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

Health Populi

FEBRUARY 27, 2024

That’s the mantra coming out of this week’s annual Capitol Conference convened by the National Association of Benefits and Insurance Professionals (NABIP). health economy includes employers, unions, public sector plans and other groups as well as the Patient as Payor — thus prompting NABIP’s Bill of Rights.

Billing 141

Billing Insurance HIPAA Hospital 141

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 Documentation Scheduling Administrative Work 85

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

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

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 98

Billing Medication Best Practices HIPAA 98

Health Prime

JUNE 13, 2024

In the intricate world of medical billing, accuracy is paramount. Every code entered, every diagnosis documented, and every procedure billed must be meticulously coded to ensure proper reimbursement and compliance with regulations. Increased denials: Insurance companies are quick to deny claims with coding errors.

Billing 105

Billing Medical Coding Medication Best Practices 105

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

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 59

Clinical Assistant Documentation Appointments Billing 59

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

JULY 9, 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.

Billing 52

Billing Communication Documentation Patient Experience 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

Valant

MAY 2, 2024

Insurance credentialing is an important, intricate process that results in you becoming a “paneled,” in-network provider for a health insurance plan. In this article, we will explain how to get credentialed with insurance companies using the three most common methods. Blog What Is an Insurance Panel? Medicare ).

Insurance 98

Insurance Billing Scheduling Follow-Up 98

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

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

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

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

Health Prime

AUGUST 29, 2024

Medical insurance claim submission is a critical step in the medical billing process. It determines the reimbursement the healthcare provider will receive from the insurance company. This includes errors in patient names, dates of birth, insurance policy numbers, and other personal details.

Documentation 98

Documentation Billing Medical Coding Insurance 98

Health Prime

OCTOBER 10, 2024

As mental health demand continues to grow exponentially , it is equally important for mental health providers to optimize their billing practices to ensure fair and timely reimbursements, enabling them to continue delivering high-quality patient care. Strategies to improve your mental health reimbursements 1.

Billing 97

Billing Medical Coding Documentation Insurance 97

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

Northwest Suburban College

DECEMBER 6, 2024

Medical billing and insurance processing are essential skills for aspiring medical assistants. Both medical billing and insurance processing require attention to detail and strong communication skills. Knowing these codes is essential for accurate billing. Once coded, the information is used to prepare a claim.

Medical Assistant 52

Medical Assistant Billing Insurance Medication 52

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 105

Medication Billing Follow-Up Appointments 105

Health Prime

MAY 30, 2024

Moreover, identifying underpayments facilitates the detection of billing errors, improves payer relations, and fosters a culture of accountability within the organization. Identifying patterns of underpayment and scrutinizing each claim for accuracy is a critical step in improving your billing processes.

Billing 105

Billing Documentation Continuing Education Medical Coding 105

Physicians Practice

JUNE 20, 2025

Many doctors and practices have tried to outsource their billing, only to find disastrous results. In these unfortunate cases, their next plan is to bring billing back in-house and cancel the billing service. Either way, successful practices wisely try new ventures while monitoring results and responses.

Billing 52

Billing Communication Follow-Up Documentation 52

Health Prime

JULY 18, 2024

Denial management is crucial in medical billing, ensuring healthcare providers receive rightful reimbursement for their services. Denial management refers to identifying, analyzing, and resolving denied claims from insurance companies or payers. What is denial management, and why is it important?

Billing 105

Billing Patient Satisfaction Documentation Medication 105

Coronis Health

JULY 10, 2024

Test your knowledge and identify areas for improvement in your medical billing process! Do you ever encounter situations where claims are denied due to typos or missing information in patient demographics or insurance details? Coronis Can Help: Our medical billing specialists have extensive knowledge and experience with medical coding.

Billing 52

Billing Medication Medical Coding Documentation 52

Valant

AUGUST 2, 2024

In addition, it’s important to be able to obtain prior authorization from insurance and track prescription statuses. Billing and Coding Support A good EHR can help you avoid common billing errors for a smoother, more dependable revenue cycle. Communication with patients is a key part of this.

Medical History 98

Medical History Billing HIPAA Collaboration 98

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

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 52

Billing Medication Medical Coding Insurance 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

The HIPAA Journal

JULY 4, 2024

Gaia Software Gaia Software, a provider of electronic medical record and billing management software services to Americare Renal Center, has mailed notification letters to patients whose protected health information was compromised in a February 2024 cyberattack.

HIPAA 117

HIPAA Documentation Billing Insurance 117

EvidenceCare

JANUARY 12, 2024

For admitting clinicians, the key lies in distinguishing between genuine medical necessity and social admissions, ensuring meticulous documentation and rightful reimbursement. A crucial challenge arises when what may initially appear as a social admission could genuinely be medically necessary, yet the documentation lacks precision.

Admissions 130

Admissions Documentation Outpatient Care Hospital 130

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 55

HIPAA Documentation Billing Scheduling 55

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

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. Billion by 2032.

Best Practices 52

Best Practices Billing Medication Documentation 52

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 Communication Patient Support 58

The Healthcare Blog

DECEMBER 18, 2024

If you missed it read Part 1 & Part 2 By JEFF GOLDSMITH Two major changes in health insurance ensued as the US health system entered the 21 st century- a strategic shift of health cost risk from providers to patients and the emergence of machine driven managed care. Some 60% of hospital bad debts are now from patients with insurance.

Insurance 57

Insurance Hospital Follow-Up Medication 57