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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. Streamline Documentation and Compliance Education Educating clinicians and care teams on proper documentation for payer reviews is essential.

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Combat ED Denials and Burnout Through Smarter Documentation and Coding

Health Prime

Current industry data shows ED denial rates average 15–20%, with coding and documentation errors accounting for a significant portion of the denials. This problem is not only hurting emergency medicine physician groups and hospitals – it’s also hurting patients. missing MDM details for 99285) Unbilled procedures (e.g.,

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

Minority Nurse

Professional Liability Trends and Implications Professional liability trends are evolving as NPs take on greater responsibility for patient care. Where NPs have reduced or restricted practice authority to provide patient care, liability is often shared with supervising physicians (Candello, 2023). Documentation.

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What Behavioral Health Students Need to Know Before Starting or Joining a Practice

Valant

Practice management skills like scheduling, billing, documentation, and compliance can protect you from professional burnout and set you on a path to success. Many providers make the mistake of piecing together multiple disconnected toolsperhaps using one system for scheduling, another for documentation, another for billing, and so on.

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The Role of AI in Behavioral Health

Valant

While some providers view AI as a valuable tool to improve patient care, others express hesitation, questioning its role in such a deeply human-centered field. Therapists can reduce non-billable documentation hours by using AI to transcribe and document sessions. Clinical—diagnosis, treatment, and clinical documentation.

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The Alarming Trend of Seasoned Nurses Being Laid Off: Profits Over Patient Care? 

Minority Nurse

Unfortunately, this approach fails to consider the long-term impact on patient care and the loss of invaluable experience and expertise that seasoned nurses possess, which is critical to the success of novice nurses. Impact on Patient Care The consequences of laying off seasoned nurses can have a negative impact on patient care.