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Mouse Clicks and Maze Runs

Sensible Medicine

Dr Jay Schloss is back with a follow-up essay on the the use of AI in the clinic. I later wrote up my idea in a blog post: EHR Review Folders: Saving Trees, Improving Care , which included an email I’d sent to Epic. But I’ve always held that documentation isn’t care delivery.

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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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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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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.

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Engaging Physicians in Quality Improvement: Strategies for Driving Practice Change

EvidenceCare

This blog outlines practical ways to harness those levers, align clinical and financial goals and, most importantly, build momentum for lasting change. Real-time dashboards can also flag length of stay variance, prompting collaboration to streamline processes and free up capacity for higher-acuity admissions. to “How do we improve?”

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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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Medical billing audits: A proactive approach to compliance and revenue protection 

Health Prime

According to the American Association of Medical Audit Specialists (AAMAS) , a medical billing audit is a process to determine whether data is in a providers health record and by appropriate and referenced medical policies, documents, or support services listed on a providers bill. Subscribe to our Health Prime blog.

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