentation requirements. If you’re a doctor or healthcare professional who spends over half of your work day on the computer, or if you regularly log into the EMR after hours, you may have documentitis.

Documentation 52

Documentation Billing Medication Hospital 52

ACMA Blog

OCTOBER 8, 2024

Originally, the healthcare provider would proceed through a ‘buy and bill’ process, wherein the medical office first buys a stock of product and then bills the payer upon administration of treatment (Amplity, 2021). Survey details from (American Medical Association, 2023). Data sourced from (Mills, 2021).

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 64

Emergency Response HIPAA Documentation Billing 64

Valant

JULY 28, 2024

Each diagnosis must have a separate billing code that best describes the patient’s presenting symptoms. Check out the 2023 ICD-10 updates here. The reason for the differentiation is that not everyone with clinical depression has suicidal ideation. Check out the latest 2024 ICD-10 updates here.

Diagnostics 97

Diagnostics Billing Documentation 97

Health Prime

AUGUST 1, 2024

As medical professionals, ensuring accurate billing for immunization services is paramount. Ultimately, precise billing safeguards financial health and public well-being, promoting effective disease prevention efforts. Updates to COVID-19 administration and product codes, effective November 1, 2023. Deletion of Appendix Q table.

Documentation 59

Documentation Billing Medical Coding Medical History 59

Northwest Career College

JANUARY 26, 2025

For instance, a paralegal may spend weeks assembling evidence and drafting documents on a case. According to the Bureau of Labor Statistics, more than 355,000 working paralegal s or legal assistants in the United States in 2023, but none represented clients in the courtroom. Paralegals Do Not Sign Legal Documents.

Documentation 40

Documentation Billing 40

Sensible Medicine

DECEMBER 5, 2024

The most recent example I found was a 2023 interview with FOX News where he stated, " I do believe that autism does come from vaccines. Many of the authors of articles here on Sensible Medicine would fit that bill. What we need are serious medical thinkers who are using data to inform their positions.

Medication 288

Medication Huddles/Rounds Documentation Billing 288