Navigating the Business of Medicine

Today, we’re doing a high-level walkthrough of HIPAA using the official hhs.gov website! 🔍

Whether you’re new to healthcare or need a refresher on HIPAA compliance, this video walks you through: ✅ HIPAA resources for professionals
✅ How to file a complaint
✅ Training materials
✅ Privacy vs. Security rules
✅ Breach notification guidance
✅ Why you might want to consider a third-party compliance vendor

⚠️ If you’re responsible for HIPAA compliance in your practice — you need to watch this!

🖱️ Watch now, bookmark the links, and start building a stronger compliance program: [Insert Video Link Here]

💬 Have questions? Drop them in the comments!
👍 Like + 💌 Share with your staff and colleagues!

#HIPAA #HealthcareCompliance #MedicalOfficeTraining #HHS #HIPAATraining #MedicalPractice #ComplianceTips

9 months ago | [YT] | 2

Navigating the Business of Medicine

📢 BIG Telehealth Update for Medicare Providers!

Heads up, everyone—Medicare telehealth flexibilities have officially been extended through September 30, 2025! 🙌

We were all bracing for changes starting April 1st, but thanks to legislation passed on March 6, the current rules will stay in place until the end of September 2025.

💬 What does this mean?

No major changes (yet!)

Keep your current telehealth workflows running

Use this time to prepare for what might become permanent

I’ve linked my go-to resource — telehealth.hhs.gov — in the video description. Bookmark it. Check it monthly. Share it with your team.

📌 New deadlines to track:

🗓️ Sept 30, 2025 = End of current flexibilities

🗓️ Oct 1, 2025 = Potential new rules go live (aligned with the fiscal year)

If you’ve already started prepping for the changes—good job! Keep those plans on standby just in case.

🎥 And if you missed my last video about the Medicare telehealth changes originally scheduled for 2025, make sure to check that out too.

Let’s spread the good news—no last-minute chaos (for now)!
Drop your questions or thoughts below 👇

9 months ago | [YT] | 0

Navigating the Business of Medicine

📢 Hiring Staff Without Healthcare Experience – Is It Worth It?

Are you struggling to find qualified staff for your practice? You're not alone. Many practice owners are finding it harder than ever to hire for front office, prior authorization, and even billing positions. But what if you broadened your search beyond candidates with direct healthcare experience?

💡 Why Consider Non-Healthcare Candidates?
There are plenty of roles in a medical practice that don’t require prior healthcare experience. Candidates from busy law firms, mortgage companies, or customer service roles often have transferable skills like:
✅ Strong communication
✅ Multitasking
✅ Handling financial discussions
✅ Attention to detail

The biggest advantage? They come in with a clean slate—no bad habits, no preconceived notions, and you can train them to fit your practice's workflow.

Of course, there are challenges—like training them in healthcare-specific processes and HIPAA compliance. But that’s where structured onboarding and resources come in.

Would you consider hiring someone without healthcare experience? Drop your thoughts in the comments! ⬇️

9 months ago | [YT] | 1

Navigating the Business of Medicine

🚨 Credentialing vs. Group Affiliation – Don’t Get Denied! 🚨

One of the biggest mistakes I see in medical billing? Not verifying a provider’s group affiliation with insurance! Just because a provider is credentialed doesn’t mean they can bill under your group. They must be officially linked to your group contract in the insurance system—otherwise, those claims will be processed as out-of-network.

🔹 Two Effective Dates Matter:
✅ Credentialing Date – When the provider is approved with the insurance.
✅ Group Affiliation Date – When the provider is linked to your practice contract.

If you’re getting “provider not affiliated with the group” denials, this is likely the issue! Always confirm affiliation dates with the payer before scheduling patients.

💬 Have you run into this problem before? Drop a comment below!

9 months ago | [YT] | 4

Navigating the Business of Medicine

🚨 Telehealth Rules Are Changing April 1st! Are You Ready? 🚨

Big changes are coming to telemedicine starting April 1, 2025, and if you’re a provider offering telehealth services, you need to be prepared! 🏥💻

Some pandemic-era flexibilities are set to expire, meaning stricter originating site and distant site requirements could impact who can provide telehealth and where patients need to be located. 📍❌

Behavioral health? You’ll still have telehealth access, but new requirements may apply. And if you're outside of behavioral health, your ability to offer telehealth may be changing dramatically! 📅

👉 Watch the full video to understand the updates, how they affect different specialties, and what steps you should take now. Don’t wait until April 1st to find out the hard way!

📌 Check the video description for links to official Medicare updates.

⚠️ Have questions? Drop them in the comments! Let’s make sure everyone is ready for these huge telehealth policy shifts! 🚨 #Telehealth #Medicare #Healthcare

10 months ago | [YT] | 3

Navigating the Business of Medicine

🚨 Medicare Payments Stopped?! 🚨

Did you know that Medicare can freeze your payments without warning? If you're not receiving your ERAs or direct deposits, you might have a DNF (Do Not Forward) hold on your account!

In my latest video, I break down:
✅ What Medicare DNFs are and why they happen
✅ How to check if your payments are on hold
✅ Steps to fix the issue and get paid again

Don’t let this mistake disrupt your cash flow! Watch now and make sure your revenue stays on track.

💬 Have you ever dealt with a Medicare payment hold? Drop your experiences in the comments! 👇

10 months ago | [YT] | 1

Navigating the Business of Medicine

Hey everyone! I’ve just uploaded a new video on Navigating the Business of Medicine about a topic you might not have considered yet—virtual addresses. These can be a game-changer for telehealth providers and anyone looking to maintain privacy while still meeting insurance requirements.

In the video, I cover: • What a “virtual address” actually is
• How it can help expand your telehealth services across state lines
• Why HIPAA compliance is essential when choosing a virtual address
• Tips on making sure your insurance payers accept this option

If you’re a healthcare professional who wants to protect your personal address, explore offering services in multiple states, or just streamline your business mailing needs, this video is for you.

Check it out, give it a thumbs up if you find it helpful, and don’t forget to subscribe for more insights. If you have any questions, drop them in the comments—I’d love to hear from you. And please share with any colleagues who might need this information!

Thanks for tuning in and supporting the channel. Enjoy your day, and I'll see you in the comments!

10 months ago | [YT] | 3

Navigating the Business of Medicine

🚨 TriWest & Tricare West Transition Update! 🚨

Big news for those dealing with the Tricare West transition from HealthNet to TriWest—and if you're caught up in this mess, you’re not alone!

👀 Key updates:
✅ Tricare Prime referral requirements temporarily lifted through March 31st to help ease the transition.
✅ Existing referrals/authorizations will be honored through June (if you had them before Jan 1).
✅ TriWest uses Availity for authorizations & referrals—but many have reported major issues.
✅ Separate claims enrollment required with your clearinghouse—make sure you have the new payer ID for TriWest!

📢 Still unclear:
❓ Will TriWest backdate enrollments to Jan 1 for those who applied late last year?
❓ What’s the process for new patients during this transition?

💬 If you’ve gotten a clear answer from TriWest, drop a comment below! Let’s help each other navigate this chaos.

🔗 Watch the full video for details!
👍 Like, share, and subscribe if this update was helpful! #TricareWest #TriWest #MedicalBilling #Healthcare

10 months ago | [YT] | 0

Navigating the Business of Medicine

📢 Are You Monitoring Your Patient A/R? Here’s Why It’s Crucial! 💰💡

Hey everyone! Jennifer Blevens-Smith here with Integral Clinic Solutions, helping you navigate the business of medicine! 🎥

💰 Patient A/R (Accounts Receivable) – Are You Keeping Up?
Many practices overlook patient collections until it's too late. If you're not monitoring patient balances regularly, you could be missing out on revenue that keeps your practice financially stable—especially during deductible season.

🚨 Key Takeaways from Today’s Video:
✅ Start monitoring patient balances from day one – Don't wait months to see what's owed.
✅ Train your front desk staff – They should be confident (not hesitant!) when asking for payments.
✅ Offer payment plans & remind patients of HSA/FSA options – Help them find ways to pay!
✅ Run patient aging reports just like you do for insurance A/R – Know what's outstanding in 30, 60, 90+ days.
✅ Use technology – Patient portals, text/email reminders, and online payments make collections easier.

💬 What’s YOUR collections strategy?
If your practice has a low patient A/R and a strong collections process, share your tips! Let's help each other improve! 🚀

📌 Watch the full video now & take control of your revenue! 🎥
👍 Smash that like button if this was helpful, and subscribe for more practice management insights!

🔄 Tag a colleague who needs to hear this! Let’s keep our practices financially healthy! 💪 #MedicalBilling #PatientCollections #HealthcareFinance

11 months ago | [YT] | 1

Navigating the Business of Medicine

When reviewing an EOB, what aspect is most important to you?

2 years ago | [YT] | 1