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When AI Listens In: How Conversational Data Could Disrupt Medicine

Sensible Medicine

We often confuse healthcare documentation with healthcare delivery. In practice, the EHR is often a shadow play — dot phrases, notes copied forward, boxes mechanically checked to satisfy billing requirements, a flurry of structured data that says very little about the actual care delivered. But they aren’t stopping there.

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Reducing Errors in Revenue Cycle Management: Documentation and Coding

Relias

In an ideal world, accurate documentation and precise coding should ensure smooth claims and timely payments, but even small missteps can cause major disruptions. Reducing errors in revenue cycle management, such as documentation and coding errors, can help prevent some of most persistent threats to healthcare revenue integrity.

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The Unexpected Burden of Billing for Small Behavioral Health Practices

Valant

Billing often becomes one of the biggest administrative burdens for solo and small behavioral health practices. Behavioral health providers managing both clinical care and business operations face unique challenges: complex prior authorization requirements, extensive documentation standards, and insurance coverage barriers.

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Mouse Clicks and Maze Runs

Sensible Medicine

Whether summarization tools will be reliable remains to be seen, but the early promise of AI in medical documentation — as we’ll see in the next section — gives me hope. And if that means fewer reimbursement headaches later, the billing office will be too.

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How to Stay Compliant with Medicare Billing Requirements 

CollaborateMD

Navigating the complexities of Medicare billing can feel overwhelming, but understanding and adhering to Medicare billing guidelines is critical for the financial health and legal standing of your healthcare practice. Identify common Medicare billing mistakes to avoid. What are Medicare Billing Guidelines?

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Medical billing audits: A proactive approach to compliance and revenue protection 

Health Prime

Medical billing audits are a great tool for achieving compliance and safeguarding revenue. Also, third-party payers conduct billing audits through their employees or their agents. Fraud Avoidance: Either billing errors or fraudulent activities committed on your part can lead to criminal prosecution and a tainted public image.

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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?