Valant

JULY 9, 2025

Many therapists use AI transcription services during sessions instead of documenting sessions by hand. Clinical documentation is a particularly important application of AI technology because documentation so often contributes to provider burnout. Improved work-life balance. More comprehensive notes.

Clinical Assistant 82

Clinical Assistant Documentation Appointments Billing 82

Health Prime

JULY 8, 2025

Current industry data shows ED denial rates average 15–20%, with coding and documentation errors accounting for a significant portion of the denials. In fact, a survey from the Kaiser Family Foundation found that one in five insured adults who used emergency room services, said they received a bill from a denied claim.

Documentation 52

Documentation Billing Hospital Patient Experience 52

Valant

JUNE 18, 2025

Behavioral health providers managing both clinical care and business operations face unique challenges: complex prior authorization requirements, extensive documentation standards, and insurance coverage barriers. Insurers denied 19% of in-network claims in 2023 , according to the Kaiser Family Foundation.

Billing 88

Billing Follow-Up Insurance Documentation 88

The Healthcare Blog

MAY 12, 2025

Other insurers including UnitedHealthcare and Centene also share concerns about methodological rigidity and that the rating system may have diverged from its purpose of improving patient care. In March 2023, both insurers were penalized after allegedly missing a single CMS secret shopper phone call , a call they claim was never received.

Customer Service 82

Customer Service Insurance Documentation Patient Care 82

Valant

DECEMBER 16, 2024

Understanding Complex Payer Rules in Behavioral Health The rules that payers set dictate how much and what type of information clinicians gather on patients, which billing codes to use, how to document treatment, and which treatments are covered. Heavier documentation. Develop documentation processes. Mental health parity laws.

Billing 94

Billing Documentation Follow-Up Best Practices 94

CollaborateMD

JULY 16, 2025

For providers, these guidelines involve adhering to specific rules in key areas, including medical necessity, coding accuracy, timely filing, and proper documentation. They also help providers understand their billing responsibilities, navigate complex coding and documentation requirements, and appeal denied claims.

Billing 52

Billing Documentation Insurance Certification 52

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

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 52

Insurance Medication Follow-Up Billing 52

Physicians Practice

JUNE 9, 2025

Off-Label Use Legal Concerns (00:02:49)** Explains legal concerns with off-label prescribing and how to mitigate risks through documentation and informed consent. Insurance Denials and Prior Authorizations (00:11:26)** Challenges with insurance coverage, prior authorizations, and evolving insurer policies for GLP-1 prescriptions.

Billing 52

Billing Communication Documentation Insurance 52

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. Wound care: The documentation nightmare Wound care providers are facing intense scrutiny.

Documentation 52

Documentation Billing Insurance Tests 52

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 52

Documentation Billing Scheduling Insurance 52

The HIPAA Journal

MAY 26, 2025

The ransomware group obtained names, dates of birth, Social Security numbers, state ID/driver’s license information, health and insurance information, banking information, and biometric data. The data breach also affected WellNow Urgent Cares parent company, ADMI Corp.,

HIPAA 63

HIPAA Documentation Scheduling Insurance 63

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 69

Follow-Up HIPAA Documentation Scheduling 69

Health Prime

DECEMBER 11, 2024

Also, follow up with insurance companies to settle those claims immediately. Payment verification: Check each payment received against the expected receipt from the insurance provider and the patient. Document these adjustments properly to keep your records updated. This way, any discrepancy may be caught early.

Billing 52

Billing Medication Follow-Up Insurance 52

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 52

Medication Billing Documentation Appointments 52

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 40

Billing Hospital Documentation Insurance 40

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 52

Medication Billing Insurance HIPAA 52

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. Documentation Documentation integrity involves the accuracy of the complete health record.

Best Practices 40

Best Practices Billing Documentation Communication 40

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. At Health Prime, we can help!

Medication 52

Medication Billing Documentation Appointments 52

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

Valant

MAY 13, 2025

Do you know how to manage insurance claims to minimize denials and maintain your cash flow? Practice management skills like scheduling, billing, documentation, and compliance can protect you from professional burnout and set you on a path to success. But do you know how to set up an efficient scheduling system?

Billing 85

Billing Scheduling Documentation Administrative Work 85

Mobius MD

DECEMBER 11, 2024

Does your office staff gather insurance information and patient history when scheduling? Telehealth can streamline documentation, prevent no-shows or late arrivals, and cut the average office visit time in half. Are patients asked to complete the necessary forms before arrival?

Patient Satisfaction 52

Patient Satisfaction Appointments Medical History Patient Experience 52

Physicians Practice

JULY 24, 2025

According to the National Association of Insurance Commissioners, around 110,000 malpractice claims will be filed in the U.S. They will notify your malpractice insurance carrier. Avoid discussing the incident with anyone outside your insurer or assigned defense attorney — including colleagues, staff, or even the patient’s family.

De-Escalation 52

De-Escalation Communication Billing Documentation 52

The HIPAA Journal

APRIL 18, 2025

The document review was completed on January 30, 2025, when it was confirmed that the exposed information included first and last names, clinical/treatment information, medical provider names, medical record numbers, and patient account numbers.

HIPAA 57

HIPAA Hospital Documentation Insurance 57

Medical Economics

JULY 15, 2025

Physicians often find themselves spending hours navigating insurer requirements, tracking down documentation, and enduring delays that can negatively impact patient outcomes. But artificial intelligence may be part of the solution. Some platforms can flag missing information or alert staff to likely denials before they happen.

Diagnostics 78

Diagnostics Documentation Medication Patient Care 78

Medical Economics

JULY 24, 2025

UnitedHealth has launched an internal review and maintains confidence in its compliance and documentation practices. The company's stock has declined amid these challenges, and broader implications for Medicare Advantage and private insurers are anticipated. Department of Justice (DOJ) into its Medicare billing practices.

Billing 71

Billing Insurance Documentation Medication 71

Medical Economics

JULY 14, 2025

Physicians often find themselves spending hours navigating insurer requirements, tracking down documentation, and enduring delays that can negatively impact patient outcomes. But artificial intelligence may be part of the solution. Some platforms can flag missing information or alert staff to likely denials before they happen.

Triage 64

Triage Diagnostics Documentation Medication 64

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. OCR determined that Comprehensive Neurology had failed to conduct a HIPAA-compliant risk analysis.

Business Associate 80

Business Associate HIPAA Hospital Insurance 80

Northwest Career College

JULY 15, 2025

You’ll use these words daily, from scheduling patients to handling phone calls and working with insurance. Insurance and Billing You often talk to patients about their insurance when working at the front desk. You may ask for their “ policy number ” and insurance ID.

Medical Administrative Assistant 40

Medical Administrative Assistant Insurance Appointments Billing 40

The HIPAA Journal

MAY 1, 2025

Under the terms of the settlement, a $2,425,000 settlement fund has been established to cover claims from class members for unreimbursed, documented out-of-pocket losses that are plausibly traceable to the data breach. $1 More than 450,000 individuals had their information exposed in the incident.

HIPAA 109

HIPAA Documentation Insurance Medication 109

The HIPAA Journal

JULY 10, 2025

The group claims to have published a huge variety of documents, including EMRs, test results, patient histories, and billing information. The listing was added on July 8, 2025, and samples of the stolen data have been included in the listing, such as driver’s licenses, insurance claim forms, and medical images.

Diagnostics 82

Diagnostics HIPAA Billing Documentation 82

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 58

Appointments Documentation Patient Support Communication 58

Physicians Practice

JULY 2, 2025

Decoding malpractice premiums: Insider insights every physician should know Jennifer Wiggins June 27th 2025 Article Check out these essential insights on controlling malpractice insurance premiums, including specialty impact, location factors, policy types and available discounts for physicians.

Communication 52

Communication Billing Documentation Medication 52

Phlebotomy Careers

JULY 7, 2025

Secure a​ driver’s​ license and​ transportation: ‌ Ensure your vehicle is reliable​ and insured. These roles are increasingly in demand ‌due to the rise of home ⁤healthcare, telemedicine, and patient-centric service‌ models. Obtain professional ‌certification: Certification from organizations like ASCP or NHA boosts your ⁣credibility.

Certification 40

Certification Scheduling Follow-Up Documentation 40

Medical Economics

JULY 10, 2025

Physicians often find themselves spending hours navigating insurer requirements, tracking down documentation, and enduring delays that can negatively impact patient outcomes. But artificial intelligence may be part of the solution. Some platforms can flag missing information or alert staff to likely denials before they happen.

Triage 116

Triage Diagnostics Documentation Medication 116

The HIPAA Journal

JULY 9, 2025

The group had access to its network since June 14, 2025, and exfiltrated patient information such as names, addresses, Social Security numbers, dates of birth, driver’s license/state identification card numbers, medical record numbers, treatment information, and health insurance information. A lawsuit – Horvath v.

HIPAA 55

HIPAA Documentation Scheduling Insurance 55

Medical Economics

JUNE 30, 2025

So as they come out and they're really learning that, it really turns care and documentation on its head. Most of the insurance company data that is provided to a lot of the practices is oftentimes six months or older. It's not something that they're teaching in medical school. So those concerns are absolutely valid.

Medication 52

Medication Documentation Insurance Triage 52