Document Health Insurance Medicaid 
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.
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.
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The Relentless School Nurse
MARCH 8, 2025
The Centers for Medicare & Medicaid Services (CMS) rescinded key guidance on March 4, 2025, affecting Medicaid and Childrens Health Insurance Program (CHIP) coverage for services addressing health-related social needs (HRSNs).
American Medical Compliance
MARCH 13, 2025
Health Insurance Providers : Companies providing health coverage plans. Medicare and Medicaid Participants : Entities receiving payments through these federal programs. Be Documented : Maintain records of training sessions for accountability and future reference. 5.
American Nurse
JULY 9, 2025
CFCNs providing routine foot care must collect payment from the patient if health insurance doesn’t provide coverage. The Centers for Medicare & Medicaid Services website lists codes that indicate medical necessity. Documentation submitted for reimbursement should include proof of CFCN accreditation. March 2014.
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.
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.
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