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In this article, we’ll dig into this complex process to discover the top claims management challenges and reveal the costs to practices. Don’t worry; we’ll also recommend actionable strategies for quick wins and long-term solutions, improving medical claims processing for better results and happier staff. Easy, right?
A medicalbilling and coding professional plays a big part in ensuring that this health information is handled as it should be. The following article will explain why HIPAA compliance is significant in medicalbilling and coding and how it helps protect patients and providers.
Healthcare practices are often plagued with medicalbilling compliance questions like: “Am I upcoding?” This article dives into the importance of compliance, common challenges, and how medicalbilling services can help simplify compliance for your practice. Why is medical compliance critical?
As we enter Alzheimer’s and Brain Awareness Month 2024 , it’s imperative to underscore the importance of effective medicalbilling 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.
One of the most effective is artificial intelligence medicalbilling. If you’re considering integrating AI into medicalbilling, keep reading to understand how it works. Then review best practices in implementing AI into medicalbilling. With AI medicalbilling, you can prevent these costly denials.
From last few years, there have been significant modifications in the rules in addition to guidelines that medicalcoding and billing firms must achieve. The medicalbilling vendor that is fully compliant in all under HIPAA are authoritatively business associates of most ideal healthcare clients.
If you’ve ever felt overwhelmed by the ins and outs of medicalcoding and billing, you’re not alone. In the article "Coding 101: Common Pitfalls and How to Avoid Them," we break down some of the biggest mistakes that can cost your practice time and money.
However, to thrive and excel in this dynamic field, Medical Assistants must embrace a concept that has become increasingly important in recent years – cross-training. Training in basic medical laboratory techniques, such as specimen collection and processing. Acquiring knowledge of medicalcoding and billing procedures.
Healthcare facilities cannot run without medical assistants. As a medical assistant , you will spend a lot of time with patients performing clinical care. Sometimes you will be working at the front desk handling billing and administrative duties. Mastering them will enhance your skills as a medical assistant.
Pharmacy Billing Specialist (PBS) : Typically, specialty pharmacies utilize a PBS to optimize the billing process through their knowledge of billing regulations and healthcare system codes. Many employers prefer if the candidate has clinical or medicalcoding experience. MedicalCoding Specialist.
Pharmacy Billing Specialist (PBS): Typically, specialty pharmacies utilize a PBS to optimize the billing process through their knowledge of billing regulations and healthcare system codes. Many employers prefer if the candidate has clinical or medicalcoding experience. MedicalCoding Specialist.
In this article, well explore the key components of healthcare interoperability, including definitions from leading organizations like ONC and HIMSS, the challenges posed by data fragmentation and varied coding systems, and the critical role of Health Information Exchanges (HIEs). This process can be completed in a matter of seconds.
FangXiaNuo via Getty Images Listen to the article 3 min This audio is auto-generated. You can unsubscribe at anytime. Published June 24, 2025 By Susanna Vogel Staff Reporter post share post print email license Providence unveiled its strategic direction for 2030. Please let us know if you have feedback.
As a leading multispecialty medical group, we utilize our clinical and operational expertise to build healthier communities. This article was originally published on Envision Healthcare’s website and has been adapted for Healthcare Dive. You can unsubscribe at anytime. Reach out to our practice development team.
By Rebecca Pifer • May 14, 2025 Anna Moneymaker/Getty Images via Getty Images CMS expands audits to crack down on Medicare Advantage overpayments The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medicalcoding workforce.
Foremniakowski via Getty Images Listen to the article 2 min This audio is auto-generated. If the reconciliation bill passes, the healthcare provisions could slam provider revenue as they grapple with increased uncompensated care due to the rising number of uninsured patients. You can unsubscribe at anytime.
Editors picks Anna Moneymaker/Getty Images via Getty Images CMS expands audits to crack down on Medicare Advantage overpayments The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medicalcoding workforce. You can unsubscribe at anytime.
Alamy Listen to the article 2 min This audio is auto-generated. appointed panel recommends flu shots be free of contested preservative KFF Health News Too Sick To Work, Some Americans Worry Trump’s Bill Will Strip Their Health Insurance View all Events 07 JUL Webinar | 10 a.m. You can unsubscribe at anytime. on May 5, 2023.
Julia Rendleman via Getty Images Listen to the article 4 min This audio is auto-generated. The Connecticut-based payer also redesigned a cost tracking tool that breaks down deductibles, out-of-pocket expenses and bills for consumers, and new features to help members more easily upload claims and choose between employer-sponsored plans.
Deep Dive Opinion Library Events Press Releases Topics Sign up Search Sign up Search Hospitals Payer Health IT Government Finances Medical Groups Telehealth COVID-19 An article from UC San Diego Health lays off 230 workers The health system blamed the layoffs on regulatory uncertainty and rising costs of providing care.
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Things like: Clinical documentation and note-taking Prior authorization paperwork Appointment scheduling and reminders Medicalcoding and billing While physician burnout has declined in recent years, almost half of clinicians still report feeling stressed. You can unsubscribe at anytime.
Published June 12, 2025 By Susanna Vogel Staff Reporter post share post print email license Lawmakers have sought to end a loophole that allowed corporations to buy up medical practices in Oregon. skynesher via Getty Images Listen to the article 3 min This audio is auto-generated. The bill was supported by state nurse associations.
By Healthcare Dive staff • Updated June 6, 2025 Anna Moneymaker/Getty Images via Getty Images CMS expands audits to crack down on Medicare Advantage overpayments The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medicalcoding workforce.
Deep Dive Opinion Library Events Press Releases Topics Sign up Search Sign up Search Hospitals Payer Health IT Government Finances Medical Groups Telehealth COVID-19 An article from Dive Brief Ascension CEO to retire at year’s end Joseph Impicciche will retire at the end of the calendar year. You can unsubscribe at anytime.
And as far as Planned Parenthood and comparable providers are concerned, this case could be part of a one-two punch if Trumps Big Beautiful Bill passes.” You can unsubscribe at anytime.
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