The HIPAA Journal

APRIL 16, 2025

The hackers encrypted files and stole data such as names, addresses, telephone numbers, email addresses, dates of birth, demographic information, Social Security numbers, drivers license numbers, medical record numbers, health information, payment information, and health insurance information.

Follow-Up

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. For example, take an orthopedist who actually sees up to 70 patients a day.

Documentation

CollaborateMD

MARCH 20, 2025

Whether you’re a physician starting a practice or a healthcare provider working to expand patient access, getting medical insurance credentialing is vital. RELATED ARTICLE: Optimizing Insurance Payer Reimbursement with RCM Services What is Medical Insurance Credentialing? Let’s dive in.

Insurance

Health Prime

DECEMBER 11, 2024

Wrapping up your practice for the New Year includes: Reconciling all accounts accurately Sorting out outstanding claims Updating patient information These measures will prevent discrepancies that lead to financial loss, reduce mistakes, and speed up the claim approval process, allowing your practice to continue running without glitches.

Billing

Health Prime

DECEMBER 18, 2024

It categorizes unpaid patient invoices and insurance claims by age, typically in 30-day increments. To take action, follow up promptly on overdue accounts, review and optimize your billing processes to reduce delays, and consider implementing automated reminders for patients and insurance companies.

Medication

Medical Economics

JULY 8, 2025

Practices that take a proactive stance turn claim denials into early warning indicators that speed up payments and streamline everyday operations. Industry data showed that insurers on HealthCare.gov denied about 19% of in-network claims in 2023 ; that’s $73 million out of $319 million in claims filed.

Huddles/Rounds

Health Prime

DECEMBER 18, 2024

It categorizes unpaid patient invoices and insurance claims by age, typically in 30-day increments. To take action, follow up promptly on overdue accounts, review and optimize your billing processes to reduce delays, and consider implementing automated reminders for patients and insurance companies.

Medication

CollaborateMD

DECEMBER 10, 2024

Understanding the Challenges in Claims Processing Errors in medical claims processing have traditionally posed significant challenges for hospitals, insurers, and patients alike. Automatically flagging errors before claims are submitted to insurance providers. Reducing duplication errors in medical claims documentation.

Medication

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. Some of these challenges are common occurrences that can crop up despite staff’s best efforts.

Best Practices

Arkenea

JUNE 20, 2025

Comprehensive Registration Data Management EHR registration systems capture and validate comprehensive patient demographic, insurance, and clinical information that forms the foundation for accurate billing and claims processing.

Documentation

Arkenea

JULY 23, 2025

These sophisticated platforms must navigate an increasingly complex landscape of insurance policies, regulatory requirements, and technological demands while maintaining the highest standards of data security and patient privacy. Advanced systems include claim scrubbing capabilities that identify and correct common errors before submission.

Billing

Prism Career Institute

MAY 6, 2025

It’s also crucial to maintain patient confidentiality and follow Health Insurance Portability and Accountability Act (HIPAA) regulations. They also may work with a patient to schedule any follow-up appointments. While these responsibilities tend to take place in the background, they serve an important purpose.

Medical Assistant

The HIPAA Journal

MAY 21, 2025

CA Health Plan 12,224 Unauthorized Access/Disclosure Mailing incident involving mailing vendor (Billing Documents Specialists) Shipping labels contained Social Security numbers. California was the worst-affected state with 11 data breaches, followed by Illinois with 8 breaches, and Ohio, Tennessee, and Texas, which each had 4 data breaches.

Business Associate

Northwest Career College

JULY 15, 2025

You’ll use these words daily, from scheduling patients to handling phone calls and working with insurance. ” You’ll also be handling “ follow-up ” visits, repeat visits just to check how someone’s doing. You may ask for their “ policy number ” and insurance ID.

Medical Administrative Assistant

Health Prime

FEBRUARY 5, 2025

This leads to the following problems: Coding errors Denials of claims Revenue loss Therefore, serious investment in billing personnel training, technology-enabled coding assistance tools, and partnerships with experienced billing services will facilitate smooth coding processes and compliance.

Billing

Phlebotomy Careers

JULY 7, 2025

Maintain ‍professionalism: Follow hygiene, safety, and privacy protocols ​diligently. Leverage technology: Use ⁣mobile devices and lab portals ⁣to stay organized and up-to-date. Secure a​ driver’s​ license and​ transportation: ‌ Ensure your vehicle is reliable​ and insured.

Certification

Medical Economics

JULY 1, 2025

Nearly one-third (28%) said physicians spent between 7 and 12 of those minutes focused on documentation. In that context, it’s not hard to understand why AI-powered ambient documentation that transcribes and organizes patient conversations into electronic health records (EHRs), is gaining favor. It also presents a business case.

Appointments

Arkenea

JUNE 27, 2025

Mobile Optimization: Up to 80.69% of the world’s population owns a smartphone, and of those, 23% of mobile phone users have a health-related app on their devices. So, avoid jumping the crucial steps and try to answer the following questions: What is the current market size? Does the market demand for a new product?

HIPAA

The HIPAA Journal

JULY 11, 2025

The stolen information included names, Social Security numbers, taxpayer identification numbers, medical or health insurance information, and other sensitive information. The lawsuit survived a motion to dismiss and, following two attempts at mediation, an agreement in principle was reached on December 18, 2024, to settle the litigation.

Follow-Up

Arkenea

JUNE 23, 2025

Unlike conventional AI models that rely solely on their training data, RAG combines the power of large language models with real time information retrieval from your organization’s specific databases and documents.

Documentation

Prism Career Institute

JULY 1, 2025

The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that regulates how patient information is managed, protecting their privacy. HIPAA is a law passed in 1996, mandating that all healthcare providers, health plans, and medical staff follow certain procedures to ensure patient privacy and safety.

Medical Assistant

Physicians Practice

JULY 15, 2025

© Kantapon - stock.adobe.com Commercially insured patients owe more out-of-pocket costs for their care, yet they’re paying less of their financial responsibility for health care services, a recent Kodiak Solutions analysis found.

Billing

CollaborateMD

APRIL 3, 2025

” With all of these concerns, it’s vital that providers and billing departments understand and follow the key elements of proper medical billing compliance to run a successful practice. Following health insurance policies and procedures. ” “Do I have all the correct patient information?”

Billing

The HIPAA Journal

JUNE 12, 2025

The plaintiffs alleged that the data breach was a direct result of the defendants’ negligence, namely the failure to implement reasonable and appropriate data security measures, follow industry-standard cybersecurity practices, and adequately train employees on cybersecurity. The settlement has received preliminary approval by Hon.

HIPAA

ACI Medical & Dental School

JANUARY 14, 2025

Document medical histories and reason for the visit. Verify patient insurance information and process any necessary paperwork. Educate patients about managing their health conditions and following physician instructions. Afternoon: Follow-Up: Call patients to remind them of upcoming appointments.

Medical Assistant

ACI Medical & Dental School

JANUARY 9, 2025

Medical Records Management: Updating and maintaining accurate patient records, including documenting symptoms, medical histories, and treatment procedures. Appointment Management: Scheduling appointments, managing follow-up visits, and sometimes handling billing and insurance paperwork.

Medical Assistant

Arkenea

APRIL 10, 2025

This approach can free up internal resources, reduce time to market, and provide access to niche skills, especially in emerging technologies such as artificial intelligence, blockchain, and the Internet of Things. Scalability Outsourced teams can flex up or down based on project phases.

Tests

Physicians Practice

JUNE 20, 2025

Neil Baum, MD Successful practices do not follow others; rather, they make their own paths and follow their own pathways and agendas. Neil Baum, MD Successful practices do not follow others; rather, they make their own paths and follow their own pathways and agendas. Edison said, "I have not failed 10,000 times.

Billing

Phlebotomy Careers

JULY 14, 2025

Insurance & Payment Options: Accepts major ⁤insurance plans‌ and offers obvious pricing. Follow fasting ‌instructions if your test requires it‌ – typically‌ 8-12 hours without food or drink. Wear comfortable clothing with sleeves that ⁣can easily roll up.

Appointments

Minority Nurse

JUNE 23, 2025

Administrative Complexities : Even with willing preceptors, navigating affiliation agreements, liability insurance, and credentialing processes can derail placements. Understanding this landscape is the first step toward developing effective strategies, which we’ll explore in the sections that follow.

Precepting

Physicians Practice

AUGUST 1, 2025

Submit through the first appeal level, log every email, and follow up until you get a verdict. Verify insurance and referral needs at every visit. Reynolds is the editor of Physicians Practice and wants to know what practice issues are keeping you up at night. You can let him know at kreynolds@mjhlifesciences.com.

Billing

Medical Economics

JUNE 9, 2025

Canceling services and coordinating mail forwarding are important tasks to prevent unnecessary expenses and ensure receipt of important documents. Whether you plan to sell your business, transfer ownership to a partner or simply close up shop, this decision is a deeply personal one. This is where a broker or appraiser comes in.

Transfers

Health Prime

FEBRUARY 5, 2025

This leads to the following problems: Coding errors Denials of claims Revenue loss Therefore, serious investment in billing personnel training, technology-enabled coding assistance tools, and partnerships with experienced billing services will facilitate smooth coding processes and compliance.

Billing

Sensible Medicine

JULY 17, 2025

The Insurance Companies Knew First The medical profession's relationship with hypertension has an embarrassing history. It was insurance companies, not doctors, who first identified the dangers of high blood pressure. The Overreaction Issue The greater availability of home monitoring has now set us up to overtreat hypertension.

Follow-Up

The Healthcare Blog

DECEMBER 18, 2024

If you missed it read Part 1 & Part 2 By JEFF GOLDSMITH Two major changes in health insurance ensued as the US health system entered the 21 st century- a strategic shift of health cost risk from providers to patients and the emergence of machine driven managed care. Some 60% of hospital bad debts are now from patients with insurance.

Insurance

Arkenea

JUNE 8, 2025

It also consists information about demographics, medical insurance, and data acquired from wearable health devices. Healthcare facilities and providers can achieve MU by implementing the following steps. Do a gap analysis of allergies, vitals, documentation, medications, and health problems, thus creating an organized data.

Discharges

Arkenea

JUNE 22, 2025

This necessitates the acquisition of a permanent license, which frequently involves paying a hefty up-front cost. Additionally, in addition to the software requirements, hardware acquisition costs also pile up higher in case of on-premise EHRs as compared to cloud hosted EHR.

EHR / EMR