Valant

DECEMBER 16, 2024

But understanding how to maintain compliance and bill properly is something that behavioral health clinicians and practice owners have to do. Every part of the billing process, front to back, is subject to these rules. More billing codes. Heavier documentation. Develop documentation processes.

Billing 94

Billing Documentation Follow-Up Best Practices 94

Health Prime

FEBRUARY 5, 2025

Medical billing is a vital yet often overlooked aspect of practice management in the dynamic healthcare landscape, where the primary focus is on providing quality patient care. However, amid the intricacies of coding regulations, payer policies, and administrative tasks, medical practices encounter many challenges in the billing process.

Billing 52

Billing Medication Scheduling Insurance 52

Valant

JULY 9, 2025

Many therapists use AI transcription services during sessions instead of documenting sessions by hand. Clinical documentation is a particularly important application of AI technology because documentation so often contributes to provider burnout. Improved work-life balance. More comprehensive notes.

Clinical Assistant 82

Clinical Assistant Documentation Appointments Billing 82

Health Prime

JULY 8, 2025

In the emergency department (ED), denials and underpayments aren’t just billing issues – they’re operational threats that affect the entire healthcare ecosystem. Current industry data shows ED denial rates average 15–20%, with coding and documentation errors accounting for a significant portion of the denials.

Documentation 52

Documentation Billing Hospital Patient Experience 52

Physicians Practice

JUNE 9, 2025

Off-Label Use Legal Concerns (00:02:49)** Explains legal concerns with off-label prescribing and how to mitigate risks through documentation and informed consent. Insurance Denials and Prior Authorizations (00:11:26)** Challenges with insurance coverage, prior authorizations, and evolving insurer policies for GLP-1 prescriptions.

Billing 52

Billing Communication Documentation Insurance 52

Health Prime

DECEMBER 18, 2024

It categorizes unpaid patient invoices and insurance claims by age, typically in 30-day increments. To take action, follow up promptly on overdue accounts, review and optimize your billing processes to reduce delays, and consider implementing automated reminders for patients and insurance companies.

Medication 52

Medication Billing Documentation Appointments 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. If you’re always billing at the highest-level codes, or always at the lowest, you stand out.

Documentation 52

Documentation Billing Insurance Tests 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

CollaborateMD

DECEMBER 10, 2024

Understanding the Challenges in Claims Processing Errors in medical claims processing have traditionally posed significant challenges for hospitals, insurers, and patients alike. Manual methods are prone to: Human Error : Misfiled billing codes, missing data, and inaccuracies are common with manual input, according to one report.

Medication 52

Medication Billing Insurance HIPAA 52

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 52

Documentation Billing Scheduling Insurance 52

Health Prime

DECEMBER 18, 2024

It categorizes unpaid patient invoices and insurance claims by age, typically in 30-day increments. To take action, follow up promptly on overdue accounts, review and optimize your billing processes to reduce delays, and consider implementing automated reminders for patients and insurance companies.

Medication 52

Medication Billing Documentation Appointments 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. It’s so time-consuming and cumbersome that states like California are considering a bill to simplify the process. Unfortunately, it’s also a very taxing process.

Insurance 52

Insurance Medication Follow-Up Billing 52

CollaborateMD

APRIL 3, 2025

Healthcare practices are often plagued with medical billing compliance questions like: “Am I upcoding?” ” With all of these concerns, it’s vital that providers and billing departments understand and follow the key elements of proper medical billing compliance to run a successful practice.

Billing 52

Billing Medication HIPAA Follow-Up 52

Relias

JULY 23, 2025

Later, in September, the Mental Health Parity and Addiction Equity Act (MHPAEA) was amended to prohibit health plans and insurers from limiting access to mental health or SUD benefits in ways that differ from physical health benefits. Documentation Documentation integrity involves the accuracy of the complete health record.

Best Practices 40

Best Practices Billing Documentation Communication 40

The HIPAA Journal

JULY 10, 2025

The group claims to have published a huge variety of documents, including EMRs, test results, patient histories, and billing information. Everest then leaked the stolen files on July 3, 2025, some of which appear to be patient files containing test results, patient histories, and billing information.

Diagnostics 82

Diagnostics HIPAA Billing Documentation 82

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. They will notify your malpractice insurance carrier. Avoid discussing the incident with anyone outside your insurer or assigned defense attorney — including colleagues, staff, or even the patient’s family.

De-Escalation 52

De-Escalation Communication Billing Documentation 52

Physicians Practice

JULY 2, 2025

Decoding malpractice premiums: Insider insights every physician should know Jennifer Wiggins June 27th 2025 Article Check out these essential insights on controlling malpractice insurance premiums, including specialty impact, location factors, policy types and available discounts for physicians.

Communication 52

Communication Billing Documentation Medication 52

Relias

JULY 15, 2025

The One Big Beautiful Bill Act (OBBBA) , passed into law on July 4, 2025, includes major healthcare policy changes affecting all levels of acute care. Also known as the Big Beautiful Bill (BBB), the federal legislation establishes the Rural Health Transformation Program and allocates $50 billion in funding over five years.

Acute Care 40

Acute Care Billing Diagnostics Hospital 40

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

Physicians Practice

JULY 15, 2025

© Kantapon - stock.adobe.com Commercially insured patients owe more out-of-pocket costs for their care, yet they’re paying less of their financial responsibility for health care services, a recent Kodiak Solutions analysis found. Deploy multichannel mechanisms for patient financial communications.

Billing 59

Billing Communication Documentation Collaboration 59

Health Prime

FEBRUARY 5, 2025

Medical billing is a vital yet often overlooked aspect of practice management in the dynamic healthcare landscape, where the primary focus is on providing quality patient care. However, amid the intricacies of coding regulations, payer policies, and administrative tasks, medical practices encounter many challenges in the billing process.

Billing 52

Billing Medication Scheduling Insurance 52

Northwest Career College

JULY 15, 2025

You’ll use these words daily, from scheduling patients to handling phone calls and working with insurance. Insurance and Billing You often talk to patients about their insurance when working at the front desk. You may ask for their “ policy number ” and insurance ID.

Medical Administrative Assistant 40

Medical Administrative Assistant Insurance Appointments Billing 40

The HIPAA Journal

MAY 21, 2025

CA Health Plan 12,224 Unauthorized Access/Disclosure Mailing incident involving mailing vendor (Billing Documents Specialists) Shipping labels contained Social Security numbers. OCR determined that Comprehensive Neurology had failed to conduct a HIPAA-compliant risk analysis.

Business Associate 80

Business Associate HIPAA Hospital Insurance 80

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

Health Prime

JULY 8, 2025

In the emergency department (ED), denials and underpayments aren’t just billing issues – they’re operational threats that affect the entire healthcare ecosystem. Current industry data shows ED denial rates average 15–20%, with coding and documentation errors accounting for a significant portion of the denials.

Documentation 52

Documentation Billing Hospital Patient Experience 52

Medbridge

NOVEMBER 8, 2024

On top of their duty to treat patients, physical therapists (PTs) manage complex documentation, billing, and coding tasks critical to ensuring proper reimbursement for services from insurers. Physical therapy billing units are at the core of this process, providing a standardized way to quantify services during therapy sessions.

Billing 52

Billing Documentation Insurance 52

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

Arkenea

JUNE 23, 2025

Unlike conventional AI models that rely solely on their training data, RAG combines the power of large language models with real time information retrieval from your organization’s specific databases and documents.

Documentation 52

Documentation HIPAA Discharges Medical Coding 52

Physicians Practice

JUNE 27, 2025

Recent Videos Related Content Decoding malpractice premiums: Insider insights every physician should know Jennifer Wiggins June 27th 2025 Article Check out these essential insights on controlling malpractice insurance premiums, including specialty impact, location factors, policy types and available discounts for physicians.

Communication 52

Communication Billing Documentation HIPAA 52

Prism Career Institute

MAY 6, 2025

It’s also crucial to maintain patient confidentiality and follow Health Insurance Portability and Accountability Act (HIPAA) regulations. Common administrative duties include: Answering phone calls: Throughout the day, patients call healthcare facilities about appointments, health inquiries, insurance issues, or payments.

Medical Assistant 52

Medical Assistant Medication Follow-Up Bookkeeping 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 26, 2025

Recent Videos Related Content Decoding malpractice premiums: Insider insights every physician should know Jennifer Wiggins June 27th 2025 Article Check out these essential insights on controlling malpractice insurance premiums, including specialty impact, location factors, policy types and available discounts for physicians.

Billing 52

Billing Communication Documentation HIPAA 52

The Healthcare Blog

JUNE 11, 2025

Other stuff Supply Shop — services offerings Revcyclers — “Third parties working with Epic and provide billing services to help improve revenue cycle outcomes” Cornerstone Partners — deep relationships with Microsoft and InterSystems But wait…there’s more.

Billing 67

Billing Hospital Documentation Medication 67

Valant

NOVEMBER 7, 2024

The Biden administration announced a finalized Mental Health Parity Rule on September 9, 2024, bringing significant changes to how insurers cover mental health care. The insurance industry has raised concerns, arguing that the rule could drive up costs.

Documentation 111

Documentation Billing Insurance Patient Care 111

The HIPAA Journal

APRIL 1, 2025

Individuals who were sent a notification that they were affected by the data breach may submit a claim for reimbursement of documented losses incurred as a result of the data breach up to a maximum of $10,000. Under the terms of the settlement, a $3.15

HIPAA 62

HIPAA Documentation Billing Scheduling 62

Northwest Career College

MAY 25, 2025

You must monitor patient schedules, file documents appropriately, and communicate effectively with the dental staff. Knowledge in Dental Software In a dental office, special software keeps track of treatment, appointments, billing, and insurance claims for each patient.

Customer Service 40

Customer Service Billing Scheduling Appointments 40

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