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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

In this blog, we’ll explore the key takeaways from their conversation and offer actionable strategies hospitals can implement to address these challenges. “Many of our health systems that have at-risk contracts are expecting headwinds in revenue of up to 20%.” Some quotes have been slightly edited for brevity.

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The Unexpected Burden of Billing for Small Behavioral Health Practices

Valant

Behavioral health providers managing both clinical care and business operations face unique challenges: complex prior authorization requirements, extensive documentation standards, and insurance coverage barriers. Common reasons for denied claims include using the wrong code or submitting incomplete documentation.

Billing 88
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Navigating Complex Payer Rules in Behavioral Health: A Guide for Providers and Billers

Valant

Read on to learn how your practice can keep up with the current rules and prepare for future changes. Heavier documentation. Mental healthcare claims usually require more documentation than physical healthcare. Parity laws have upped the expectations for documenting and justifying treatment. A worklist of charges.

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Should Doctors Use Chat-GPT to Practice Medicine?

Scrubs

Dereck Paul is the co-founder of Glass Health, a start-up in San Francisco that offers artificial intelligence chatbot services to doctors looking to ease the burden of routine processes, such as patient documentation. “We need these folks not in burnt-out states, trying to complete documentation,” Paul told NPR.

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5 Risk Control Considerations as Nurse Practitioners’ Scope of Practice Expands

Minority Nurse

If a patient suffers adverse outcomes and lacks documented informed consent, NPs could face liability claims for failing to provide adequate information. Therefore, establishing clear communication and maintaining thorough documentation is essential. Documentation. Malpractice Insurance.

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Will the left shift of activity be adequately resourced? – By Ben Gowland

Practice Index

What can we learn about the left shift of activity from this document? More patient-initiated follow-ups, greater use of the NHS App, and GPs to support patients activating choice of treatment provider are also included. – By Ben Gowland appeared first on GP Practice Management Blog.

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How One Nurse Made $2 Million in Two Years Selling Study Sheets Online

Scrubs

So, she started documenting her studying process on social media. “I Beggs shared the videos on TikTok where she quickly racked up hundreds of thousands of views. She now has over 600k followers on the app. She said she feels a responsibility to show up for her audience now that she’s built such a devoted following.

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