Tag: Staff Training
Who Would’ve Thought?
Novitas Training on YouTube!
Novitas has made learning more convenient by offering helpful tutorials on YouTube. These short videos provide quick guidance on common Medicare topics, making it easier to find answers without having to attend a full webinar.
UHC Provider Webinar February 26, 2026
- Learn about digital tools to simplify workflow
- Explore UHC plans
- Hear Policy Updates
CMS-1500 vs Electronic Claims (837P)
What is a HCFA anyway?
POET understands, not everyone is a biller, and we might be throwing out alphabet soup to some office personal.
What is a CMS-1500 (HCFA) Form?
The CMS-1500, often still called a HCFA, is the standard paper form used to bill insurance companies for professional services provided by physicians and other healthcare providers.
It tells the insurance company:
Who the patient is
Who the provider is
What services were performed
When the services occurred
Why they were medically necessary
How much is being charged
What is Used When Claims Are Filed Electronically?
When an office files claims electronically, the equivalent of the CMS-1500 form is an: ANSI 837P Claim
837 = electronic claim format
P = Professional services
The 837P contains the same information as a CMS-1500, just in a computer-readable format instead of paper.
Why Staff May Not “See” an 837P
The billing software creates it automatically
It is sent through a clearinghouse
Insurance companies process it behind the scenes
Most staff interact with screens and reports, not the actual electronic file.
If You Need to See a “Paper Copy” of an 837P
An 837P does not have a true paper form. However, billing systems can produce a claim print image or CMS-1500-style report that shows the same data contained in the electronic claim.
This is often called:
Claim print image
CMS-1500 claim view
Electronic claim summary
These reports are used for: (Why POET would request it)
Reviewing what was sent
Troubleshooting rejections or denials
Sharing claim details with non-billing staff
Important: This is a readable representation of the 837P data — not the actual electronic file.
To see the raw 837P file itself, billing staff would need to export or view it through the billing system or clearinghouse.
Disclaimer: The information provided in this blog is for general educational purposes only. While Ink strives to explain insurance concepts accurately and clearly, payer rules, contracts, and policies can vary widely by plan, state, and provider agreement—and they change frequently.
This content should not be interpreted as definitive guidance or a substitute for reviewing payer manuals, contracts, or official communications. Physician offices are encouraged to conduct their own research and verify requirements directly with the applicable insurance carriers before making operational or billing decisions.
Scheduling Webinar
“Every patient experience begins with the people who deliver care — and scheduling is what brings providers, nurses, and staff together at the right time. More than a staffing tool, scheduling is the backbone of modern healthcare.
In an era of workforce shortages, rising burnout, and increasing regulatory scrutiny, healthcare leaders are being called to go all in on strategies that unify scheduling, build workforce resilience, and seamlessly connect every member of the care team around the patient’s needs.
In this session, you’ll hear from a panel of healthcare innovators who have tackled the challenges of scheduling across providers, nurses, staff, and physical resources. They’ll share proven approaches you can apply to balance flexibility, fairness, and resilience while strengthening compliance confidence and improving visibility across your organization. You’ll leave with practical insights into how a holistic approach to scheduling can boost workforce engagement, improve access to care, and deliver stronger financial and patient outcomes.
Learning Objectives:
- Recognize the schedule as a strategic asset for care team coordination, compliance, and patient access.
- Learn how clinical and operations leaders can collaborate to unify scheduling, communication, and credentialing strategies.
- Explore practical approaches to strengthening compliance confidence (e.g., EMTALA, ACS standards, audit requirements) through improved workforce coordination.
- Recognize the enterprise value of going “all in” on workforce scheduling strategies to reduce risk, optimize resources, and improve patient and financial outcomes.”
TMA Coming to Tyler
Local Medicine Matters Conference Tyler, Texas
October 24-25, 2025
The Local Medicine Matters Conference is a new regional event, part of the Texas Medical Association’s initiative to hold events beyond the Texas metro areas. This inaugural conference is being hosted by the Smith County Medical Society in conjunction with TMA. The one-day event features topics of broad interest across all physician members, including practical uses of augmented intelligence in medicine, updates to billing and coding, and how physicians fared following the 2025 Texas legislative session.
Friday Night Mixer Oct. 24th
5:00 PM – 7:PM
Guest and Members Free
Saturday Conference Oct. 25th
7:30 AM – 4:00 PM
TMA Members Free
Registration
Registration for TMA members, CMS and association staff, and Alliance members is FREE – one of the many benefits of annual membership!
A $25 registration fee will be charged for on-site registrants.
Registration Fees:
Nonmember physicians: $200
Guests of members and medical staff: $150
TMA Billing, Coding, and Payment Resources
TMA’s billing, coding, and payment page offers resources for physician practices, from one end of the continuum to the other. Educate yourself with our articles and tools, or get help with more complex questions.
Physician Payment Resource Center
TMA’s Physician Payment Resource Center (formerly known as the Hassle Factor Log and the Reimbursement, Review and Resolution Service) goes to bat for members by helping to resolve issues related to insurance payments.
TMA can help resolve issues with your payer network status, prompt-pay, and other reimbursement claims. Learn More
Billing and Coding Hotline
Call Now to Reserve Your Seat
Limited Seating
2025 Washington Policy Mid-Year Update – MGMA Webinar
Where: POET Office
When: July 22, 2025, Tuesday
Time: 12 noon
Lunch will be served
Limited Seating Available
During this webinar, MGMA Government Affairs staff will provide an update on current and potential policy developments impacting medical group practices. The speaker will discuss the latest legislative and regulatory issues covering topics such as Medicare reimbursement, telehealth, quality reporting, and surprise medical billing.
This 60-minute webinar will provide you with the knowledge to:
Identify key regulatory developments
Discuss legislative issues impacting medical groups
Describe MGMA advocacy initiatives
Please call (936) 637-7638 or Email [email protected]
HIPAA Compliance is Not A Choice
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The HHS Office for Civil Rights (OCR) just sent another clear message: HIPAA compliance isn’t optional no matter your practice size. The OCR has reached a resolution with Vision Upright MRI, a small California imaging provider, after a breach of unsecured protected health information (PHI) impacted 21,778 patients. The breach originated from an unsecured server that housed radiology images and lacked proper risk analysis, audit controls, and breach notification procedures. What happened:
As a result, the total settlement cost was a $5,000 fine plus 2 years of monitoring in addition to mandatory corrective actions including:
Why this matters to you:Whether you’re a solo provider or part of a large system, OCR expects every HIPAA-covered entity to:
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Humana
TIPS, TRICKS AND HELPS
PREAUTHORIZATON LISTS (PAL):
Lists of services and medications effective July 1, 2025, that may required preauthorization for members with Medicaid, Medicare Advantage, and dual Medicare-Medicaid coverage are now available.
Easily determine if a prior authorization is required with Humana’s search tool. Search by Current Procedural Terminology (CPT®) codes, procedures or generic drug name(s). Remember to verify benefit coverage in Availity Essentials
Availity Essentials Introduces Check Claim Status Feature:
Availity has enhanced its Eligibility and Benefits (E/B) page by adding a Check Claim Status feature.
What you can expect:
- Improved efficiency and accuracy: The check Claim Status tool pre-populates your patient’s information, ensuring accuracy.
- Time savings: You can access claim status with one click- saving time and effort
Superior: New Availity Claim Features and Webinars.
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