Nurse Practitioners in Business

MAY 1, 2025

A clearinghouse or, in healthcare, a medical billing clearinghouse, acts as a middleman between your practice and health insurance companies. The clearinghouse reviews, formats, and securely transmits your electronic claims to payers (insurance companies) after youve submitted them through your EHR or billing system.

HIPAA 195

HIPAA Medicare Private Practice Health Insurance 195

American Medical Compliance

OCTOBER 25, 2024

The healthcare industry is highly regulated, with various laws such as the Health Insurance Portability and Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health Act (HITECH), and the Medicare and Medicaid Services (CMS) regulations shaping operations.

HIPAA 105

HIPAA Health Insurance Best Practices Medicaid 105

American Medical Compliance

AUGUST 7, 2024

Here are the key areas of healthcare compliance. HIPAA (Health Insurance Portability and Accountability Act) This compliance is crucial for safeguarding patient health information. For example, CMS requires accurate and timely documentation of patient care to ensure proper billing and reimbursement.

HIPAA 105

HIPAA Medicaid Medicare Legal Issues 105

American Medical Compliance

MARCH 15, 2024

Furthermore, it prohibits knowingly submitting false or false claims to Medicare, Medicaid, or other federally funded healthcare programs. HIPAA regulations govern the use, disclosure, and safeguarding of protected health information (PHI) by covered entities and their business associates.

HIPAA 105

HIPAA Self-Care Health Insurance Best Practices 105

Hospital Recruiting | Nursing

APRIL 1, 2020

The emergency decision by the Center for Medicare and Medicaid Services (CMS) on March 17, 2020 (and retroactively in effect beginning March 6, 2020) to pay for telehealth visits outside of rural areas has eased physician concern. CPT codes for billing purposes are available.

Telemedicine 73

Telemedicine Medicaid Medicare Licensing 73

American Medical Compliance

DECEMBER 26, 2023

What you will learn: Situations where the No Surprises Act applies Specific requirements for compliance with the No Surprises Act Billing and payment processes under the No Surprises Act The importance of accurate documentation Details Course length: 45 minutes.

Health Insurance 52

Health Insurance Medicaid Medicare 52

American Nurse

MARCH 6, 2024

The CMs documented all referrals as a problem, goal, and intervention (PGI) in the EHR and offered to assist with scheduling appointments. CM adherence The documentation of referrals in the EHR allowed the project manager to track nurse CM adherence with the referral process and determine the need for process changes.

Telemedicine 98

Telemedicine Health Insurance Health Literacy Promotion 98