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Insurance companies vow to fix prior authorization process…again

Medical Economics

Key initiatives include standardizing electronic submissions, reducing claims subject to prior authorization, and ensuring continuity of care during insurance transitions. This action is designed to help patients avoid delays and maintain continuity of care during insurance transitions. Beginning Jan. Expanding Real-Time Responses.

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6 Tips For Choosing The Right Health Insurance Plan

Electronic Health Reporter

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.

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5 Risk Control Considerations as Nurse Practitioners’ Scope of Practice Expands

Minority Nurse

If a patient suffers adverse outcomes and lacks documented informed consent, NPs could face liability claims for failing to provide adequate information. Therefore, establishing clear communication and maintaining thorough documentation is essential. Documentation. Malpractice Insurance.

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A Complete Guide to Medical Insurance Credentialing 

CollaborateMD

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.

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The Unexpected Burden of Billing for Small Behavioral Health Practices

Valant

Behavioral health providers managing both clinical care and business operations face unique challenges: complex prior authorization requirements, extensive documentation standards, and insurance coverage barriers. Insurers denied 19% of in-network claims in 2023 , according to the Kaiser Family Foundation.

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Preparing for CERT Audits and Practicing Compliant Documentation

EvidenceCare

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.

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Nursing: 5 things I wish I knew when I graduated

Scrubs

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.