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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.
July 10, 2025 By Austin Littrell Fact checked by Keith A. Make sure you know what to budget for medical billing software Get your free download. Medical billing is more than a back-office task — it's a core part of practice profitability. "Kip" Beals III, MD Austin Littrell March 3rd 2025 Podcast Norman K.
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Reynolds Key Takeaways UnitedHealth is cooperating with DOJ investigations into its Medicare Advantage billing practices, focusing on diagnoses that increased federal payments. UnitedHealth has launched an internal review and maintains confidence in its compliance and documentation practices.
Recent Videos Related Content Lead, follow or get out of the way Neil Baum, MD June 20th 2025 Article Innovative medical practices thrive by embracing change, prioritizing patient care and learning from setbacks to enhance success and satisfaction. of AIMPA Austin Littrell June 23rd 2025 Podcast Paul Berggreen, M.D.,
trillion in annual transactions, yet billing inefficiencies cost hospitals an estimated $262 billion each year. At the heart of this challenge lies the complex world of billing in hospital management systems, where accuracy, compliance, and efficiency determine the financial viability of healthcare organizations worldwide.
Ep 25 ViVE 2025 Conversations on Healthcare Innovation Rethinking the Care Journey For Dr. Aaron Wilcox, a general surgeon and care transformation leader at Kaiser, the concept of a patients care journey has evolved beyond simply moving them from one stage to the next. Some quotes have been lightly edited for clarity and brevity.
Biggest Healthcare Data Breaches in April 2025 In April, 27 data breaches of 10,000 or more records were reported to OCR, including 11 data breaches of 100,000 or more records. The post April 2025 Healthcare Data Breach Report appeared first on The HIPAA Journal.
Many therapists use AI transcription services during sessions instead of documenting sessions by hand. Clinical documentation is a particularly important application of AI technology because documentation so often contributes to provider burnout. June 4, 2021 ICD-10 Code for Anxiety, Unspecified 2025 – F41.9
Being so close to the New Year, it is of high importance that your medical practice finishes its medical billing in good time. Here are three essential tasks to help you wrap up your medical billing for the New Year: 1. Document these adjustments properly to keep your records updated.
AI in Staffing and Documentation (00:11:32) Explores AI’s role in automating scheduling and its success in clinical documentation (ambient scribing). Future Steps in Documentation and Efficiency (00:13:49) Considers whether agent AI can further automate tasks like billing and multi-step processes. Singer, M.D.
Finally, document everything in real time. Train your staff to document thoroughly, avoid excessive reliance on EHR templates, and regularly review your practice's documentation standards. Part 1) Austin Littrell July 21st 2025 Podcast American Medical Association President Bobby Mukkamala, M.D.,
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of Roetzel & Andress June 9, 2025 By Austin Littrell Fact checked by Keith A. Off-Label Use Legal Concerns (00:02:49)** Explains legal concerns with off-label prescribing and how to mitigate risks through documentation and informed consent. Austin Littrell June 2nd 2025 Podcast Tom Price, M.D., Adler, J.D., Price, M.D.
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In 2025, successful Epic implementation must address emerging requirements including artificial intelligence integration, cloud computing capabilities, and enhanced interoperability standards that have become essential for modern healthcare delivery. Epic’s flexibility supports most specialty needs through configuration.
Arlington Occupational Health and Wellness in Texas was added to the group’s data leak site on July 4, 2025, along with samples of the stolen data and links to the full dataset. The group claims to have published a huge variety of documents, including EMRs, test results, patient histories, and billing information.
That means décor is not a luxury add-on; it is an operational tool every bit as critical as the EHR or billing software. 66: AI diagnostic tools with Mark Daly of Digital Diagnostics Austin Littrell May 27th 2025 Podcast Mark Daly of Digital Diagnostics joins the show to discuss AI diagnostic tools.
After two decades in the medical billing industry, we’ve seen too many trustworthy physicians get blindsided by audit requests, scrambling to gather documentation while trying to understand what went wrong. The problem isn’t necessarily the volume — it’s when the documentation doesn’t support what you’re billing for.
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Tip 3: Act fast and document. Recent Videos Related Content What the new primary care patient management code means for your practice Alexandria Foley, MSN, RN June 26th 2025 Article Medicare's new APCM codes empower primary care providers to bill for complex patient management without time constraints, enhancing chronic care delivery.
Smartphones sit on the reception counter, physicians tap tablets at the bedside, and billing staff troubleshoot laptops from home. It is a living compliance document that defines who may use which gadget, under what security controls, and with what consequences for slip-ups.
Here’s how this typically works: The health plan sends an explanation of benefits (EOB) document to the member via mail or email. This document informs the member how much they may owe out of pocket based on the contractual adjustment and the amount paid by the health plan.
Another finding: about 40% of all denials were due to billing errors by health care providers or processing mistakes by insurers—a reminder that many denials are not based on medical necessity or policy rules, but administrative mishaps. Related Videos Related Content Advertisement July 15th 2025 U.S. with attorney Richard H.
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We’re shifting our focus to the reports you should run regularly in 2025 to keep a pulse on your practice’s ongoing performance. By consistently monitoring these key areas, you can ensure operational efficiency, financial health, and compliance, ultimately enhancing the quality of care you provide to your patients.
Nearly one-third (28%) said physicians spent between 7 and 12 of those minutes focused on documentation. In that context, it’s not hard to understand why AI-powered ambient documentation that transcribes and organizes patient conversations into electronic health records (EHRs), is gaining favor.
Practice management skills like scheduling, billing, documentation, and compliance can protect you from professional burnout and set you on a path to success. Billing and Revenue Cycle Insurance claims are complex, which is why some practices employ dedicated billing staff.
Handle billing with sensitivity. Notice of claim You’ll typically receive a letter or legal document notifying you that a claim has been filed. Reynolds Blog Article Physicians face malpractice claims throughout their careers. Learn proactive steps and the claims process to navigate these challenges confidently.
Youve found the best EMR for your specialty and streamlined your documentation workflow. However, managing a successful medical practice in 2025 will require lots of work beyond the EMR. Here are 6 of our favorite medical practice software tools in 2025, each with a different purpose.
Were shifting our focus to the reports you should run regularly in 2025 to keep a pulse on your practices ongoing performance. 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.
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. If coding errors trace back to thin documentation, update clinical templates and review the fix with providers during a quick huddle.
Healthcare practices are often plagued with medical billing compliance questions like: “Am I upcoding?” ” 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.
AI use is rising, but confidence is lagging Fifty-seven percent of responding physicians reported using AI tools in their practice, mostly for tasks like documentation and billing, in the form of chatbots, and even for assistance with diagnostics. 40% believed AI could improve billing accuracy and treatment planning.
The One Big Beautiful Bill Act (OBBBA) , passed into law on July 4, 2025, includes major healthcare policy changes affecting all levels of acute care. Also known as the Big Beautiful Bill (BBB), the federal legislation establishes the Rural Health Transformation Program and allocates $50 billion in funding over five years.
Physicians Practice Digital Edition June 2025 The latest issue of the Physicians Practice digital edition has gone live. 66: AI diagnostic tools with Mark Daly of Digital Diagnostics Austin Littrell May 27th 2025 Podcast Mark Daly of Digital Diagnostics joins the show to discuss AI diagnostic tools. Singer, M.D. Singer, M.D.,
Valant lets you launch sessions directly from your calendar, access patient charts during visits, and document as you go, without switching between platforms. Look for integrated tools that let you take notes during sessions, auto-fill documentation, and track outcomes without switching between multiple platforms.
NRS completed the review in February 2025 and informed Harbin Clinic that some of the copied files contained data related to patients and guarantors whose accounts were sent to collections, as well as individuals involved in other legal proceedings. During that time, files and folders were copied from its network without authorization.
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