CollaborateMD

JULY 16, 2025

For providers, these guidelines involve adhering to specific rules in key areas, including medical necessity, coding accuracy, timely filing, and proper documentation. They also help providers understand their billing responsibilities, navigate complex coding and documentation requirements, and appeal denied claims.

Billing 52

Billing Documentation Insurance Certification 52

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. RELATED ARTICLE: Optimizing Insurance Payer Reimbursement with RCM Services What is Medical Insurance Credentialing? Let’s dive in.

Insurance 52

Insurance Medication Follow-Up Billing 52

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 52

De-Escalation Communication Billing Documentation 52

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. Wound care: The documentation nightmare Wound care providers are facing intense scrutiny.

Documentation 52

Documentation Billing Insurance Tests 52

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.

Billing 52

Billing Communication Documentation Medication 52

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 85

Billing Scheduling Documentation Administrative Work 85

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. Tip 3: Act fast and document. Track those patterns in your practice-management system; fixing the root cause today prevents tomorrow’s rework.

Billing 52

Billing Communication Documentation Medication 52

Medical Economics

JULY 24, 2025

UnitedHealth has launched an internal review and maintains confidence in its compliance and documentation practices. The company's stock has declined amid these challenges, and broader implications for Medicare Advantage and private insurers are anticipated. Department of Justice (DOJ) into its Medicare billing practices.

Billing 71

Billing Insurance Documentation Medication 71

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. Here’s how this typically works: The health plan sends an explanation of benefits (EOB) document to the member via mail or email.

Billing 59

Billing Communication Documentation Collaboration 59

Medical Economics

JULY 1, 2025

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.

Appointments 58

Appointments Documentation Patient Support Communication 58

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 66

Huddles/Rounds Follow-Up Medication Patient Experience 66

Medical Economics

JUNE 30, 2025

So as they come out and they're really learning that, it really turns care and documentation on its head. Most of the insurance company data that is provided to a lot of the practices is oftentimes six months or older. It's not something that they're teaching in medical school. So those concerns are absolutely valid.

Medication 52

Medication Documentation Insurance Triage 52

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 52

Tests Diagnostics Medication Insurance 52

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 52

Communication Billing Documentation HIPAA 52

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 52

Billing Communication Documentation HIPAA 52

The Healthcare Blog

JUNE 11, 2025

In his article “ An Epic Saga: The Origin Story ” he describes how Epic grew to its current size. Even today, as Seth Joseph documents , Epic is already attracting lawsuits from multiple “smaller, adjacent vendors.” Epic’s EHR Expansion Plans Epic is more than a basic EHR — it offers existing customers a broad base of capabilities.

Billing 67

Billing Hospital Documentation Medication 67

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 45

Transfers Insurance Medication Billing 45

CollaborateMD

APRIL 3, 2025

This article dives into the importance of compliance, common challenges, and how medical billing services can help simplify compliance for your practice. RELATED ARTICLE: Your Medical Billing Secret Weapon: SMS Text and Broadcast Messaging What is Medical Billing Compliance? Following health insurance policies and procedures.

Billing 52

Billing Medication HIPAA Follow-Up 52

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. Neil Baum, MD Successful practices do not follow others; rather, they make their own paths and follow their own pathways and agendas.

Billing 52

Billing Communication Follow-Up Appointments 52

Arkenea

APRIL 10, 2025

Whether you are a startup evaluating your first development project or an enterprise looking to optimize your delivery model, this article provides clear, actionable insights to make informed decisions. Document nonfunctional requirements such as performance, security, and compliance.

Tests 52

Tests Communication Documentation Follow-Up 52

Minority Nurse

JUNE 23, 2025

Administrative Complexities : Even with willing preceptors, navigating affiliation agreements, liability insurance, and credentialing processes can derail placements. Document Everything : Maintain detailed records of all preceptor correspondence to demonstrate diligence to program faculty if cancellations occur.

Precepting 52

Precepting Scheduling Care Plan Follow-Up 52

Medical Economics

JUNE 9, 2025

Canceling services and coordinating mail forwarding are important tasks to prevent unnecessary expenses and ensure receipt of important documents. These professionals can document and prove the value of your business to help you ensure it's listed at a reasonable price. This is where a broker or appraiser comes in.

Transfers 52

Transfers Documentation Medication Follow-Up 52

Relias

MAY 7, 2025

In the past, healthcare payments from insurers came after providing services to patients, known as a fee-for-service model. Forbes, in an article titled, How Technology Is Improving The Patient Experience And Health Outcomes , documents the positive impact technology has on the patient experience and health outcomes.

Patient Experience 40

Patient Experience Patient Satisfaction Follow-Up Patient Safety 40

Healthcare Dive - Practice Management

JULY 9, 2025

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 Deep Dive The Trump administration wants to onshore drug manufacturing. You can unsubscribe at anytime. Technologists are answering the call.

Follow-Up 110

Follow-Up Medical Coding Medication Billing 110

Practice Index

DECEMBER 12, 2024

It's so easy to use and with just a few simple steps, you can accurately establish the impact of National Insurance, pension and National Minimum Wage changes for your practice. Best of our blogs Salary Calculator - FREE in the HUB - The only salary calculator you need has arrived!

Insurance 52

Insurance Documentation 52

Medical Economics

JULY 11, 2025

Makary noted he outlined his leadership priorities in a JAMA article and the agency has created the new “FDA Direct” channel on YouTube to post “timely and frank discussions” about current events at the agency. The first cache of letters had more than 200 downloadable.PDF documents at open.fda.gov. Subscribe Now!

Medication 52

Medication Tests Insurance Documentation 52

Practice Index

JANUARY 9, 2025

Read more The IGPM - The only nationally recognised professional body for Practice Managers - By Nicola Davies - You might recall seeing a few articles in the media about a push to get Practice Managers regulated in a similar way to Doctors.

Follow-Up 59

Follow-Up Insurance Documentation Communication 59

Electronic Health Reporter

JANUARY 19, 2021

This article is copyrighted strictly for Electronic Health Reporter. 2020 is behind you, and it’s the season to roll up your sleeves, pull out your documents, open your checkbook, and work to choose the right health insurance plan to meet your needs for 2021. […]. Illegal copying is prohibited.

Insurance 167

Insurance Documentation 167

EvidenceCare

APRIL 16, 2024

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.

Documentation 130

Documentation Admissions Discharges Billing 130

Scrubs

JULY 22, 2023

Pay for personal liability insurance. Protect your assets and your license by having personal liability insurance separate from anything offered to you through your employer. You need separate insurance because it is possible that your employer could sue you, and in that case, their liability insurance would probably not cover you.

Documentation 246

Documentation Insurance Communication Patient Care 246

Valant

MAY 2, 2024

Insurance credentialing is an important, intricate process that results in you becoming a “paneled,” in-network provider for a health insurance plan. In this article, we will explain how to get credentialed with insurance companies using the three most common methods. Blog What Is an Insurance Panel? Medicare ).

Insurance 98

Insurance Billing Scheduling Follow-Up 98

Health Populi

FEBRUARY 27, 2024

That’s the mantra coming out of this week’s annual Capitol Conference convened by the National Association of Benefits and Insurance Professionals (NABIP). FYI you might know of NABIP by its former acronym, NAHU, the National Association of Health Underwriters).

Billing 142

Billing Insurance Hospital HIPAA 142

Scrubs

AUGUST 22, 2023

Just this year alone, we’ve seen some of the largest and most alarming healthcare data breaches in history, including those related to the American Medical Collection Agency, insurer Dominion National, and Inmediata Health Group, just to name a few. Creating a public relations strategy is key to overcoming a data security breach.

Follow-Up 241

Follow-Up Documentation Patient Records HIPAA 241

Scrubs

MARCH 21, 2023

Nobody went into medicine to write notes or fill out insurance authorization forms,” said J. He added that medical payers now require so much documentation related to patients that “it’s almost an arms race.” Scott Smitherman, chief medical information officer at Providence Health.

Hospital 265

Hospital Follow-Up Appointments Patient Experience 265

Physicians Practice

JULY 22, 2025

Reynolds Fact checked by Chris Mazzolini Blog Article These five cost-free strategies foster positivity and resilience in medical offices, combating burnout and enhancing team morale amidst challenges. Yet positivity is one of the few levers leaders can pull without waiting for an insurer, a legislator or the Fed to act. Subscribe Now!

Billing 71

Billing Communication Documentation Patient Care 71

Scrubs

NOVEMBER 2, 2023

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. This knowledge is essential for accurately handling patient records, insurance claims, and other healthcare-related documents.

Medical Assistant 147

Medical Assistant Medical Administrative Assistant Medication Medical Terminology 147

Valant

OCTOBER 23, 2024

These standardized codes ensure proper reimbursement and streamline the billing process for insurance companies and healthcare providers. They are used for billing purposes and help insurance companies determine appropriate reimbursement rates for different types of therapy sessions. What are CPT Codes for Psychotherapy?

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Billing Documentation Insurance Best Practices 59