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

EvidenceCare

APRIL 16, 2024

This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. This section delves into the specific criteria and expectations set by CERT audits, emphasizing the need for meticulous attention to detail and documentation accuracy.

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Documentation Admissions Discharges Billing 130

CollaborateMD

DECEMBER 10, 2024

Despite its significance, the manual processes involved in tackling medical claims are error prone and time-consuming. Join us as we examine how automation revolutionizes medical claims processing accuracy and improves outcomes across the healthcare spectrum. Reducing duplication errors in medical claims documentation.

Medication 52

Medication Billing Insurance HIPAA 52

Health Prime

DECEMBER 18, 2024

Running a successful medical practice requires more than providing excellent patient care. Reports are a great data-driven means of benchmarking the performance of specific processes or functions within your medical practice. Five essential reports every medical practice should run 1. At Health Prime, we can help!

Medication 52

Medication Billing Documentation Appointments 52

Prism Career Institute

MAY 6, 2025

Medical assistants care for patients and help manage administrative tasks within hospitals, clinics, and other healthcare venues. Enrolling in a medical assistant program allows aspiring professionals to receive the training and experience they need for this position.

Medical Assistant 52

Medical Assistant Medication Follow-Up Bookkeeping 52

Health Prime

DECEMBER 11, 2024

Being so close to the New Year, it is of high importance that your medical practice finishes its medical billing in good time. This will go a long way toward your medical practice’s financial health and operational efficiency. Here are three essential tasks to help you wrap up your medical billing for the New Year: 1.

Billing 52

Billing Medication Follow-Up Insurance 52

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. Medical assistants are required to abide by HIPAA laws to ensure proper confidentiality when collaborating with patients. What Is HIPAA?

Medical Assistant 52

Medical Assistant HIPAA Medication Vital Signs 52

Sensible Medicine

AUGUST 2, 2024

The presence and importance of the computer and electronic medical record (EMR/EHR) adds an often unwanted and distracting third party to an intimate and personal discussion between provider and patient. When I later saw these patients in follow-up, I often had to re-do my initial consult as I did not have the required details documented.

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Documentation Follow-Up Medication Scheduling 195

Scrubs

NOVEMBER 2, 2023

Medical assistants are crucial in healthcare settings, serving as the backbone of clinical operations. However, there are several myths and misconceptions surrounding the role of medical assistants. In reality, medical assistants typically complete accredited training programs or earn an associate’s degree in medical assisting.

Medical Assistant 147

Medical Assistant Medical Administrative Assistant Medication Medical Terminology 147

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 100

HIPAA Documentation Insurance Medication 100

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.

Insurance 82

Insurance Customer Service Documentation Patient Care 82

ACI Medical & Dental School

JANUARY 14, 2025

Students interested in becoming Medical Assistants are often curious about what the work schedule will be like. Medical Assistants in New Jersey typically work full-time hours , which means they usually work about 40 hours per week. Some Medical Assistants may work part-time, which could range from 20 to 30 hours per week.

Medical Assistant 52

Medical Assistant Medication Vital Signs Follow-Up 52

Health Prime

FEBRUARY 5, 2025

Medical billing is a vital yet often overlooked aspect of practice management in the dynamic healthcare landscape, where the primary focus is on providing quality patient care. However, amid the intricacies of coding regulations, payer policies, and administrative tasks, medical practices encounter many challenges in the billing process.

Billing 52

Billing Medication Scheduling Insurance 52

Health Prime

JUNE 13, 2024

In the intricate world of medical billing, accuracy is paramount. Your practice should consider the importance of the medical coding process when ensuring healthcare providers collect all money due to services rendered. Increased denials: Insurance companies are quick to deny claims with coding errors.

Billing 105

Billing Medical Coding Medication Best Practices 105

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.

Medication 105

Medication Billing Follow-Up Appointments 105

Valant

MAY 2, 2024

Insurance credentialing is an important, intricate process that results in you becoming a “paneled,” in-network provider for a health insurance plan. In this article, we will explain how to get credentialed with insurance companies using the three most common methods. Blog What Is an Insurance Panel? Medicare ).

Insurance 98

Insurance Billing Scheduling Follow-Up 98

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

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

Physicians Practice

JULY 9, 2025

These videos are 5 to 10 minutes in length and will provide practical ideas and suggestions that have been tested in his practice or used by other physicians that significantly improve the efficiency and productivity of their medical practices. Dr. Baum is Professor of Clinical Urology at Tulane Medical School in New Orleans, Louisiana.

Billing 52

Billing Communication Documentation Patient Experience 52

Scrubs

MARCH 21, 2023

Her regular doctor, Dr. Rebecca Hemphill, used the AI app during her last two medical appointments at MaineHealth. Nobody went into medicine to write notes or fill out insurance authorization forms,” said J. Scott Smitherman, chief medical information officer at Providence Health. It feels more like my needs are being met.

Hospital 264

Hospital Follow-Up Appointments Documentation 264

CollaborateMD

APRIL 3, 2025

Healthcare practices are often plagued with medical billing compliance questions like: “Am I upcoding?” ” 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.

Billing 52

Billing Medication HIPAA Follow-Up 52

Physicians Practice

JULY 2, 2025

These videos are 5 to 10 minutes in length and will provide practical ideas and suggestions that have been tested in his practice or used by other physicians that significantly improve the efficiency and productivity of their medical practices. Dr. Baum is Professor of Clinical Urology at Tulane Medical School in New Orleans, Louisiana.

Communication 52

Communication Billing Documentation Medication 52

Health Prime

AUGUST 29, 2024

Medical insurance claim submission is a critical step in the medical billing process. It determines the reimbursement the healthcare provider will receive from the insurance company. Submitting clean medical claims will help you reduce denials, accelerate the payment process, and ensure maximum return for your business.

Documentation 98

Documentation Billing Medical Coding Insurance 98

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. Cybersecurity is on the rise in the healthcare industry.

Follow-Up 240

Follow-Up Documentation HIPAA Patient Records 240

Physicians Practice

JUNE 9, 2025

a health care attorney with Roetzel & Andress, joins the show to explore the legal risks of prescribing GLP-1 medications. 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. Reynolds News Podcast Ericka Adler, J.D.,

Billing 52

Billing Communication Documentation Insurance 52

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 Communication Patient Support 58

Northwest Suburban College

DECEMBER 6, 2024

Medical billing and insurance processing are essential skills for aspiring medical assistants. Both medical billing and insurance processing require attention to detail and strong communication skills. As the healthcare industry continues to evolve, these skills will remain invaluable for medical assistants.

Medical Assistant 52

Medical Assistant Billing Insurance Medication 52

EvidenceCare

JANUARY 12, 2024

Social Admission vs. Medical Necessity In healthcare, the term “social admission” signifies instances where patients find themselves admitted to a hospital primarily for non-medical reasons. Similarly, states may have unique definitions of medical necessity for Medicaid services in compliance with their specific laws or regulations.

Admissions 130

Admissions Documentation Outpatient Care Hospital 130

Arkenea

JUNE 23, 2025

From electronic health records and clinical research papers to medical imaging reports and patient communications, the sheer volume of healthcare information grows exponentially each year. Yet accessing the right information at the right time remains one of the biggest challenges facing medical professionals today.

Documentation 52

Documentation HIPAA Discharges Medical Coding 52

Arkenea

JULY 12, 2024

Medical insurance verification software is developed to automate the process of verifying patients’ insurance coverages. This software is connected to the insurance company’s database to retrieve real-time data on a patient’s insurance status. In 2022, 92.1 percent of people, or 304.0

Insurance 52

Insurance EHR / EMR Medication Patient Satisfaction 52

Health Prime

OCTOBER 10, 2024

Accurate coding is key Accurate medical coding is one fundamental aspect of maximizing reimbursements. Mental health providers must ensure they use the correct diagnosis and procedure codes when submitting claims to insurance companies. A 2023 IGNUX report states that hospital coding mistakes make up 63% of medical billing errors.

Billing 97

Billing Medical Coding Documentation Insurance 97

Medical Economics

JUNE 9, 2025

a health care attorney with Roetzel & Andress, joins the show to explore the legal risks of prescribing GLP-1 medications. 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. Reynolds Ericka Adler, J.D., Adler, J.D.,

Insurance 59

Insurance Medication Patient Care Diagnostics 59

Health Populi

FEBRUARY 27, 2024

That’s the mantra coming out of this week’s annual Capitol Conference convened by the National Association of Benefits and Insurance Professionals (NABIP). FYI you might know of NABIP by its former acronym, NAHU, the National Association of Health Underwriters).

Billing 141

Billing Insurance HIPAA Hospital 141

CollaborateMD

AUGUST 5, 2024

Medical records are now digital. One of the most effective is artificial intelligence medical billing. If you’re considering integrating AI into medical billing, keep reading to understand how it works. If you’re considering integrating AI into medical billing, keep reading to understand how it works.

Billing 98

Billing Medication Best Practices HIPAA 98

Medical Economics

JUNE 30, 2025

In July, Medical Economics will release the second edition of Medical Economics Insider featuring an in-depth look at how successful MACRA has been and what the future of value-based care looks like, both from the government and from private payers. Note: The transcript has been edited for brevity and clarity.)

Medication 52

Medication Documentation Insurance Triage 52

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 57

Insurance Hospital Follow-Up Medication 57

The HIPAA Journal

MARCH 19, 2025

On January 14, 2025, an employee emailed a document to a personal email account. California Department of Child Support Services The State of California Department of Child Support Services has notified the California Attorney General about a potential unauthorized disclosure of sensitive data in an email incident.

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HIPAA Documentation Insurance Medication 67