CollaborateMD

APRIL 3, 2025

For example, The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) provide the guidelines for coding and reporting using the International Classification of Diseases (ICD-10). Preventing medical billing errors by implementing a robust quality assurance process.

Billing

The HIPAA Journal

JULY 20, 2025

Biggest Healthcare Data Breaches in June 2025 The biggest data breach of the month was reported by Episource, an Optum subsidiary that provides medical coding, risk adjustment services, and software solutions for healthcare providers and health plans. million individuals. dba Frank D.

Business Associate

Healthcare Dive - Practice Management

JUNE 30, 2025

Plaintiffs argued the executive order violated a federal “free choice of provider clause” that guarantees Medicaid beneficiaries the right to choose their doctor, so long as they are qualified and accept the insurance. Justice Neil Gorsuch, writing the majority opinion, said the law provided no such explicit guarantee.

Medical Coding

Northwest Career College

APRIL 30, 2025

HIPAA is a short form of the Health Insurance Portability and Accountability Act , a law devised to protect patients’ personal information regarding their health conditions. A medical billing and coding professional plays a big part in ensuring that this health information is handled as it should be.

HIPAA

Healthcare Dive - Practice Management

JULY 21, 2025

Published July 21, 2025 Emily Olsen Reporter post share post print email license A pedestrian walks past the Leading Insurance Agency, which offers plans under the Affordable Care Act, on Jan. 28, 2021, in Miami, Florida. Joe Raedle via Getty Images Listen to the article 3 min This audio is auto-generated.

Follow-Up

Healthcare Dive - Practice Management

JUNE 30, 2025

Editors picks Anna Moneymaker/Getty Images via Getty Images CMS expands audits to crack down on Medicare Advantage overpayments The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medical coding workforce. Follow the changes here.

Follow-Up

Healthcare Dive - Practice Management

JUNE 30, 2025

In May, three investment banks downgraded UnitedHealth , citing increased utilization challenges for its insurer UnitedHealthcare and a report that the company is under investigation by the Department of Justice. Plus, some complex patients have been affected by changes to MA risk modeling, executives said. Follow the changes here.

Follow-Up

Healthcare Dive - Practice Management

JUNE 24, 2025

By Rebecca Pifer • May 14, 2025 Anna Moneymaker/Getty Images via Getty Images CMS expands audits to crack down on Medicare Advantage overpayments The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medical coding workforce.

Medical Coding

Healthcare Dive - Practice Management

JULY 9, 2025

Editors picks Anna Moneymaker/Getty Images via Getty Images CMS expands audits to crack down on Medicare Advantage overpayments The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medical coding workforce.

Follow-Up

Healthcare Dive - Practice Management

JULY 14, 2025

Editors picks Anna Moneymaker/Getty Images via Getty Images CMS expands audits to crack down on Medicare Advantage overpayments The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medical coding workforce.

Patient Satisfaction

Health Prime

MAY 23, 2024

Selecting the right coding partner is crucial for your practice’s success, efficiency, and compliance. The accuracy of medical coding is paramount for efficient revenue cycle management and ensuring adherence to the regulations governing the healthcare industry. Stay tuned to all the latest updates.

Medical Coding

Prism Career Institute

JANUARY 28, 2025

While doctors, practical nurses , medical assistants , and other healthcare professionals have significant encounters with patients, they aren’t the only ones who have an impact on the process. Those who have chosen medical coding and billing career paths are relied upon to help facilities manage patient visits and procedures.

Medical Coding

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

CareerStep

DECEMBER 11, 2023

If you’re looking to take the next steps in your medical coding and billing career after finishing your training, you’re probably thinking about which certifications you should get to maximize your potential in the job market. The CPC certification is considered the gold standard for medical coding and billing professionals.

Medical Coding

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. Strategies to improve your mental health reimbursements 1.

Billing

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

Practice Management Institute

FEBRUARY 14, 2024

H ealthcare administration can be a fulfilling and stable professional path for new career-climbers that are attracted to the business side of medicine – patient administration, medical coding, billing, auditing, office management, and compliance. What does a medical coder do?

Medical Coding

MedCerts

JULY 3, 2024

Regardless of the specifics, you’ll collaborate with other team members to streamline office tasks and ensure patients, medical professionals and insurance companies are on the same page. Or, you could generate financial reports and medical claims for the office. You’ll receive additional training in Microsoft Office basics.

Medical Terminology

CareerStep

NOVEMBER 14, 2023

We’ve got the answers to your questions about medical coding and billing jobs, duties, and of course, salary information. What do medical coders do and what do medical billing professionals do? They’re used for billing and insurance reasons. uses the same codes.

Billing

Relias

AUGUST 11, 2022

Medical billing and coding are two of the most important factors of the revenue cycle, yet the importance of coding accurately is often not monitored, assessed, or facilitated as much as it should be. Accurate medical coding leads to clean claims, prompt reimbursements, and a positive bottom line.

Medical Coding

WSMDA

APRIL 28, 2024

Medical billing and coding are some of the key fundamentals in the healthcare industry, connecting patient care with insurance reimbursements. These specialized professionals properly assign medical codes to diagnoses, procedures, services, and equipment to facilitate accurate claims processing and payments.

Certification

Health Prime

MAY 30, 2024

Implement robust coding and documentation practices Accurate medical coding and detailed documentation are crucial elements in preventing underpayments. Therefore, it is important to ensure your staff is well-trained in coding practices and emphasize the importance of thorough documentation to support the services provided.

Billing

CollaborateMD

MAY 25, 2023

Oncology medical billing is the process of submitting claims to insurance companies or other payers for oncology-related billing services associated with cancer management. Oncology medical billing requires understanding medical coding to run a successful oncology practices.

Billing

Coronis Health

AUGUST 31, 2023

The Role of Hospital Coding in Revenue Cycle Management Hospital billing and coding serve as the backbone of revenue cycle management. Medical coding translates medical services, diagnoses, procedures, and equipment into a set of universal medical alphanumeric codes used for claims submission and reimbursement.

Hospital

Coronis Health

JULY 10, 2024

Do you ever encounter situations where claims are denied due to typos or missing information in patient demographics or insurance details? Coronis Can Help: Our team verifies patient information with insurance companies before submitting claims, minimizing errors and denials due to inaccurate demographics or coverage details.

Billing

CareerStep

JULY 12, 2024

Medical Coding. Some of the most popular medical training programs include: Medical assistant training programs online Medical assistants have a lot of responsibilities and therefore have a lot to learn in order to do their job. Vital part of any dental practice. 46,540 average salary. Third item. Second row.

Medication

DrChrono

SEPTEMBER 23, 2024

You’ve got insurance claims to make, medical codes to get right, and unpaid balances to chase. Getting your finances straight shouldn’t make it more difficult. In reality, however, this is often the case. You’re up against a billing system that grows more complex by the day. You need a system.

Bookkeeping

WSMDA

NOVEMBER 16, 2021

Why should you consider NY medical billing and coding training? For example: Medical Coding Is A Stable Career Both medical terminology and insurance claim policies change constantly. There are few easier ways to get a job in medicine, making it a great choice for a wide variety of individuals.

Billing

CollaborateMD

AUGUST 5, 2024

Human error is often the culprit, either by mistakes or not having access to up-to-date codes. An analysis by KFF found that insurance denial rates could be as high as 49%. With AI medical billing, you can prevent these costly denials. Another application in medical billing is data analytics.

Billing

Coronis Health

AUGUST 10, 2023

Accurate coding also helps to prevent fraud, waste, and abuse in the healthcare system and to support data analysis and research for improving health outcomes and policies. Shortage of skilled hospital coders due to increasing complexity and volume of coding work and the demand for higher training and certification standards.

Best Practices

Coronis Health

DECEMBER 15, 2022

Typically, these charges are included in the premiums patients pay through private insurance companies, Medicare, and Medicaid. This means if the patient has health insurance, the fee is billed to the insurance organization. Coding errors. Any time this transportation is used, a service fee is charged.

Billing

CareerStep

FEBRUARY 20, 2024

The AAPC, also known as the American Academy of Professional Coders, was created to provide professional development and standards for the medical coding industry. The CPC-P is for those who are employed by insurance providers, Medicare, or Medicaid. The exam covers highly specific material, medical coding procedures, and codes.

Medical Coding

We Care Online

JUNE 26, 2024

Medical Coding Specialist Medical Coding Specialists play a crucial role in the healthcare industry by translating healthcare services into standardized codes for billing and record-keeping purposes. They ensure that healthcare providers are reimbursed correctly by insurance companies.

Certification

Northwest Suburban College

DECEMBER 6, 2024

Medical assistants also handle billing and coding. They input charges into the billing system and ensure that insurance claims are correctly coded. Understanding medical codes is vital for accurate billing and quick reimbursement from insurance companies.

Medical Assistant

Relias

OCTOBER 11, 2022

Accurate medical coding has a big impact on revenue cycle management (RCM), but it is not the only factor affecting its success. Errors in front-end processes such as registration, patient demographics, insurance verification, and eligibility can cause all the things done right after that point to be thwarted and result in a denial.

Medical Coding

Prism Career Institute

MARCH 1, 2024

Approach Your Medical Assistant Program with an Oncology Focus When medical assistant program students express an interest in oncology, Prism Career Institute staff encourage them to approach their studies with that focus. This can ultimately help reduce stress for oncology patients and the administrative staff with whom you work.

Medical Assistant

Relias

JULY 4, 2023

Benefits of a well-balanced charge reconciliation sheet Timely charge reconciliation can help in the following ways: It identifies issues like underpayment, insurance denials, and pending bills. If left unchecked, these issues can create revenue shortages for hospitals and health systems.

Follow-Up