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Low-income patients face uphill battle when fighting health insurance denials, Umass research finds

Medical Economics

adults with private health insurance between 2017 and 2019. Another finding: about 40% of all denials were due to billing errors by health care providers or processing mistakes by insurers—a reminder that many denials are not based on medical necessity or policy rules, but administrative mishaps.

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4 Doximity GPT Prompts to Simplify Your Administrative Workload

Doximity

Physicians spend a significant amount of time on administrative work, from writing letters to handling insurance documentation. In psychiatry, people ask us to write many letters for insurance or accommodations, and these are time-consuming. If additional documentation is needed, feel free to contact me. Submit a Prompt

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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. Insurers denied 19% of in-network claims in 2023 , according to the Kaiser Family Foundation.

Billing 88
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What Behavioral Health Students Need to Know Before Starting or Joining a Practice

Valant

But do you know how to set up an efficient scheduling system? 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.

Billing 85
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How to Stay Compliant with Medicare Billing Requirements 

CollaborateMD

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.

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EHR Revenue Cycle Management: A Massive Potential

Arkenea

From patient scheduling and registration through denial management and appeals, we examine each component in detail, highlighting best practices, implementation strategies, and optimization opportunities that can drive significant improvements in financial performance and operational efficiency.

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Retina Group of Washington Agrees to $3.6 Million Settlement to Resolve Data Breach Lawsuit

The HIPAA Journal

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.