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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.
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.
This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. This section delves into the specific criteria and expectations set by CERT audits, emphasizing the need for meticulous attention to detail and documentation accuracy.
NABIP, whose members represent professionals in the health insurance benefits industry, drafted and adopted a new American Healthcare Consumer Bill of Rights launched at the meeting. (FYI you might know of NABIP by its former acronym, NAHU, the National Association of Health Underwriters).
This article is copyrighted strictly for Electronic Health Reporter. The move to value-based care not only impacts the approach providers take to serving their patients, but it also changes the way they document, account for, and bill patients — quickening billing cycles and creating a need for better cost containment.
Emergency Medicine is EvolvingAnd So Are the Billing Rules Team-based care is now the norm in emergency departments, but outdated billing practices are putting revenue and compliance at risk. If you oversee ED operations or billing, this article is your go-to resource.
Healthcare practices are often plagued with medical billing compliance questions like: “Am I upcoding?” This article dives into the importance of compliance, common challenges, and how medical billing services can help simplify compliance for your practice. ” “Did I miss a claim submission deadline?”
As we enter Alzheimer’s and Brain Awareness Month 2024 , it’s imperative to underscore the importance of effective medical billing practices in providing quality care for individuals affected by Alzheimer’s disease and other forms of dementia. Best billing practices for Alzheimer’s and Dementia Care 1.
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.
Reynolds Fact checked by Chris Mazzolini Blog Article Thoughtful design in medical practices enhance patient experience, boost staff productivity, and improve online reviews without major renovations. That means décor is not a luxury add-on; it is an operational tool every bit as critical as the EHR or billing software.
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. Reynolds Published: June 2nd 2025 | Updated: June 2nd 2025 Article Your weekly dose of wisdom from the Physicians Practice experts. 65: Patient autonomy with Jeffrey A.
Reynolds Fact checked by Chris Mazzolini Blog Article These essential strategies will enable your practice to safeguard digital assets and ensure compliance. Smartphones sit on the reception counter, physicians tap tablets at the bedside, and billing staff troubleshoot laptops from home.
One of the most effective is artificial intelligence medical billing. If you’re considering integrating AI into medical billing, keep reading to understand how it works. Then review best practices in implementing AI into medical billing. With AI medical billing, you can prevent these costly denials.
Reynolds Fact checked by Chris Mazzolini Blog Article Navigating the health tech landscape requires strategic diligence to avoid hidden costs and ensure seamless integration in medical practices. The health technology gold rush is back on, and sales reps know where to find you.
He has authored or co-authored over 250 articles that have appeared in peer-reviewed medical publications on various urologic topics as well as articles on practice management. Baum wrote the popular column, The Bottom Line, for Urology Times for more than 20 years. 68: Hidden risks of prescribing GLP-1 drugs with Ericka L.
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.
He has authored or co-authored over 250 articles that have appeared in peer-reviewed medical publications on various urologic topics as well as articles on practice management. Baum wrote the popular column, The Bottom Line, for Urology Times for more than 20 years. 70: The state of private practice with Paul Berggreen, M.D.,
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Reynolds Fact checked by Chris Mazzolini Blog Article These nine cost-effective strategies can boost employee morale and retention in medical practices, addressing turnover without breaking the budget. Turnover is eating medical practices alive. Below are nine no-cost tactics to lift morale today and retention tomorrow.
” —Bill M. “Try to connect and as always document, document, document.” You’ll never find a better source of information. And again, I say treat every patient like they’re the only patient you have. It’s served me well for over 40 years.” “Open stance, mind and heart.”
Reynolds Feature Article Your weekly dose of wisdom from the Physicians Practice experts. Reynolds Feature Article Your weekly dose of wisdom from the Physicians Practice experts. Click here to read the rest of the article and be sure to check back next week for another Tip of the Week!
In just three to five minutes every contributor will introduce themselves, share a signature “pearl” they rely on in daily work or preview the practical themes they will unpack in upcoming articles. Our goal is to humanize expertise while adding fresh energy to your practice.
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Reynolds Blog Article The small details, like restroom cleanliness, shape patient perceptions and impact healthcare experiences in practices. Please share your stories for a future article at doctorwhiz@gmail.com. Finding and fixing these details doesn’t just solve small problems; it prevents patients from imagining bigger ones.
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. Adler, J.D.,
Reynolds Feature Article Your weekly dose of wisdom from the Physicians Practice experts. Reynolds Feature Article Your weekly dose of wisdom from the Physicians Practice experts. This April 2025 article on improving the patient experience gives this tip: 2.
In this article, we’ll explore practical approaches to some of healthcare’s most pressing challenges – from preserving local care access while achieving system-wide efficiency, to implementing new technologies without disrupting critical operations. And a big one is around the documentation burden on caregivers.
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.
Reynolds Blog Article Innovative medical practices thrive by embracing change, prioritizing patient care and learning from setbacks to enhance success and satisfaction. Many doctors and practices have tried to outsource their billing, only to find disastrous results. Make an informed decision. Listen and learn.
This staffing instability creates ripple effects: Claim backlogs and delays Higher error rates in billing and coding Lost institutional knowledge Strained staff covering too much ground Without intervention, these workforce challenges can spiral into increased denials, slower payments, and compliance risks.
It’s so time-consuming and cumbersome that states like California are considering a bill to simplify the process. RELATED ARTICLE: Optimizing Insurance Payer Reimbursement with RCM Services What is Medical Insurance Credentialing? Having these documents ready and in one location can help you stay organized. Do it anyway.
Reynolds Fact checked by Chris Mazzolini Blog Article Telehealth has evolved into a vital service channel, yet many practices struggle with inadequate setups. Reynolds June 25th 2025 Article Unlock hidden insights in your practice's data to boost revenue, streamline operations, and enhance patient care with simple, effective strategies.
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. The opportunity is there. The need is real.
The experience can also lead to exorbitant medical bills, trapping new families in debt. Even those who lose children in the NICU can get stuck with a bill for millions of dollars. Document those memories so you can look back and see the progress no matter how small or big they are.
The first study, a JAMA research letter, examined the impact of a new Medicare billing code for abdominal hernia repair that paid surgeons more if the hernia measured at least 3 centimeters in size. When a new billing code pays more to individual surgeons, significant change swiftly follows, even if only in documentation.
Youve found the best EMR for your specialty and streamlined your documentation workflow. Knowing the right medical practice software tools – for scheduling, documentation, clinical decision support, and more – will make your life much easier. Subscribers also get access to Mobius MDs leading medical dictation tools.
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. It also presents a business case.
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In today’s digital age, medical billing software plays a vital role in streamlining the billing process and improving patient care. HIPAA compliance is a crucial aspect of any medical billing software. It will also help you ensure that the medical billing software you select is compliant with HIPAA requirements.
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In this article, we aim to debunk these myths and shed light on the real responsibilities, qualifications, and contributions of medical assistants in today’s healthcare landscape. At the same time, they manage administrative tasks such as scheduling appointments, billing, and maintaining patient records.
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