Health Prime

OCTOBER 10, 2024

Mental health providers must ensure they use the correct diagnosis and procedure codes when submitting claims to insurance companies. To learn more, check out our blog 6 aspects to consider when choosing the right medical coding partner for your practice.

Billing 97

Billing Medical Coding Documentation Insurance 97

Health Prime

JUNE 13, 2024

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. Double-check documentation: Accurate coding begins with comprehensive documentation.

Billing 105

Billing Medical Coding Medication Best Practices 105

Scrubs

AUGUST 22, 2023

Just this year alone, we’ve seen some of the largest and most alarming healthcare data breaches in history, including those related to the American Medical Collection Agency, insurer Dominion National, and Inmediata Health Group, just to name a few. Creating a public relations strategy is key to overcoming a data security breach.

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Follow-Up Documentation HIPAA Patient Records 240

Minority Nurse

APRIL 28, 2025

The Financial Side: Insurance and Liability Protection Liability risks are a reality, but they can easily be forgotten while working in private homes or in a contract situation. Insurance for home care providers is your first line of defense. Start by documenting your visits.

Insurance 59

Insurance Documentation Scheduling Medication 59

Health Prime

MAY 30, 2024

Implement robust coding and documentation practices Accurate medical coding and detailed documentation are crucial elements in preventing underpayments. Therefore, it is important to ensure your staff is well-trained in coding practices and emphasize the importance of thorough documentation to support the services provided.

Billing 105

Billing Documentation Continuing Education Medical Coding 105

Health Prime

JULY 18, 2024

Denial management refers to identifying, analyzing, and resolving denied claims from insurance companies or payers. Claim denials can occur for various reasons, including incorrect patient information, coding errors, lack of prior authorization, incomplete documentation, and non-covered services.

Billing 105

Billing Patient Satisfaction Documentation Medication 105

Health Prime

FEBRUARY 5, 2025

Other than these, whether due to wrong coding, incomplete documentation, or eligibility issues, the claims denied or rejected take a great deal of time and resources for follow-up or resubmission, delay reimbursement, and affect cash flow. This leads to claim denials and delays due to inappropriate or incorrect insurance information.

Billing 52

Billing Medication Scheduling Insurance 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.

Billing 105

Billing Medication Follow-Up Appointments 105

Scrubs

MARCH 21, 2023

Nobody went into medicine to write notes or fill out insurance authorization forms,” said J. He added that medical payers now require so much documentation related to patients that “it’s almost an arms race.” Scott Smitherman, chief medical information officer at Providence Health.

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Hospital Follow-Up Appointments Documentation 264

Practice Index

FEBRUARY 6, 2025

Lots of new blogs, updates, and support across Practice Index and the HUB. Catch up in our useful roundup blog! Best of our blogs Busy or unpredictable? - Todays blog is designed to take readers through some of the common sick pay issues were asked about. We started off 2025 just as we ended the previous year!

Documentation 52

Documentation Patient Care Scheduling Insurance 52

Practice Index

DECEMBER 12, 2024

Best of our blogs Salary Calculator - FREE in the HUB - The only salary calculator you need has arrived! It's so easy to use and with just a few simple steps, you can accurately establish the impact of National Insurance, pension and National Minimum Wage changes for your practice. Missed any of it? Catch up now!

Insurance 52

Insurance Documentation 52

Valant

SEPTEMBER 30, 2024

The Health Insurance Portability and Accountability Act (HIPAA) sets the standard for protecting sensitive patient data. These platforms ensure that patient privacy and data security remain paramount in the virtual therapy environment. What is HIPAA and Why is it Crucial in Teletherapy?

HIPAA 111

HIPAA Business Associate Certification Documentation 111

Practice Index

JANUARY 9, 2025

Best of our blogs Uniforms and dress codes: considerations to keep in mind - By Susi O'Brien - "Most GP practices have a uniform or dress code policy. Every now and again, though, its good to have a reminder of topics like this, so todays blog will run through several common issues relating to uniforms and dress."

Follow-Up 59

Follow-Up Insurance Documentation Communication 59

Valant

SEPTEMBER 10, 2024

This allows practitioners to spend more time on direct client care and less time on documentation. This leads to more efficient documentation processes and better overall practice management. This integration can reduce data entry time, minimize errors, and ensure consistency across all client documentation.

Documentation 98

Documentation Diagnostics Best Practices Collaboration 98

Valant

DECEMBER 16, 2024

r/therapists offers advice on practice management, such as detailed discussions on handling insurance claims. Implementing community-sourced tips can streamline documentation and administrative processes, freeing up more time for direct client care. Members sometimes share anonymized cases to seek advice or discuss treatment options.

Collaboration 52

Collaboration Continuing Education Documentation Insurance 52

Valant

AUGUST 2, 2024

In addition, it’s important to be able to obtain prior authorization from insurance and track prescription statuses. Telehealth Capabilities HIPAA-compliant telehealth capabilities allow you to treat patients remotely in individual or group therapy sessions.

Billing 98

Billing Medical History HIPAA Collaboration 98

Valant

OCTOBER 23, 2024

These standardized codes ensure proper reimbursement and streamline the billing process for insurance companies and healthcare providers. They are used for billing purposes and help insurance companies determine appropriate reimbursement rates for different types of therapy sessions. What are CPT Codes for Psychotherapy?

Billing 59

Billing Documentation Insurance Best Practices 59

Valant

JULY 16, 2024

Progress notes help other practitioners or treating physicians stay up-to-speed on your work with a patient, and they inform insurance companies of the reliability and efficacy of your methods. They must contain certain information in orderly formatting so other providers and insurance companies can easily use them.

Documentation 98

Documentation Appointments HIPAA Follow-Up 98

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 102

Documentation Patient Care Billing Insurance 102

Valant

JULY 25, 2024

Always document the actual time spent to ensure accurate billing. Insurance Considerations: Reimbursement varies by insurer, degree level of the provider, and age requirements (often 18 or 21). Some insurers may not reimburse for 90846, so verify with each insurance company.

Billing 52

Billing Documentation Insurance Communication 52

Health Prime

MARCH 6, 2024

Consequently, this reduces the likelihood of errors in documentation and ensures that the practice has the most up-to-date information. Moreover, patient portals adhere to stringent security and privacy standards, promoting compliance with regulations like the Health Insurance Portability and Accountability Act (HIPAA).

Communication 98

Communication HIPAA Billing Appointments 98

Valant

APRIL 17, 2024

Not only is it a map for treating a client, it is necessary for compliance with insurance and governmental mandates. If you’re struggling to manage the logistics of treatment plan documentation and wondering how you’ll cope in light of practice growth, be encouraged. Automated workflows and documentation tools.

Documentation 102

Documentation HIPAA Best Practices Collaboration 102

Health Prime

JULY 27, 2023

It involves obtaining approval from insurance companies before a specific procedure, treatment, or medication is administered. The prior authorization process acts as a bridge between healthcare providers and insurance companies, safeguarding the financial interests of both parties.

Insurance 52

Insurance Documentation Follow-Up Communication 52

Valant

JULY 29, 2024

ICD-10 Code for Altered Mental Status In this blog post, Valant discusses the ICD-10 code for Altered Mental Status. This code is acceptable to insurers when used to describe a marked change in mental health status not attributable to other factors. When To Use ICD-10 Code for Altered Mental Status, Unspecified – R41.82

Diagnostics 97

Diagnostics HIPAA Insurance Medication 97

Valant

JULY 24, 2024

This information is shared with insurance companies to justify claims. Check out Valant’s clinical documentation features to learn more. The information recorded may include symptoms, medical history, test results, diagnoses, treatment plans, prescription medications, and progress made at appointments. So, what is SOAP ?

Medical History 98

Medical History Physical Exams Vital Signs Documentation 98

Valant

AUGUST 20, 2024

Documentation: How will you document the group session along with assessing each individual as needed? Billing: Competent billing becomes even more important when managing reimbursement for multiple patients with differing insurance at the same appointment. Blog Starting Out With Group Therapy?

Billing 105

Billing Scheduling Documentation Appointments 105

Minority Nurse

NOVEMBER 14, 2022

Nurses Service Organization (NSO) and CNA have published the new edition of the Nurse Practitioner Professional Liability Exposure Claim Report analyzing 232 closed professional liability claims against NPs, student NPs, and NPs covered through a CNA-insured healthcare business over five years (2017-2021). Incomplete physical assessment.

Documentation 98

Documentation Vital Signs Diagnostics Patient Safety 98

ACMA Blog

JULY 9, 2024

FTC Conducts Investigation into PBMs Because PBM practices lack transparency and accountability to the public, in 2022, the Federal Trade Commission (FTC) requested data and documents of business practices to the six largest PBMs: Caremark Rx, LLC, Express Scripts, Inc., OptumRx, Inc., Humana Pharmacy Solutions, Inc.,

Insurance 98

Insurance Patient Centered Care Medication Certification 98

Health Prime

DECEMBER 18, 2024

In one of our past blogs, we delved into the end-of-year reports you should run in your practice. It categorizes unpaid patient invoices and insurance claims by age, typically in 30-day increments. Read more about this in our blog How to reduce your Days in AR. Subscribe to the Health Prime blog.

Medication 52

Medication Billing Documentation Appointments 52

Valant

SEPTEMBER 5, 2024

Group therapy involves unique documentation and coding practices that can significantly impact your bottom line. These codes are used to document the services provided within a group context. Accurate Documentation for Group Therapy Accurate documentation is the cornerstone of successful reimbursement. Take attendance.

Documentation 52

Documentation Billing Follow-Up Best Practices 52

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 52

Billing Documentation Follow-Up Best Practices 52

Health Prime

JUNE 22, 2023

Accurate gastroenterology coding and documentation Accurate coding and thorough documentation are the foundation of successful medical billing. This may include documenting detailed descriptions of symptoms, performed procedures, and any complications or comorbidities. Subscribe to the Health Prime blog.

Best Practices 52

Best Practices Billing Medication Documentation 52

Health Prime

JULY 27, 2023

It involves obtaining approval from insurance companies before a specific procedure, treatment, or medication is administered. The prior authorization process acts as a bridge between healthcare providers and insurance companies, safeguarding the financial interests of both parties.

Insurance 40

Insurance Documentation Follow-Up Communication 40

Valant

SEPTEMBER 30, 2024

It’s essential for mental health professionals and billing specialists to accurately use this code for proper documentation and reimbursement. External References [link] Share Tweet Share Visit us on Facebook , Twitter , LinkedIn Blog ICD-10 Code for Anxiety, Unspecified – F41.9 What is ICD-10? Major Depressive Disorder F32.9

Diagnostics 52

Diagnostics Billing Documentation Insurance 52

Valant

SEPTEMBER 3, 2024

Behavioral health billing codes are also complex, and insurance claims and authorizations may be more difficult to secure. Like DBT, because CBT is evidence-based and can be effective in a relatively short time, it is more likely to be covered by insurance. These needs are best served by an EHR tailored to this field.

Billing 52

Billing Appointments Documentation Scheduling 52

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. In addition, fluctuations in insurance coverage or changes in policies can lead to delays in reimbursements, or lower reimbursement rates for specific services.

Billing 52

Billing Communication Documentation Patient Satisfaction 52

Valant

APRIL 30, 2024

Understanding Treatment Plans in Counseling A treatment plan is a document that records a patient’s current mental health status and lays out goals for the outcome of their treatment. This document provides a clear roadmap you can use to ensure your treatment stays on track with a client’s goals.

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Documentation Communication Insurance Collaboration 52