Scrubs

AUGUST 9, 2023

Under HIPAA’s privacy rule, all patients have the right to inspect, review, and receive a copy of their medical records and billing records that are held by health plans and health care providers. Getting access to your medical records isn’t always easy. However, state laws and provider regulations can complicate this process.

Medication

Valant

MAY 30, 2024

There are four critical functions that practitioners should evaluate for outsourcing or hiring: billing, payroll, insurance credentialing, and human resources (HR). Efficient billing ensures timely reimbursement for services provided, essential for maintaining cash flow and sustaining practice operations.

Billing

Valant

OCTOBER 18, 2024

This could lead to improved efficiency in billing and collections processes. Insurance Reimbursement Changes: While not directly tied to interest rates, a more stable economic environment might influence insurance companies’ reimbursement policies , potentially benefiting providers.

Patient Experience

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

Health Populi

JULY 24, 2023

In the program’s FAQs, one question clearly addresses this, transparently and in layperson’s terms: Q: “Do I need health insurance to use GNC Health?” ” A: “Nope — insurance isn’t needed or accepted.” Cost, cost, cost, cost, and cost — above quality of care.

Insurance

NHA Now

JUNE 10, 2020

At NHA, we always strive to provide information to support frontline healthcare workers like billing & coding specialists on their path to success, which is why we recently surveyed hundreds of healthcare employers to discover insights to help lead us into 2020 and beyond. Be sure to download your copy of the full summary here!

Billing

Valant

AUGUST 20, 2024

Billing: Competent billing becomes even more important when managing reimbursement for multiple patients with differing insurance at the same appointment. To get paid on time, you need organized billing and personnel you trust, whether they’re in-house employees or an outsourced billing services company.

Billing

Valant

MAY 2, 2024

There are a number of factors to consider, such as service fees, patient volume, and reimbursement rates from insurance providers. Examples of overhead costs include rent, utilities, insurance premiums, administrative salaries, and software subscriptions. An operating budget has fixed, variable, and isolated costs.

Documentation

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

Health Populi

AUGUST 5, 2021

Eight in ten health consumers would access their physician and clinical notes (an area addressed in the past several years by the ground-breaking OpenNotes project ), insurance billing and claims, allergies, advance directives, and family medical history. Patients in the U.S.

Medical History

The HIPAA Journal

MARCH 25, 2025

A third-party digital forensics firm assisted with the investigation and confirmed that the account contents had been downloaded. Notification letters started to be mailed to the affected individuals on March 21, 2025.State

Insurance

Valant

AUGUST 1, 2024

Administrative Burden Running a practice yourself means handling all administrative tasks, including billing, paperwork, and regulatory compliance. Billing, scheduling, and other administrative tasks are often handled by dedicated staff, allowing providers to focus more on patient care.

Scheduling

Valant

JULY 29, 2024

This code is acceptable to insurers when used to describe a marked change in mental health status not attributable to other factors. While insurers prefer more descriptive ICD-10 codes, mental health practitioners should not list something specific if the patient’s medical record cannot support the diagnosis.

Diagnostics

Health Populi

OCTOBER 12, 2022

Patients have more financial skin-in-their-healthcare-games facing high-deductibles and direct out-of-pocket costs for medical bills…including prescription drugs. You can download the paper at this link. The post The Patient as Prescription Drug Payer – The GoodRx Playbook appeared first on HealthPopuli.com.

Insurance

Valant

JUNE 2, 2024

You’ll also need to manage, or at least oversee the management of, daily administrative tasks like scheduling, billing , and staff supervision. Don’t forget liability and malpractice insurance, which will help protect you from expenses in the case of lawsuits or claims filed against your practice.

Communication

Valant

JULY 25, 2024

Usage Guidelines Session Duration: While the official description specifies 50 minutes, you can bill for sessions lasting a minimum of 26 minutes. Always document the actual time spent to ensure accurate billing. If you’re unsure, consider hiring a billing service for licensed mental health professionals.

Billing

Valant

SEPTEMBER 10, 2024

The structured and evidence-based nature of Wiley Treatment Planners supports smoother insurance claim and reimbursement processes. Flexibility ensures the treatment plans evolve with the client’s progress and circumstances.

Documentation

The Healthcare Blog

JULY 9, 2024

We have numerous intermediaries like PBMs, billing services, revenue cycle management vendors, and all sorts of digital health solutions. Insurers : I worked in the health insurance industry for many years, and I still believe it has a critical role. Ascension ) or put a halt to those electronic transaction (e.g.,

Insurance

Valant

SEPTEMBER 3, 2024

Understanding EHRs in Behavioral Health An EHR built for behavioral health can help you with treatment planning , progress monitoring, outcome measures, telehealth , billing , and more. Behavioral health billing codes are also complex, and insurance claims and authorizations may be more difficult to secure.

Appointments

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

The Healthcare Blog

APRIL 29, 2024

I finished my talk by telling them that the internet would have little impact on health care and was mostly used for downloading clips of color videos and that I was going to show them one. Also worth a mention that many of those insurers, including Aetna & United have competitive diabetes products too.

Insurance

Valant

SEPTEMBER 5, 2024

From understanding billing to leveraging cutting-edge electronic health record (EHR) systems, here’s everything you need to know about group therapy reimbursement. But for group therapy, the bill itself may look different. It supports your claims and demonstrates compliance with insurance regulations. Integrated billing.

Documentation

Valant

MARCH 20, 2024

Reduced revenue or profitability can be the result of missed billing opportunities, inefficient billing processes , or changes in insurance reimbursement rates, among other things. Financial considerations are one of the main reasons why some practices consider transitioning to in-house billing.

Billing

Valant

MARCH 1, 2024

Compliance with the Health Insurance Portability and Accountability Act ( HIPAA ) and other laws/regulations is mandatory. Getting on insurance panels (also known as insurance credentialing ) is an involved process that can sometimes take months and requires a lot of steps and paperwork.

Billing

Valant

FEBRUARY 24, 2024

Finally, accurate insurance reimbursement reports are essential for maximizing revenue and minimizing revenue cycle management challenges. By ensuring the accuracy of billing reports and claims data, practices can expedite reimbursements, reduce claim denials, and maintain compliance with payer requirements.

Billing

Valant

JANUARY 30, 2024

External Audit Requirements In the behavioral health field, audits involve a comprehensive examination of a practice’s compliance with regulations and standards, such as those from states and insurance providers. Compliance with audit requirements fosters trust and credibility with patients, insurers, and regulatory bodies.

Billing

DrChrono

NOVEMBER 25, 2015

Billing Upload ERA: if the insurance is not contracted with one of our clearing houses, you will have the option download ERAs from their portal.

Billing

Valant

MARCH 14, 2024

EHRs streamline these tasks by automating routine, repetitive processes such as appointment scheduling , patient communications, and insurance claims processing. Download Template 9. In-house billing can boost efficiency, reduce spending, improve revenue streams, and simplify compliance—even with ever-evolving regulations.

Billing

Valant

APRIL 2, 2024

An EHR that is specifically intended for behavioral health practices can offer important features, such as better clinical documentation, tailored billing functionality, and a high-quality patient portal. How does the EHR handle insurance and billing? Can you track claims through your billing dashboard?

Billing

Valant

MARCH 30, 2024

Some even integrate the entire patient intake process, from prospective patient management , to intake paperwork, to scheduling, and all the way through to billing. These can include fields for demographic information, medical history, insurance details, and consent forms.

Best Practices

Health Populi

AUGUST 21, 2019

Better understanding this group of people will be critical to helping manage a fast-growing health care bill, and growing burden of chronic disease, for America. Medicare Advantage enrollment is fast-growing, shown in the first chart where over 22 million people were in MA plans in January 2019.

HIPAA

Valant

APRIL 2, 2024

Performance Reporting: The ability to focus on metrics such as patient retention, insurance aging, and billing documentation status goes a long way towards practice efficiency. For example, analyzing financial data within the EHR can help practices optimize billing processes.

Documentation

Arkenea

DECEMBER 8, 2024

Especially since the healthcare sector requires complex coordination between insurance carriers, healthcare providers, patients, and third-party vendors, it’s essential to adopt the latest interoperability tech. They transfer patient information, including treatment records, medical history, billing, and more.

Transfers

ACMA Blog

OCTOBER 8, 2024

Their knowledge of insurance coverage, regulations in patient assistance, and health policy empowers healthcare providers with tools that reduce hurdles in treatment access. Disrupted care was measured as a share of physicians who “reported that patients abandon treatment due to authorization struggles with health insurers”.

Documentation

Healthcare Dive - Practice Management

JULY 28, 2025

To simplify your payments with a full-service solution, download our buying guide. For Millions, the Bills Are About To Get Bigger. Moving the last mile to digital requires a full-service payment solution built to eliminate friction, drive digital adoption, and increase provider satisfaction. Now is the time to close the gap.

Follow-Up

CollaborateMD

JUNE 5, 2025

Outdated medical billing systems and processes can be a financial black hole for medical practices. In this blog, well explore common hidden costs associated with outdated medical billing systems and discuss how solutions like CollaborateMD can help revenue cycle managers claim lost dollars and streamline their operations.

Billing