The Healthcare Blog

JUNE 16, 2025

Wonks like me believe that if you introduce such a relationship patients will receive preventative care, will get on the right meds and take them, will avoid the emergency room, and have fewer hospital admissions—as well as costing a whole lot less.

Hospital 62

Hospital Appointments Follow-Up Admissions 62

The Healthcare Blog

DECEMBER 18, 2024

If you missed it read Part 1 & Part 2 By JEFF GOLDSMITH Two major changes in health insurance ensued as the US health system entered the 21 st century- a strategic shift of health cost risk from providers to patients and the emergence of machine driven managed care. Some 60% of hospital bad debts are now from patients with insurance.

Insurance 57

Insurance Hospital Follow-Up Medication 57

Medical Economics

JULY 21, 2025

The authors focused on OB-GYN because labor and delivery admissions constituted 28% of all inpatient admissions in the data. OB-GYN data Hospital ownership of obstetrician-gynecology practices grew 20.4 percentage points to a total of 48% by 2016. Using trained machine learning programs, the method increased accuracy to more than 97%.

Hospital 71

Hospital Admissions Medication Billing 71

The Healthcare Blog

JANUARY 6, 2025

The data were derived from the Healthcare Cost Institute, a repository of commercial insurance claims information from three of the four largest commercial health insurers, United Healthcare, Humana and Aetna (a subsidiary of struggling pharmacy giant CVS) plus Blue Cross/Blue Shield.

Hospital 83

Hospital Insurance Admissions Acute Care 83

Forbes Healthcare

JULY 24, 2024

Medicare Advantage is accounting for “a rising share of inpatient hospital days,” according to a new KFF study shows.

Admissions 274

Admissions Hospital Insurance 274

EvidenceCare

JANUARY 12, 2024

Social Admission vs. Medical Necessity In healthcare, the term “social admission” signifies instances where patients find themselves admitted to a hospital primarily for non-medical reasons. However, these admissions come with their own set of difficulties, particularly in the realm of Medicare coverage and reimbursement.

Admissions 130

Admissions Documentation Outpatient Care Hospital 130

EvidenceCare

APRIL 16, 2024

From understanding the audit requirements to implementing technology for streamlined admission documentation , this article offers actionable strategies to ensure hospitals are well-prepared for the rigorous evaluation process. Traditional Medicare vs. Medicare Advantage vs commercial insurance).

Documentation 130

Documentation Admissions Discharges Billing 130

Health Populi

FEBRUARY 26, 2020

.” And another verbatim observation that illustrates some hospitals’ doubling-down on the outpatient opportunity: “The focus of the past 10 years has been on preventing readmissions, and now in the next 10 years, the focus will be on preventing admissions.”

Hospital 127

Hospital Insurance Admissions Billing 127

Health Populi

MARCH 22, 2018

Beyond strong medicines, a new financial toxicity has emerged for patients due to hospital inpatient admissions. The graph illustrates the effect of hospital admission on bankruptcy, with the rate of bankruptcies increase in the years after hospital admission, both one and four years after the admission.

Hospital 67

Hospital Admissions Insurance Billing 67

Scrubs

OCTOBER 20, 2023

One study found that the use of unique lanyards improved clarity of roles and responsibilities, communication, and task delegation, contributing to better admission flow, team leadership, accountability, and improved nurse confidence. Medical jackets and vests are your best bet for staying warm and looking good.

Admissions 147

Admissions Hospital Documentation Insurance 147

Health Populi

MAY 14, 2019

Respondents were both uninsured and insured through individual coverage, Medicare, Medicaid, and dual enrollees. McKinsey also found that consumers reporting greater use of the emergency department and inpatient hospital admissions were also more likely to report unmet social needs. McKinsey conducted the survey among over 12,500 U.S.

Insurance 103

Insurance Admissions Hospital Follow-Up 103

The Healthcare Blog

APRIL 29, 2024

Their logic always goes something like “XY% of patients used our solution, most of them like it, and after they use it hospital admissions and ER visits go down, and clinical metrics get better”. Also worth a mention that many of those insurers, including Aetna & United have competitive diabetes products too.

Insurance 117

Insurance Patient Care Admissions Hospital 117

Health Populi

FEBRUARY 14, 2018

Health insurers in the state are now allowed to offer plans with limited benefits, escaping the rules for plans in the Affordable Care Act that provided for a list of covered benefits. David Cameron, the state’s Director of Insurance, called this strategy, “pushing the envelope” in an interview with NPR last month.

Insurance 81

Insurance Admissions Hospital Medication 81

The HIPAA Journal

APRIL 4, 2025

Notification letters were mailed to the affected individuals on February 21, 2025. A limited number of individuals may also have had information exposed related to their progress towards their treatment goals.

Hospital 69

Hospital Follow-Up HIPAA Insurance 69

Health Populi

JULY 1, 2020

leading to growing un- and under-insured people). is accelerating in infection rate and inpatient admissions. These included: Drug acquisition and drug shortage costs. Wage and labor costs. Uncompensated care costs (owing to the sharp upturn in unemployment in the U.S.,

Hospital 127

Hospital Hospice Admissions Insurance 127

The HIPAA Journal

APRIL 28, 2025

The account review confirmed that the sensitive data of 9,349 patients was present in the account, including personally identifiable and protected health information such as names, admission dates, provider information, and patient status information.Individual notification letters started to be mailed to the affected individuals on March 18, 2025.

HIPAA 75

HIPAA Billing Admissions Hospital 75

The HIPAA Journal

JULY 10, 2025

Information potentially compromised in the incident included names, addresses, dates of birth, Social Security numbers, medical records, treatment information, and health insurance information.

Medical History 52

Medical History Insurance Follow-Up HIPAA 52

Prism Career Institute

FEBRUARY 11, 2025

A good understanding will help you succeed in a variety of areas: Accurately and efficiently fulfilling physician requests Communicating effectively with other team members Requesting funding from insurance companies Educating patients and their families Medical terminology can sound like another language at times.

Medical Assistant 81

Medical Assistant Medication Medical Terminology Vital Signs 81

Prism Career Institute

OCTOBER 6, 2024

Administrative duties may include: Scheduling appointments Welcoming patients at the front desk Accepting and returning phone calls Collecting insurance information Managing medical billing Coordinating admissions and referrals You may notice a commonality between many of these tasks.

Medical Assistant 52

Medical Assistant Medication Admissions Vital Signs 52

Prism Career Institute

JULY 23, 2024

You can contact us for more information on our program and its admission requirements. If you’re ready to pursue a career as an OB/GYN medical assistant, apply today for the Medical Assistant program at Prism Career Institute. The post Expectations of Medical Assistants in the OB/GYN Field appeared first on Prism Career Institute.

Medical Assistant 59

Medical Assistant Medication Bookkeeping Admissions 59

The HIPAA Journal

MAY 19, 2025

The affected individuals had previously signed up to receive public benefits such as food stamps or private health insurance through the HealthSource RI portal. Any individuals who applied for or received benefits or health insurance through the RI Bridges system may have been affected.

Transfers 81

Transfers Insurance HIPAA Admissions 81

Relias

JUNE 1, 2022

Undercoded Complex Hospital Admissions. Coders are challenged to select the codes that best convey the reason for admission. Coders are having difficulty coding all of the aspects of the admission that they really should,” said Bowman. As coders prioritize codes that impact reimbursement, important information could be lost. “In

Documentation 52

Documentation Medical Coding Admissions Follow-Up 52

Relias

JUNE 1, 2022

Undercoded Complex Hospital Admissions. Coders are challenged to select the codes that best convey the reason for admission. Coders are having difficulty coding all of the aspects of the admission that they really should,” said Bowman. As coders prioritize codes that impact reimbursement, important information could be lost. “In

Documentation 52

Documentation Medical Coding Admissions Follow-Up 52

The Healthcare Blog

AUGUST 29, 2024

We know that the plans have 40% fewer hospital admissions for congestive heart failure, and almost 80% lower amputation rates for the lowest income diabetic members, and we know that the plans use those savings from better care to also to provide much better benefits for all of the members.

Admissions 117

Admissions Documentation Insurance Hospital 117

Milwaukee Career College

APRIL 17, 2020

This includes becoming proficient in working with software applications, regulatory guidelines, medical billing, and medical coding procedures, as well as health insurance submissions and reimbursement practices. If you would like to learn more, talk to a Milwaukee Career College admissions advisor today.

Medical Assistant 52

Medical Assistant Vital Signs Sterilization Medical Coding 52

Health Populi

JUNE 5, 2018

This means that patients, morphing into consumers, need to better understand clinical and financial options for treatment once diagnosed, and conversations with professionals in healthcare settings – doctors’ practices, hospital admissions offices, pharmacies, and other care sites — to enable truly shared decision making.

De-Escalation 89

De-Escalation Admissions Hospital Tests 89

Milwaukee Career College

NOVEMBER 12, 2019

The healthcare industry needs trained professionals who can complete a variety of important tasks such as updating medical records, recording vital signs and symptoms, or dealing with health insurance policies. Understanding how to perform these important functions ultimately creates a healthier world for all of us.

Medical Assistant 52

Medical Assistant Medication Vital Signs Medical Coding 52

ACI Medical & Dental School

SEPTEMBER 24, 2024

Understanding the Healthcare System Through their role, Medical Assistants gain a comprehensive understanding of how healthcare systems operate, including: Patient Management: Handling patient records, scheduling, and insurance paperwork. Healthcare Team Dynamics: Observing and participating in the collaborative efforts of healthcare teams.

Medical Assistant 52

Medical Assistant Medication Medical Terminology Vital Signs 52

Relias

JUNE 1, 2023

If the scheduling team doesn’t collect accurate insurance, for example, an entire claim can get denied. “A 7 – Streamline payer notifications of admission Banner Health’s revenue cycle staff sent faxes 20 to 100 times a day to notify health plans about a patient’s admission. About 30% of payers require these notifications.

Admissions 52

Admissions Documentation Follow-Up Scheduling 52

Relias

JUNE 1, 2023

If the scheduling team doesn’t collect accurate insurance, for example, an entire claim can get denied. “A 7 – Streamline payer notifications of admission Banner Health’s revenue cycle staff sent faxes 20 to 100 times a day to notify health plans about a patient’s admission. About 30% of payers require these notifications.

Admissions 52

Admissions Documentation Follow-Up Scheduling 52

Northwest Suburban College

MAY 7, 2024

– Billing and Insurance: Processing dental insurance claims, managing billing records, and addressing patients’ concerns regarding payment or insurance issues. . – Office Communication: Handling phone calls and emails, liaising with dental suppliers, and coordinating referrals to other dental specialists.

Vital Signs 52

Vital Signs Continuing Education Sterilization Appointments 52

The Healthcare Blog

JANUARY 15, 2025

Some kind of shared savings arrangement with the insurers could help make this a win for everyone. This project will probably not get the interest and uptake it deserves because financial incentives are working against it. It also decreased the amount of time their emergency department is on divert.

Discharges 76

Discharges Hospital Collaboration Admissions 76

Northwest Suburban College

APRIL 4, 2024

– Medical Administrative Specialist: Focuses on advanced administrative duties, such as insurance coding, medical transcription, or medical office management. Explore Northwest Suburban College’s medical assistant programs today by contacting our admissions team.

Medical Assistant 52

Medical Assistant Medication Huddles/Rounds Vital Signs 52

CareerStep

MAY 27, 2024

A pharmacy technician may also be involved in resolving insurance issues. The technician also assists with the filling of prescriptions by doing such things as retrieving drug stock bottles and labeling medications to be dispensed to patients.

Huddles/Rounds 52

Huddles/Rounds Hospital Certification Insurance 52

Prism Career Institute

MARCH 1, 2024

These codes are extremely important to medical billing procedures, and proper use can help reduce the amount of paperwork patients receive from their insurance companies. This can ultimately help reduce stress for oncology patients and the administrative staff with whom you work.

Medical Assistant 52

Medical Assistant Medication Medical Coding Vital Signs 52

Prism Career Institute

JUNE 1, 2024

Clinical Duties Medical assistants may be asked to perform the following clinical duties: Record patients’ symptoms and update medical histories Measure vital signs (i.e.,

Medical Assistant 52

Medical Assistant Hospital Medication Hospice 52

The HIPAA Journal

APRIL 27, 2025

The practice claimed the complainant would not pay a $25 administrative fee for mailing the records (certified mail) and that the request was denied because the practice believed she would use the information to commit insurance fraud. The disclosed information included details of patients visits, treatment, and insurance.

HIPAA 85

HIPAA Business Associate Hospital Medication 85