CollaborateMD

APRIL 3, 2025

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. Following health insurance policies and procedures.

Billing

Medical Economics

JULY 25, 2025

Every provider will be audited — multiple times, across different insurers, sometimes for single claims, sometimes for comprehensive reviews. Audit triggers Olga Khabinskay © WCH Insurance companies aren’t randomly selecting providers to audit. If you’re always billing at the highest-level codes, or always at the lowest, you stand out.

Documentation

Physicians Practice

JUNE 9, 2025

Insurance Denials and Prior Authorizations (00:11:26)** Challenges with insurance coverage, prior authorizations, and evolving insurer policies for GLP-1 prescriptions. Reynolds Published: June 2nd 2025 | Updated: June 2nd 2025 Article Your weekly dose of wisdom from the Physicians Practice experts. Singer, M.D.

Billing

CollaborateMD

MARCH 20, 2025

Whether you’re a physician starting a practice or a healthcare provider working to expand patient access, getting medical insurance credentialing is vital. It’s so time-consuming and cumbersome that states like California are considering a bill to simplify the process. Unfortunately, it’s also a very taxing process.

Insurance

Physicians Practice

JULY 24, 2025

Reynolds Blog Article Physicians face malpractice claims throughout their careers. In this article, we’ll walk you through key malpractice claim statistics, proactive steps to take after an adverse event, and what to expect throughout the claims process, so you can feel more confident and prepared should the unexpected occur.

De-Escalation

Valant

JULY 9, 2025

Blog Artificial Intelligence Sentiment & Adoption in Behavioral Health Learn More Popular Blog Articles Treatment Plan Template August 21, 2024 Therapy Notes vs. Progress Notes July 16, 2024 ICD-10 Codes for Depression 2025 – F32.0–F33.3 June 4, 2021 ICD-10 Code for Anxiety, Unspecified 2025 – F41.9

Clinical Assistant

Northwest Career College

JUNE 1, 2025

The nice thing about this is that medical billing and coding offer excellent opportunities to work from home. In this article, we will learn how your medical billing and coding career can help you establish a stable career right in your home! What is Medical Billing and Coding? Here’s what you should know: 1.

Billing

Valant

MAY 13, 2025

Do you know how to manage insurance claims to minimize denials and maintain your cash flow? Practice management skills like scheduling, billing, documentation, and compliance can protect you from professional burnout and set you on a path to success. But do you know how to set up an efficient scheduling system?

Billing

Medical Economics

JUNE 30, 2025

Three months later, when longtime patients start calling about their insurance no longer covering visits, the physician finds out they have been dropped from multiple networks, not for quality issues but for missing a paperwork deadline. Insurance companies simply drop noncompliant providers and notify them after the fact. In practice?

Insurance

Physicians Practice

JULY 16, 2025

Most denials trace back to the same handful of problems—wrong demographics, lapsed insurance, missing prior auth, lack of medical necessity or late filing. Reynolds May 21st 2025 Article Learn seven proven steps medical practices can use to empower coders, improve coding accuracy, and slash claim denials for a healthier revenue cycle.

Billing

Physicians Practice

JULY 2, 2025

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.

Communication

Physicians Practice

JULY 15, 2025

Reynolds Blog Article Health care practices enhance revenue by collaborating with payers for digital out-of-pocket payments, improving cash flow and patient engagement. The quickest way to engage patients is by sending not just a paper EOB with a QR code for payment, but also a digital entry point for paying their bill.

Billing

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. For example, if you see a spike in denials from a particular insurer due to eligibility, you know exactly where to focus your front-end efforts.

Huddles/Rounds

Physicians Practice

JUNE 27, 2025

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.

Communication

CollaborateMD

JUNE 20, 2025

With a platform that collects and connects data across billing, scheduling, clinical care, and patient communication, CollaborateMD allows your staff to focus on delivering better outcomes while we handle the behind-the-scenes complexities. Speed and Accuracy in Billing and Payment: Reduce claim errors to accelerate reimbursement.

Billing

Physicians Practice

JUNE 26, 2025

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.

Billing

Medical Economics

JUNE 27, 2025

Establishing medical necessity: The downstream importance of diagnosis codes Establishing a patient’s medical necessity is critical because it ensures that diagnostic tests, treatments and referrals are both clinically justified and reimbursable by insurance. were hospitalized.

Tests

Medical Economics

JULY 1, 2025

AI and financial tools: Proceed with caution The survey also explored patients’ comfort levels with AI in billing and insurance — and got generally mixed feedback. Reynolds Key Takeaways Patients support AI in healthcare if it enhances face-to-face interactions by reducing administrative tasks, with 57% in favor for this purpose.

Appointments

The Healthcare Blog

APRIL 14, 2025

The first citation in the sense that we use in what the online Oxford English Dictionary calls an American term is in an 1883 article from the Womens Herald of Industry : We hope that good housekeeping, good cooking, good health-care, will receive their share of attention. Etymology enthusiast Jeffrey K. In 1977, UnitedHealthcare Corp.

Medication

The Healthcare Blog

JUNE 11, 2025

In his article “ An Epic Saga: The Origin Story ” he describes how Epic grew to its current size. We’ve noted that the roots of EHRs are as systems of record to document processes for fee-for-service billing, but it goes deeper than that. Interop guru Brendan Keeler has written extensively about Epic.

Billing

Medical Economics

AUGUST 1, 2025

a physician, attorney and co-author of a JAMA article analyzing the American Law Institute's restatement A new legal framework from the American Law Institute (ALI) could reshape how courts evaluate medical malpractice cases. a physician, attorney and co-author of a recent JAMA article analyzing the ALI’s new approach.

Medication

Medical Economics

JUNE 20, 2025

There also was a state legislator on the study committee, who went on to strongly support and sponsor the title change bill throughout legislative sessions, while some of the NHSPA’s members executed grassroots efforts in educating their local legislators.” We are excited for the future and can’t wait for what tomorrow brings.” Adler, J.D.,

Billing

Medical Economics

JULY 18, 2025

Investing in exempt assets, such as retirement plans and life insurance, can shield personal finances from lawsuits. Carry adequate insurance Medical malpractice insurance rates have risen sharply since the COVID-19 pandemic. Yes, it's expensive to be properly insured.

Transfers

Physicians Practice

AUGUST 1, 2025

Run a denial-management machine Track every denial in your billing software: reason, appeal status, resolution date. Verify insurance and referral needs at every visit. Audit for coding errors, train front-desk and coders, keep a friendly line to payer reps, and use claim-scrubbing tools to catch mistakes before they go out.

Billing

Medical Economics

JUNE 17, 2025

Challenges include insurance hurdles, limited access, and high costs, affecting the adoption of advanced seating solutions. Bondar, which has received Medicare billing code E2617, is a 3D-printed, custom-fit back support tailored to the user’s body shape. However, challenges remain.

Diagnostics

Physicians Practice

JUNE 20, 2025

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.

Billing

CollaborateMD

MARCH 20, 2025

It can bring a refreshing shift from scattered patient files and billing information to seamless, stress-free workflows and revenue management. RELATED ARTICLE: 5 Ways Healthcare Technology Helps Improve Patient Engagement What is a Practice Management System? What happens if systems are mismatched?

Appointments

CollaborateMD

MARCH 7, 2025

RELATED ARTICLE: How Automation is Revolutionizing Medical Claims Processing Accuracy What is Automation in Healthcare? Applications of automation span everything from medical billing and administrative processes to enhancing patient care through clinical decision support and real-time analytics.

Billing

Medical Economics

JUNE 19, 2025

SHOW MORE Trustees project Medicare hospital insurance trust fund will be depleted in 2033, three years earlier than expected. On June 18, the Medicare trustees issued their 2025 annual report projecting Medicare’s hospital insurance trust fund would be depleted in 2033, posing a significant financial challenge to the program.

Insurance

Medical Economics

JUNE 9, 2025

Collectively, the updated and new models will be a platform that enables the Innovation Center to realize the vision to help Americans build healthier lives through permanent Medicare and Medicaid programs and the Children’s Health Insurance Program, he said.

Medication

Medical Economics

JULY 10, 2025

Vertical integration between insurers and physicians may enhance care coordination but raises concerns about competition and access. Health insurer control of primary care is lower in counties with concentrated hospital markets, indicating potential constraints on integration. It was published in Health Affairs Scholar.

Insurance

Medical Economics

AUGUST 1, 2025

You don't want them earning commissions on crummy investments or crummy insurance products [that they sold you]. In reality, they're selling you annuities you don't need, or whole life insurance [policies] you don't need, or particularly expensive, poorly performing, loaded mutual funds you don't need.

Medication

Medical Economics

JUNE 17, 2025

The members stated their case in a joint Viewpoint editorial article in JAMA , published June 16. The directives are confusing not only for patients, but physicians, insurers and hospitals that are responsible for administering COVID-19 vaccines, said Paul A. has ‘critically weakened’ U.S. vaccine program's success. .

Medication

Northwest Career College

APRIL 30, 2025

HIPAA is a short form of the Health Insurance Portability and Accountability Act , a law devised to protect patients’ personal information regarding their health conditions. A medical billing and coding professional plays a big part in ensuring that this health information is handled as it should be.

HIPAA

Medical Economics

JULY 21, 2025

Policy changes, such as site-neutral billing, could reduce financial incentives for hospital acquisitions of physician practices, addressing the issue of rising prices. site neutral billings),” the policy brief said. in 2008 to 47.2% in 2016, with notable growth in cardiology and general surgery.

Hospital

Medical Economics

JUNE 23, 2025

The rule standardizes the open enrollment period, allows insurers to deny coverage for unpaid premiums, and repeals certain special enrollment periods. These changes aim to stabilize the insurance market, reduce adverse selection, and ensure taxpayer dollars are used appropriately. million with insurance for 2025. Kennedy Jr.

Insurance

Healthcare Dive - Practice Management

JUNE 30, 2025

Plaintiffs argued the executive order violated a federal “free choice of provider clause” that guarantees Medicaid beneficiaries the right to choose their doctor, so long as they are qualified and accept the insurance. You can unsubscribe at anytime.

Medical Coding