Health Prime

DECEMBER 18, 2024

Five essential reports every medical practice should run 1. It categorizes unpaid patient invoices and insurance claims by age, typically in 30-day increments. Compliance and audit reports help you monitor adherence to coding, documentation, and billing standards.

Medication

Health Prime

DECEMBER 18, 2024

Five essential reports every medical practice should run 1. It categorizes unpaid patient invoices and insurance claims by age, typically in 30-day increments. Revenue Cycle Management (RCM) Report RCM reports provide a comprehensive view of your practices revenue cycle, from patient scheduling and billing to payment collections.

Medication

Prism Career Institute

JUNE 17, 2025

They must always be honest with them, act in their best interest, never take action to harm them, value their right to make their own healthcare decisions, and advocate for their needs. This law gives patients control over their health records and provides directions for handling lawfully disclosed health information.

Medical Assistant

The HIPAA Journal

APRIL 29, 2025

The affected individuals included employees and dependents of clients who used its services, which include HR outsourcing, benefits enrollment, billing, and administrative services. At the time of the initial announcement, Verisource Services said names, dates of birth, genders, and Social Security numbers had been stolen.

HIPAA

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. Let’s dive in.

Insurance

Arkenea

JUNE 20, 2025

EHR revenue cycle management represents far more than simply connecting clinical and billing systems. Essentially, EHR RCM signifies the integration of billing processes with clinical operations, leading to the improvement of financial performance while ensuring the delivery of optimal patient care.

Documentation

Physicians Practice

JULY 24, 2025

According to the National Association of Insurance Commissioners, around 110,000 malpractice claims will be filed in the U.S. Here’s what to do if something goes wrong: Report the incident to your practice administrator or risk manager immediately. They will notify your malpractice insurance carrier.

De-Escalation

Health Prime

NOVEMBER 20, 2024

Learn more about this in our blog Improve your front desk processes with these best practices. Main issues in the check-in process 1. This failure to verify the patient’s insurance could lead to invoicing discrepancies, prolonged payment cycles, and a loss of credibility in the practice from the patients.

Medication

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.

Appointments

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. Track those patterns in your practice-management system; fixing the root cause today prevents tomorrow’s rework. Tip 2: Spot the repeat offenders.

Billing

Medical Economics

JULY 8, 2025

Why denials are draining small practices When it comes to a small practice’s typical financial outlook, it’s clear that unresolved denial claims are common yet costly. 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.

Huddles/Rounds

Arkenea

JUNE 23, 2025

However, success requires careful planning, expert guidance, and commitment to best practices. Phase 1: Assessment and Planning (Months 1-2) Current State Analysis : Begin with a comprehensive assessment of your organization’s existing data landscape, technical infrastructure, and workflow requirements.

Documentation

Arkenea

AUGUST 2, 2025

Basic systems at the lower end provide essential documentation and billing functions, while premium solutions include advanced analytics, population health management, and specialty-specific workflows. Enterprise EHR systems designed for large practices and health systems range from $200 to $35,000 per provider annually.

Documentation

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

Intercoast

JUNE 2, 2025

Balancing Administrative Duties with Clinical Work Challenge: Administrative responsibilities, such as documentation and billing, can detract from direct client work. Strategy: Incorporate telecounseling best practices into your approach. Develop strategies to engage clients effectively in virtual settings.

Interdisciplinary Team

ACI Medical & Dental School

JANUARY 14, 2025

Verify patient insurance information and process any necessary paperwork. Balance cash drawers and handle any billing or coding tasks as needed. Take note of best practices and tips they share. Document medical histories and reason for the visit. Prepare patients for examination by the physician.

Medical Assistant

Physicians Practice

AUGUST 8, 2025

Back that tech with an old-school continuity binder listing offline backups, insurer contacts, and a paper-workflow plan if the network dies. Harden devices andrehearse ransomware response Adopt zero-trust security: least-privilege log-ins, auto-patching, and quarterly phishing fire-drills.

Billing

Medical Economics

JULY 21, 2025

Recently, the Illinois Interchange Fee Prohibition Act, originally set to take effect July 1, 2025, may be delayed to July 1, 2026, pending final approval of a bill passed by the state legislature. While Visa and Mastercard monitor compliance and issue penalties, enforcement remains inconsistent.

Bookkeeping

Health Prime

JUNE 13, 2024

In the intricate world of medical billing, accuracy is paramount. Your practice should consider the importance of the medical coding process when ensuring healthcare providers collect all money due to services rendered. Increased denials: Insurance companies are quick to deny claims with coding errors.

Billing

CollaborateMD

AUGUST 5, 2024

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. An analysis by KFF found that insurance denial rates could be as high as 49%.

Billing

Health Prime

MARCH 13, 2025

Safeguarding patient information and ensuring data security is always the highest priority in medical billing. With the expansion of digital healthcare information systems, security and regulatory compliancesuch as HIPAA (Health Insurance Portability and Accountability Act) have become not only best practices but also legal requirements.

Best Practices

Health Prime

JUNE 22, 2023

Medical billing plays a crucial role in the success of any healthcare practice, and gastroenterology is no exception. Gastroenterologists face unique challenges with medical billing due to the complex nature of their specialty. Therefore, adopting best practices in medical billing is essential.

Best Practices

Health Prime

MARCH 28, 2024

Effective credit balance management is crucial for the financial health of any medical practice. Monitoring credit balances and following best practices in the organization can help avoid financial risks. Implement a systematic review of patient accounts, insurance claims, and payments.

Billing

Health Prime

JUNE 22, 2023

Medical billing plays a crucial role in the success of any healthcare practice, and gastroenterology is no exception. Gastroenterologists face unique challenges with medical billing due to the complex nature of their specialty. Therefore, adopting best practices in medical billing is essential.

Best Practices

Health Prime

MARCH 21, 2024

The revenue cycle is a complex and multifaceted system that involves various stakeholders, including healthcare providers, payers (insurance companies), and patients. It begins at the front lines of the healthcare practice, where staff members collect essential demographic and insurance information during the initial patient contact.

Medication

Coronis Health

AUGUST 10, 2023

Best practices in hospital billing and coding processes are key to guiding coders as they navigate the complexities of chart documentation. By staying updated on the latest coding standards, technologies, and best practices, hospital coders can enhance their career prospects and improve healthcare delivery and performance.

Best Practices

Health Prime

MAY 30, 2024

However, by diligently recognizing and addressing underpayments, practices can ensure they receive fair compensation for the services provided. Moreover, identifying underpayments facilitates the detection of billing errors, improves payer relations, and fosters a culture of accountability within the organization.

Billing

CollaborateMD

MAY 25, 2023

Oncology medical billing is the process of submitting claims to insurance companies or other payers for oncology-related billing services associated with cancer management. Oncology medical billing requires understanding medical coding to run a successful oncology practices. What is Oncology Medical Billing?

Billing

CollaborateMD

JANUARY 3, 2024

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.

HIPAA

Valant

MARCH 2, 2024

For behavioral health practices, transitioning to in-house billing for mental health services can be extremely beneficial. In-house billing can boost efficiency, reduce spending, improve revenue streams, and simplify compliance—even with ever-evolving regulations. What inefficiencies exist? What areas can be improved?

Billing

EvidenceCare

APRIL 16, 2024

Regulatory Standards CERT (comprehensive error rate testing) is a program administered by the Centers for Medicare & Medicaid Services (CMS) that utilizes Recovery Audit Contractors (RACs) to review medical records and identify potential billing errors. Traditional Medicare vs. Medicare Advantage vs commercial insurance).

Documentation

Health Prime

JULY 18, 2024

Denial management is crucial in medical billing, ensuring healthcare providers receive rightful reimbursement for their services. However, navigating denial management can often be challenging for medical practices. According to an MGMA Stat Poll , 69% of healthcare leaders reported their organization’s denials have increased.

Billing

Health Populi

MARCH 12, 2020

billion supplemental bill to deal with COVID-19; the bill includes some level of telehealth funding. How would you improve what’s in the bill to optimize the use of telehealth in this challenging public health moment? Q2 – – Some industry observers have called this, “telehealth’s big moment.” The President signed the $8.3

Billing

Valant

OCTOBER 23, 2024

CPT (Current Procedural Terminology) codes are essential for mental health professionals to accurately bill for psychotherapy services. These standardized codes ensure proper reimbursement and streamline the billing process for insurance companies and healthcare providers. What are CPT Codes for Psychotherapy?

Billing

Health Populi

JUNE 10, 2021

” Health Populi’s Hot Points: HIPAA, the Health Insurance Portability and Accountability Act, was signed into law in 1996 by President Bill Clinton. Ensuring that health care providers adopt best practices for data protection, bolstering patient consent and their digital literacy.

HIPAA

ACMA Blog

JANUARY 17, 2024

Usually, these drugs are provided by hospitals or physicians’ offices who purchase the drugs directly from the wholesaler and bill the health insurance for the drug as well as the administration cost. This process is called buy-and-bill. We will also cover the best practices and recommendations for the buy-and-bill method.

Billing

Valant

AUGUST 20, 2024

Become familiar with the mandates and best practices that will contribute to a safe and effective treatment environment: Maintain confidentiality. Billing: Competent billing becomes even more important when managing reimbursement for multiple patients with differing insurance at the same appointment.

Billing