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Welcome to the medical billing blog containing news and articles relating to medical billing, medical coding ICD-10, HIPAA and all practice management functions.

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Currently contains over 1,235 healthcare and medical related entries.

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RCM tip: Follow all payer billing guidelines

“In today’s healthcare environment, it is more important than ever that healthcare providers follow appropriate billing guidelines for each contract with third-party payers, according to Monte Sandler, executive vice president of revenue cycle management at DocuTAP. “With the various types of contracts urgent care providers are entering into with third- party insurers, it’s extremely important to follow the appropriate billing guidelines for each. For example, clinical guidelines are not necessarily the same as those for billing,” he told Becker’s Hospital Review. “Many contracts require all providers to be individually credentialed, and services to be billed under the rendering provider, whereas some contracts allow all providers to bill for services under

Published By: Melissa Clark, CCS-P, RT | No Comments

Patients Cannot File HIPAA Lawsuits

A U.S. district court judge in Washington, D.C., on June 15 dismissed a case by a patient who alleged Laboratory Corporation of America, or LabCorp, violated HIPAA, reaffirming the precedent that individual patients cannot file lawsuits for alleged HIPAA violations, according to GovInfoSecurity. Here are five things to know about the case: 1. The district court’s ruling dismissed a lawsuit filed by a patient of Washington, D.C.-based Providence Hospital. According to the lawsuit, the patient underwent laboratory testing from LabCorp during a June 2017 hospital visit. During the visit, the former patient said she was instructed to submit medical information at a computer intake station that was allegedly within eyesight

Published By: Melissa Clark, CCS-P, RT | No Comments

Five Tips for Better Meetings, Communication is Key

Nearly all practices can benefit from improved communication. In this column, I’ll be sharing some tips for making meetings productive and efficient. Reaching out to groups within your practice can improve morale, invigorate and encourage problem solving, and generally make your work life more pleasant and profitable. 1) Reinforce what is important and solidify culture. Any opportunity to communicate with a group is an opportunity to build a common understanding of the goals and challenges facing the practice. Without this holistic understanding, how can you expect staff to show any initiative beyond their narrow job description? Accordingly, be sure to point out how staff’s activities advance your strategic objectives and

Published By: Melissa Clark, CCS-P, RT | No Comments

Harnessing Effective EHR Use for Improved Patient Care

Improving EHR use can help reduce physician burnout and strengthen the patient care process. When healthcare providers understand how to best leverage new technologies and are able to adopt and implement an integrated EHR system, both patients and providers will benefit. That has been Kaiser Permanente’s top goal with its EHR safety net programs, looking to reduce errors in the diagnostic process. Kaiser Permanente has developed a total 54 EHR safety net programs, which are collectively called KP SureNet. The programs have helped to close major care gaps over the past few years. Michael Kanter, MD, Medical Director, Quality and Clinical Analysis, Southern California Permanente Medical Group explained to

Published By: Melissa Clark, CCS-P, RT | No Comments

3 Key Tips for Ensuring a Smooth EHR Replacement

Physician and nursing dissatisfaction with an EHR system could lead to long-lasting problems within a healthcare organization, such as fueling administrative burnout and patient engagement. Opting for an EHR replacement is not a decision that should be made lightly, and organizations often look toward new options when they begin to encounter certain issues, both technical and cultural. A smooth EHR replacement process is not always guaranteed, and organizations will need to make well-informed decisions throughout the entire implementation process. Each healthcare organization is different, and will have varying requirements when it comes to EHR selection. But considering the needs of physician and nurses, finding an EHR system to meet an

Published By: Melissa Clark, CCS-P, RT | No Comments

Do you study the competition of your practice?

No matter how new or old your medical practice is, it is important to identify your competitors and evaluate their strategies to determine their strengths and weaknesses relative to those of your own. Understanding the competition is a crucial business activity for any physician owner. Some practices hire professionals to track competitors and assess the competitive landscape on a regular basis. But it doesn’t always have to be a complicated, time-consuming, and expensive process—particularly given the new wealth of data that can be assembled using the internet. By investing even a small amount of time, physician practices of any size can develop a framework for making competitive assessments, gather intelligence

Published By: Melissa Clark, CCS-P, RT | No Comments

Collaboration Can Aid EHR Use and Adoption in Behavioral Health

Perceived ease of EHR use and perceived usefulness of the technology itself are driving factors toward EHR adoption with physicians in behavioral health, according to a recent study. However, there is still resistance to EHR adoption within behavioral health, which could be eased through greater collaboration. Working collaboratively to mitigate concerns about workflow burden can help improve attitudes toward EHR use, explained a study published in AHIMA’s Perspectives in Health Information Management. Additionally, collaboration can “demonstrate the value of EHRs to improve professional practice, efficiency, safety, effectiveness, and patient outcomes.” “Despite the advances in and wide availability of health information technology, many behavioral healthcare clinicians have not adopted EHRs,” wrote

Published By: Melissa Clark, CCS-P, RT | No Comments

RCM tip: Consider Revenue Cycle Outsourcing

Outsourcing the revenue cycle management process can prove beneficial for healthcare organizations, according to Joel Gleason, senior vice president and global market head of the provider segment at Cognizant. Mr. Gleason shared the following tip with Becker’s Hospital Review. “For hospitals and standalone healthcare providers, it’s all about delivering top-quality care, not necessarily managing the revenue cycle. Collecting payment is crucial to success. But chances are it’s not a core competency. “In fact, 57 percent of businesses outsource because it allows them to concentrate on what they’re good at, according to Deloitte. Focusing on the core business is the second most popular reason to outsource, just two percentage points behind

Published By: Melissa Clark, CCS-P, RT | No Comments

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