Protect your practice from mobile device security risks

Posted by Kate Tingley on Feb 12, 2020 12:44:54 PM

 

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Topics: practice management, compliance, Medical Practice, Healthcare Data

Eligibility and verification

Posted by Christina Horne on Jan 28, 2020 2:51:00 PM

When the patient arrives the day of the appointment, the first thing your staff should be verifying is the patient’s insurance. Sometimes you find that insurance has changed in just the short period between scheduling and appointment day. Another reason for insurance verification is to prevent or detect insurance fraud/identity theft. According to The Institute of Medicine over $75 billion annually is lost from the U.S. Healthcare System due to insurance fraud. Having your staff check for duplicate records and payment fraud is important. Ensuring your staff is checking the eligibility of insurance before service can aid in the detection of insurance fraud. How does your practice prevent such fraud? Simple, your practices part in it all is to ensure the insurance is in fact tied to the patient. To do that, it is vital that your staff verifies the identity of the patient first and then searches for any records attached to that patient.

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Topics: medical billing, compliance, Medical Practice, Healthcare Data, Health Insurance

Key components to scheduling

Posted by Christina Horne on Jan 28, 2020 2:29:45 PM

Your billing process begins at the scheduling stage. Since the scheduling stage is the first point of contact, it is the first opportunity to assemble the needed data for the billing stage, if the information isn’t collected or accurate, then there will be no way to bill. Your staff need to be aware of all the information they are required to collect from the patients. Usually it helps to have a checklist for the staff to follow to ensure all patient information is collected. It is imperative that the staff collect as much information as possible in this initial phone call. Taking the time to take down patient demographics and insurance can save time, allowing for better accuracy.

Additionally, any existing patients’ information should be checked and verified at the time of their call. Confirming existing patients’ info and that insurance has not changed will prevent issues during the billing process. Before your staff finishes the call with the patient ensure they gather all their current contact information, concerns, insurance information and then proceed to provide them with any pre-visit paperwork. It is important that your staff explains what the patient needs to bring to the appointment, and the potential copay or payment that is expected at the time of the appointment. Here may be a great opportunity to ask the patient for credit card information to put on file to allow for easy billing for co-pays. This not only can be a convenience for the patient, but a safety for your practice to ensure there is one way to collect payment. If the patient does not wish to provide the information over the phone, be sure to include a section in their pre-visit paperwork where they can provide this information.

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Topics: medical coding, compliance, Provider, Healthcare, Medical Practice, Health Insurance, patients, Patient Experience

6 New rules of practicing medicine

Posted by Kate Tingley on Jan 8, 2020 12:47:10 PM

 

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Topics: compliance, Medical Practice, Business, Healthcare Data, patients

CMS proposes interoperability rules to increase EHR access

Posted by Kate Tingley on Oct 4, 2019 5:43:23 AM

CMS released proposed rules that require many types of insurers to provide electronic health data in a standard format by 2020.

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Topics: medical billing, medical coding, technology, compliance, Healthcare Data

Credentialing: More than applications and checklists

Posted by Kate Tingley on Oct 3, 2019 7:28:57 AM

Think back to 2015 when the healthcare community frantically prepared for the implementation of ICD-10 and try to remember how many workshops, meetings, training sessions and vendor calls you had to participate in. It was all a bit overwhelming, wasn’t it? Well, credentialing and network management are replacing ICD-10 at the top of our list of operational challenges facing practices in 2018.

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Topics: patient satisfaction, compliance

Efficiency in collecting patient liabilities

Posted by Kate Tingley on Oct 3, 2019 6:38:39 AM

HIPAA AND THE TCPA

Did you know that the Telephone Consumer Protection Act (TCPA) and HIPAA go hand in hand?

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Topics: Coronis Health, medical billing, medical coding, compliance, patient collections, Healthcare, Collections, patients

Global ransomware attack and how to stay protected

Posted by Kate Tingley on Oct 3, 2019 6:25:42 AM

Recently in 150 countries around the world, WannaCry ransomware infected more than 200,000 computers in hospitals and healthcare information systems. The initial virus has been slowed thanks to a “kill switch” developed by a British researcher; however, it’s suspected that another wave of copycat malware could hit the healthcare community.

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Topics: compliance, Healthcare

Medicare overpaid docs billions for office visits, OIG says

Posted by Kate Tingley on Oct 3, 2019 5:16:03 AM

Medicare overpaid physicians $6.7 billion in 2010 for evaluation and management services, HHS’ Office of Inspector General said in a study released Thursday. The overpayments, which allegedly stemmed from incorrect coding and poor documentation, accounted for more than one-fifth of the $32.3 billion the CMS paid for E/M services that year. E/M services are basic patient health assessments performed at a physician’s office or clinic.

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Topics: practice management, medicare, compliance, Healthcare

Automate processes at your practice to increase value

Posted by Kate Tingley on Oct 1, 2019 8:25:13 AM

Today, more than ever, people have the ability to automate the dull tasks of daily living, so there is more time to spend on activities of value. Bills can be set to autopay, so you can spend the evening with your family instead of hunched over a checkbook or laptop. Even dog food can be autoshipped, so you can take Fido on a hike on Saturday morning instead of schlepping to the pet store because there’s no more kibble. The benefits of automation in your personal life are clear to see, so why spend so much time on repetitive, manual tasks in your professional life? It feels like “work,” but that doesn’t mean it is valuable.

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Topics: practice management, medical billing, medical coding, compliance, Value-Based Care

Coronis Health strives to provide valuable healthcare billing, revenue cycle and practice management information to practices and hospitals. Our blog is one of the many ways we serve as a resource to the healthcare community. Here you'll find articles on:

  • Reimbursement and coding changes
  • Tips and tricks for specialty practices
  • Resources for revenue cycle success

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