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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.,
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.
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.
July 2, 2025 By Neil Baum, MD Fact checked by Keith A. Reynolds July 2nd 2025 Article Prepare your medical practice for July Fourth challenges with proactive planning, clear communication and essential supplies to ensure smooth operations. of Roetzel & Andress Austin Littrell June 9th 2025 Podcast Ericka Adler, J.D.,
From AI scribes that promise to slash documentation time to “plug-and-play” patient-engagement portals, vendors descend on medical practices with glossy decks and tight trial deadlines. The health technology gold rush is back on, and sales reps know where to find you. Yet a single misstep can wipe out months of margin.
June 25, 2025 By Neil Baum, MD Fact checked by Keith A. Reynolds June 24th 2025 Article Thoughtful design in medical practices enhance patient experience, boost staff productivity, and improve online reviews without major renovations. of AIMPA Austin Littrell June 23rd 2025 Podcast Paul Berggreen, M.D.,
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.,
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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.
71: Agentic AI with Isaac Park of Keebler Health June 30, 2025 By Austin Littrell Fact checked by Keith A. 71: Agentic AI with Isaac Park of Keebler Health June 30, 2025 By Austin Littrell Fact checked by Keith A. 71: Agentic AI with Isaac Park of Keebler Health June 30, 2025 By Austin Littrell Fact checked by Keith A.
Recent Videos Related Content Decoding malpractice premiums: Insider insights every physician should know Jennifer Wiggins June 27th 2025 Article Check out these essential insights on controlling malpractice insurance premiums, including specialty impact, location factors, policy types and available discounts for physicians.
Reynolds Published: June 2nd 2025 | Updated: June 2nd 2025 Article Your weekly dose of wisdom from the Physicians Practice experts. Dickens of SVMIC Austin Littrell April 14th 2025 Podcast Stephen A. Reynolds Fact checked by Chris Mazzolini Feature Article Your weekly dose of wisdom from the Physicians Practice experts.
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This April 2025 article on improving the patient experience gives this tip: 2. Recent Videos Related Content Bathrooms “R” Us Neil Baum, MD June 27th 2025 Article The small details, like restroom cleanliness, shape patient perceptions and impact healthcare experiences in practices.
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.
Assembly Bill 418 would ban the manufacture, sale and distribution of foods containing five harmful substances starting in 2025, including: Red dye No. The bill was sponsored by assembly members Jesse Gabriel (D-Woodland Hills) and Buffy Wicks (D-Oakland). In response to the bill, the FDA defended its actions in an email.
Through AI Notes’ capabilities to streamline and automate clinical documentation, the feature gives back valuable time to providers so they can focus on what matters most, whether it be patient care, reduced burnout or scalable growth. Therapists can reduce non-billable documentation hours by using AI to transcribe and document sessions.
Many doctors and practices have tried to outsource their billing, only to find disastrous results. In these unfortunate cases, their next plan is to bring billing back in-house and cancel the billing service. Either way, successful practices wisely try new ventures while monitoring results and responses.
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.
The Centers for Medicare & Medicaid Services (CMS) released the ICD-10-CM code set update for fiscal year (FY) 2025. These changes will impact medical billing, coding practices, and healthcare administration. Documentation reviews: Regular audits and reviews to ensure your documentation aligns with the new coding requirements.
Keep in mind that not all EHR solutions will cost the same because of many variables that may influence your final bill. Interface and Integration Costs Lab interfaces: $2,000 – $5,000 per interface Imaging system integration: $5,000 – $15,000 Billing system integration: $3,000 – $10,000 5.
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.
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.
Individuals who were sent a notification that they were affected by the data breach may submit a claim for reimbursement of documented losses incurred as a result of the data breach up to a maximum of $10,000. All claims must be submitted by or be postmarked by June 30, 2025. Under the terms of the settlement, a $3.15
Reynolds Fact checked by Chris Mazzolini News Article Physicians Practice Physicians Practice June 2025 Volume 3 Issue 3 This year’s survey shows medical practice administrators wrestling with familiar challenges and new uncertainties.
7 quick checkpoints for practices June 26, 2025 By Keith A. The cracks show quickly: choppy audio erodes patient confidence, unsecured links expose protected health information, and mismatched billing codes can leave thousands of dollars on the table.
Since symptoms can overlap or be nonspecific, getting the patient’s detailed history helps clinicians ensure that they have clear documentation. By ensuring that a complete patient history is recorded and diagnostic codes are accurately capturing the patient’s symptoms, patients and clinicians are then reimbursed and billed correctly.
Add to this LA County’s well-documented shortage of mental health providers , and a diverse population in need of culturally responsive care, and you’ve got a perfect storm of barriers to treatment. You need reliable systems for scheduling, billing, intake, and internal communication.
Prosecutors say Peter Roussonicolos, 64, secretly owned five DME companies despite prior felony convictions, using straw owners and falsified documents to hide his involvement. The companies paid kickbacks for patient referrals and billed Medicare for medically unnecessary equipment, receiving $26.7 million in payments.
Other stuff Supply Shop — services offerings Revcyclers — “Third parties working with Epic and provide billing services to help improve revenue cycle outcomes” Cornerstone Partners — deep relationships with Microsoft and InterSystems But wait…there’s more.
This April 2025 article on protecting revenue when costs begin to rise gives this tip: 2. Reynolds July 2nd 2025 Article Prepare your medical practice for July Fourth challenges with proactive planning, clear communication and essential supplies to ensure smooth operations.
Department of Health and Human Services has released new ICD-10-CM codes for the 2025 fiscal year, including important updates for categories F01F99: Mental, Behavioral, and Neurodevelopmental Disorders. 2025 ICD 10 CM Code Updates Announcement Update The Centers for Medicare and Medicaid Services, a part of the U.S.
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.
Reynolds Blog Article Physicians Practice Physicians Practice June 2025 Volume 3 Issue 3 Physicians navigate challenging payer negotiations, sharing success stories of securing approvals for innovative, cost-effective treatments. Transform interactions into lasting connections.
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