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Basics of Medical Documentation: What Aspiring Medical Billers and Coders Need to Know

Northwest Career College

Accurate documentation is essential for medical billing and coding, but many beginners struggle to understand the technical terms and guidelines. Without accurate medical documentation, insurance claims can be delayed or denied, frustrating patients and physicians. What is Medical Documentation?

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Navigating Complex Payer Rules in Behavioral Health: A Guide for Providers and Billers

Valant

Understanding Complex Payer Rules in Behavioral Health The rules that payers set dictate how much and what type of information clinicians gather on patients, which billing codes to use, how to document treatment, and which treatments are covered. Heavier documentation. Develop documentation processes. Mental health parity laws.

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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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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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EHR Revenue Cycle Management: A Massive Potential

Arkenea

From patient scheduling and registration through denial management and appeals, we examine each component in detail, highlighting best practices, implementation strategies, and optimization opportunities that can drive significant improvements in financial performance and operational efficiency.

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5 reports that you can run to monitor your medical practice

Health Prime

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.

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6 Best Practices for Efficient Medical Billing in Gastroenterology 

Health Prime

This rapid growth must encourage gastroenterology practices to ensure a streamlined revenue cycle and maximize reimbursements. Therefore, adopting best practices in medical billing is essential. Best practices for efficient gastroenterology medical billing 1.