Health Prime

MARCH 13, 2025

Safeguarding patient information and ensuring data security is always the highest priority in medical billing. With the expansion of digital healthcare information systems, security and regulatory compliance—such as HIPAA (Health Insurance Portability and Accountability Act) —have become not only best practices but also legal requirements.

Best Practices

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. But a primary care physician ordering the same test for every patient?

Documentation

Northwest Career College

JULY 3, 2025

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. Why is Medical Documentation Important?

Documentation

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

Prism Career Institute

JANUARY 9, 2025

A phlebotomists job is to collect blood samples for laboratory testing and analysis. Healthcare becomes more accessible for patients who cannot cover the costs without insurance. What Is Mobile Phlebotomy? Phlebotomy is the field of medicine that specializes in venipuncture, or blood draws.

Medical Assistant

Northwest Career College

JUNE 1, 2025

The nice thing about this is that medical billing and coding offer excellent opportunities to work from home. In this article, we will learn how your medical billing and coding career can help you establish a stable career right in your home! What is Medical Billing and Coding? Here’s what you should know: 1.

Billing

The Healthcare Blog

JULY 21, 2025

Tens of millions of people (especially younger generations ) are already leaning into AI for help with health and wellness, testing the waters of off-the-shelf apps and tools like ChatGPT. You see, people realize that AI isn’t just for polishing emails and vacation itineraries.

Appointments

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. Billing and coding Billing and coding issues can often lead to healthcare fraud.

Best Practices

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

KevinMD.com

JULY 15, 2025

Instead of billing patients and insurers for every individual test, treatment, or doctor’s visit during a medical Read more… Bundled payments in Medicare: Will fixed pricing reshape surgery costs? That’s the idea behind a bundled payment plan in health care. originally appeared in KevinMD.com.

Billing

Medical Economics

JUNE 27, 2025

Patient history is essential in allergy diagnosis, as tests show sensitization, not clinical allergy, guiding appropriate management and treatment. Establishing medical necessity ensures justified diagnostic tests and treatments, aiding reimbursement and proactive allergy management. were hospitalized.

Tests

Prism Career Institute

JUNE 24, 2025

They may also communicate with other healthcare facilities to make sure appropriate patient tests are completed and that the results are reviewed. They may also communicate with other healthcare facilities to make sure appropriate patient tests are completed and that the results are reviewed.

Medical Assistant

Physicians Practice

JULY 2, 2025

These videos are 5 to 10 minutes in length and will provide practical ideas and suggestions that have been tested in his practice or used by other physicians that significantly improve the efficiency and productivity of their medical practices. About Neil Baum, M.D.

Communication

Arkenea

JUNE 23, 2025

Phase 1: Assessment and Planning (Months 1-2) Current State Analysis : Begin with a comprehensive assessment of your organization’s existing data landscape, technical infrastructure, and workflow requirements.

Documentation

Northwest Career College

JUNE 17, 2025

People in these positions are concerned with scheduling, billing, and record management. Whether you are calling to check into an appointment or to ask a question about your insurance, you have spoken with someone in healthcare administration. They file and process insurance claims to ensure that providers receive payment.

Medical Administrative Assistant

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

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. These capabilities don’t exist in today’s EHRs.

Billing

Health Populi

JUNE 25, 2025

This growth will be happening as CMS projects coverage of insured people to decline over the period. Note that Health Affairs ‘ sub-title for the study’s release today was, “despite insurance coverage declines, health to grow as share of GDP.” For the U.S.

Billing

Physicians Practice

JUNE 27, 2025

Examples from my practice If we tell a patient that we will return a call to them in two days with a report of a lab test and the results are not available, it is essential to inform the patient of the situation and provide them with an alternative date for when someone will call with the results. 60: Strategic planning with Stephen A.

Communication

ACI Medical & Dental School

JANUARY 9, 2025

The day-to-day responsibilities of a Pediatric Medical Assistant can vary depending on the specific medical office or clinic, but typically include: Clinical Tasks: These involve taking vital signs, administering medications and vaccines, assisting with medical examinations, and performing simple laboratory tests.

Medical Assistant

Medical Economics

AUGUST 1, 2025

Medical Economics: How is this approach fundamentally different from the traditional “customary practice” test? Most doctors do not [incur] even a single penny of financial liability because of the serious protections that we have in law for physicians and their insurance policies. Daniel Aaron, M.D., Daniel Aaron, M.D., Subscribe Now!

Medication

Arkenea

AUGUST 2, 2025

Basic systems at the lower end provide essential documentation and billing functions, while premium solutions include advanced analytics, population health management, and specialty-specific workflows. System integration connects your EHR with laboratory systems, imaging platforms, billing software, and other healthcare applications.

Documentation

CollaborateMD

MARCH 20, 2025

It can bring a refreshing shift from scattered patient files and billing information to seamless, stress-free workflows and revenue management. Billing and Claims Management : Ensure smooth processes for medical billing , insurance claims, and payment collection. What happens if systems are mismatched?

Appointments

Physicians Practice

AUGUST 1, 2025

Appeal quickly, appeal smartly Check each payer’s manual, then draft a tight letter with claim number, DOS, and proof—chart notes, test results, everything. Run a denial-management machine Track every denial in your billing software: reason, appeal status, resolution date. Verify insurance and referral needs at every visit.

Billing

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

Health Populi

APRIL 14, 2025

twelve months ago: uncertainties about private/commercial insurance and employment-based health benefits, as well as uncertainties about Medicaid erosion, Medicare benefit access and enrollment, the status of NIH-funded and tracked clinical trials, and many other aspects of health care security play into these landscapes. .”

Insurance

ACI Medical & Dental School

JANUARY 14, 2025

Verify patient insurance information and process any necessary paperwork. Perform basic lab tests and prepare samples for external labs. Balance cash drawers and handle any billing or coding tasks as needed. Administrative Duties: Greet patients as they arrive, check them in, and update their medical records.

Medical Assistant

Medical Economics

JUNE 9, 2025

We're going to expand our work to test improvements in Medicare Advantage on Medicaid. “We plan to update existing and design new original Medicare models to leverage payments and regulatory flexibilities such as waivers and beneficiary enhancements for incentives,” Sutton said. “We're

Medication

A Young Doctor's Journey

MARCH 10, 2025

Does insurance cover it? Of note, my insurance company initially declined the claim and my fertility team had to appeal, so this was the longest part of the process (about four weeks). We set an approximate date for the start time, and my fertility team started the prior authorization for the insurance company.

Medication

CollaborateMD

JANUARY 17, 2025

The findings also point out that much of the costs result from the burden and time associated with dealing with specific practices that insurers have put in place around prior authorization and delays in payments. Higher prices for medical services, medications, and insurance premiums directly impact patients’ out-of-pocket expenses.

Billing

Practice Index

DECEMBER 5, 2024

Chair Professor Kamila Hawthorne said: “With winter fast approaching, our services will only get busier – and uncertainty around how the hike in National Insurance for employers will impact on practices is only adding to the pressures general practice is facing. We need action now to alleviate the workforce crisis.”

Huddles/Rounds

The Healthcare Blog

DECEMBER 5, 2024

Enough with having AI pass the bar exam or medical licensing tests; let’s see how it can help Amazon or Walmart workers. taking notes or dealing with insurance companies), they’ll help doctors keep current with research findings, they’ll propose more appropriate diagnoses, they’ll offer a more precise hand in procedures.

Follow-Up

Health Populi

NOVEMBER 21, 2024

.” In this Health Populi post, I’m weaving together three just-published studies that together fill in a profile of the current state of health consumers in America — in particular, working-insured health citizens. We’ll focus on people who are working and covered with health insurance through an employer.

Insurance

Medical Economics

JULY 24, 2025

It was an apparent reference to the Medicaid cuts in the One Big Beautiful Bill Act, the financial plan supported by House Republicans and President Donald J. In the hearing, other Democrats openly criticized that bill and its effects on health care. What are consumers getting for all of this money?

Insurance

Forbes Healthcare

JULY 2, 2025

Home Warranty Cost Best Home Appliance Insurance Best Solar Companies Best Solar Panels Cost Of Solar Panels Solar Tax Credit By State Are Solar Panels Worth It? Cohen Follow Author Share Save Comment Innovation Healthcare To Preempt Government Action, Insurers Say They’re Fixing Prior Authorization By Joshua P.

Insurance

Forbes Healthcare

JUNE 11, 2025

Home Warranty Cost Best Home Appliance Insurance Best Solar Companies Best Solar Panels Cost Of Solar Panels Solar Tax Credit By State Are Solar Panels Worth It? At the time, we had an amniocentesis done—and that’s what started me down the path to develop non-invasive prenatal testing (NIPT).” It really shook me,” he said.

Insurance

Forbes Healthcare

JULY 2, 2025

In this week’s edition of InnovationRx, we look at the health impact of the Republican spending bill, a startup that built a hospital in India to test its AI software, the impact of the vaccine panel changes, and more.

Billing