The HIPAA Journal

JULY 9, 2024

SouthCoast Health and Privia Medical Group in Georgia have notified patients about a cyberattack and data breach that occurred in June 2023. During that time, files on the network were viewed or copied.

Triage 123

Triage HIPAA Documentation Billing 123

Sensible Medicine

MAY 25, 2023

On April 26, 2023, Bobby Jindal and Chirag Parghi declared, on the opinion pages of the WSJ, that “ Mammograms Can Promote Heart Health.” Mammography providers would use artificial intelligence technology to quantify breast artery calcification and would add that service to the charge they currently bill.

Tests 182

Tests Diagnostics Follow-Up Insurance 182

Health Populi

JUNE 26, 2023

People love being health-insured, but their negative experiences with health plans create serious burdens on patients-as-consumers. The 2023 Kaiser Family Foundation Survey of Consumer Experiences with Health Insurance updates our understanding of and empathy for insured peoples’ Patient Administrative Burdens (PAB).

Insurance 62

Insurance Appointments Billing Hospital 62

Health Populi

AUGUST 21, 2023

” HealthEdge’s latest research into health consumers’ perspectives finds peoples’ satisfaction with their health insurance plans lacking, with members seeking easier access their personal health information, high levels of service, and rewards for healthy behaviors.

Insurance 62

Insurance Follow-Up Care Plan Communication 62

Health Prime

JUNE 22, 2023

Medical billing plays a crucial role in the success of any healthcare practice, and gastroenterology is no exception. Gastroenterologists face unique challenges with medical billing due to the complex nature of their specialty. According to a recent Precedence Research report , the gastroenterology market size 2023 is USD 54.56

Best Practices 52

Best Practices Billing Medication Documentation 52

Health Populi

JULY 24, 2023

In the program’s FAQs, one question clearly addresses this, transparently and in layperson’s terms: Q: “Do I need health insurance to use GNC Health?” ” A: “Nope — insurance isn’t needed or accepted.” Here’s the list of those top-of-mind healthcare worries for U.S.

Insurance 118

Insurance Acute Care Billing HIPAA 118

CareerStep

NOVEMBER 14, 2023

If you’ve ever considered a job in healthcare but don’t want to work directly with patients, medical billing and coding may be a good fit! The American Medical Association (AMA) reported that as of spring of 2023, the U.S. What do medical coders do and what do medical billing professionals do? And why are they in demand?

Billing 52

Billing Medical Coding Medication Certification 52

CollaborateMD

JANUARY 5, 2024

These days, billing can be complex. It makes billing simpler and more accurate. The medical billing market is growing fast. This growth shows just how vital medical billing is becoming. This growth shows just how vital medical billing is becoming. Medical billing software comes with many helpful features.

Billing 52

Billing Medication Follow-Up Insurance 52

Health Populi

OCTOBER 22, 2023

Keep that relationship in mind in the context of a new forecast from Kaiser Family Foundation estimate the 2023 cost for employer-sponsored insurance for a family to reach nearly $24,000 in 2023. consumers said paying a health care bill was stressful.

Insurance 77

Insurance Billing Medication Patient Experience 77

The HIPAA Journal

MARCH 20, 2025

There was no letup in cyberattacks on healthcare organizations in 2023, which set two new records – The most reported data breaches and the most breached records. In 2023, 725 data breaches were reported to OCR and across those breaches, more than 133 million records were exposed or impermissibly disclosed. In 2023, 79.7%

Business Associate 111

Business Associate HIPAA Unit Organization and Environment Hospital 111

Walker Info - Patient Experience

FEBRUARY 3, 2025

From a cancer patient: I had to change insurance in the middle of my eight-month treatment plan. She begged me to induce before the end of the year because shed already hit her insurance deductible. She begged me to induce before the end of the year because shed already hit her insurance deductible. In the 2023 U.S.

Insurance 52

Insurance Customer Service Patient Experience Collaboration 52

The HIPAA Journal

NOVEMBER 6, 2024

The types of data involved varied from individual to individual and included names, addresses, dates of birth, driver’s license numbers, Social Security numbers, medical treatment/diagnosis information, and health insurance information. The intrusion was detected on March 9, 2023, when ransomware was used to encrypt files.

Insurance 87

Insurance HIPAA Medication Certification 87

Health Populi

APRIL 1, 2024

This report compiled quantitative data from payments processed on the InstaMed network amounting to some $656 billion in healthcare payments in addition to results from three qualitative surveys that Qualtrics conducted polling consumers, providers and payors in 2023. This is the modus operandi for bill payment among U.S.

Billing 87

Billing Communication Follow-Up Medication 87

Health Populi

JUNE 11, 2024

between 2023 and 2024, according to the 2024 Milliman Medical Index. This year, I opted for a 2025 Subaru Forester and a year’s tuition for a New Mexico resident living off-campus for 2023-24 attending University of New Mexico. Health care costs for an “average” person covered by an employer-sponsored PPO in the U.S.

Medication 77

Medication Follow-Up Billing Insurance 77

Health Prime

JUNE 22, 2023

Medical billing plays a crucial role in the success of any healthcare practice, and gastroenterology is no exception. Gastroenterologists face unique challenges with medical billing due to the complex nature of their specialty. According to a recent Precedence Research report , the gastroenterology market size 2023 is USD 54.56

Best Practices 40

Best Practices Billing Medication Documentation 40

Health Populi

FEBRUARY 4, 2024

Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. According to the online Merriam-Webster dictionary , the first use of the phrase “health insurance” occurred in 1901. Consulting Noah Webster….and and ChatGPT.

Collaboration 90

Collaboration Insurance Medication Billing 90

Health Populi

MAY 31, 2023

In 2023, that roaring growth in health care costs continues with expected growth of 5.6%. For 2023, you could take your $31K+ and buy a Toyota Corolla Cross Hybrid auto, fund a year at the Gnomon School in Hollywood toward a degree in animation or game design, or buy healthcare for your family of 4.

Insurance 62

Insurance Outpatient Care Hospital Billing 62

CareerStep

DECEMBER 11, 2023

If you’re looking to take the next steps in your medical coding and billing career after finishing your training, you’re probably thinking about which certifications you should get to maximize your potential in the job market. The CPC certification is considered the gold standard for medical coding and billing professionals.

Medical Coding 52

Medical Coding Certification Billing Medication 52

Valant

JULY 29, 2024

This code is acceptable to insurers when used to describe a marked change in mental health status not attributable to other factors. Check out the 2023 ICD-10 updates here. Altered mental status, unspecified (R41.82) is a billable ICD-10 diagnostic code under HIPAA regulations from October 1, 2020, to September 30, 2021.

Diagnostics 97

Diagnostics HIPAA Insurance Medication 97

Health Populi

SEPTEMBER 13, 2022

And bad debt — write-offs that come out of uncollected patient bill balances after “significant collection efforts” by hospitals and doctors — is challenging their already-thin or negative financial margins. Only 17% of that amount was collected falling between $7,501 and $10,000, Crowe calculated.

Hospital 71

Hospital Insurance Billing Huddles/Rounds 71

Health Populi

DECEMBER 12, 2023

adults 18 and over in October 2023 to gauge peoples’ perspectives on personal finances, and well-being currently and into 2024. Fidelity conducted an online poll among 3,002 U.S. In fact, 45% pf people said they had to take money out from their emergency savings for current spending needs.

Billing 83

Billing Insurance Medication 83

Healthcare Law Insights blog

AUGUST 28, 2023

Evaluation and management (E/M) services have been called “the core” of healthcare billing. [1] 1] E/M is a catch-all claim, allowing medical professionals to bill for diagnosing or treating nearly any illness or injury. Department of Justice, Press Release, June 20, 2023, available at [link]. [3] 11, 2023). [4]

Billing 52

Billing Tests Documentation Medication 52

Health Populi

MAY 18, 2023

On April 11, 2023, three of the largest U.S. consumer credit rating companies — Equifax, Experian and TransUnion — planned to remove medical bill collections that were under $500 from consumers’ credit reports. And, over one-half of patients have also sought information about medical bills.

Medication 62

Medication Billing Insurance Hospital 62

Healthcare Law Insights blog

APRIL 28, 2023

The Department of Health and Human Services (HHS) has announced its plan to end the Federal Public Health Emergency (PHE) for COVID-19 on May 11, 2023. Some of these changes have become permanent or extended beyond the end of the PHE due to Congressional action, while some waivers will expire on May 11, 2023. Reimbursement A.

HIPAA 52

HIPAA Insurance Scheduling Medication 52

ACI Medical & Dental School

OCTOBER 24, 2023

ACI Medical & Dental School Prepares Students for In Demand Healthcare Jobs ( Updated for 2023 ) The National Healthcareer Association (NHA) has released their 2023 Industry Outlook , which continues to show that jobs for allied health professionals in the US are growing at 13%, a much faster rate than other professions.

Medical Administrative Assistant 52

Medical Administrative Assistant Medical Assistant Certification Continuing Education 52

Health Populi

JUNE 6, 2023

Two years later, Experian provides a look into The State of Patient Access: 2023. You may know the name Experian as one of the largest credit rating agencies for consumer finance in the U.S. You may not know that the company has a significant footprint in health care and financial technology.

Appointments 62

Appointments Scheduling Billing Medication 62

The Healthcare Blog

APRIL 18, 2024

In November, 2023, Brynjolfsson teamed up with fellow West Coaster, Robert M. They begin their 2023 JAMA commentary this way, “History has shown that general purpose technologies often fail to deliver their promised benefits for many years (‘the productivity paradox of information technology’). citizens in the U.S.,

Vital Signs 67

Vital Signs Customer Service Follow-Up Medication 67

Relias

APRIL 27, 2023

Healthcare leaders face constant changes in regulations, billing rules, payer requirements, and technology. There are also qualitative benefits, like fewer billing complaints. Better retention As many as 58% of medical practices said that staffing is their biggest challenge for 2023, according to an MGMA Stat poll.

Critical Thinking 52

Critical Thinking Follow-Up Billing Best Practices 52

Relias

FEBRUARY 1, 2023

“It will be imperative for medical practices and organizations to focus on their billing and denial management to maximize revenue in 2023,” noted Cristy Good, MPH, MA, senior industry advisory and coding expert at MGMA. Some insurance companies have a list of “preferred” infusion drugs and won’t pay for other drugs.

Insurance 10

Insurance Billing Documentation Hospital 10

ACMA Blog

JUNE 25, 2024

It is the insurance or payers’ way of controlling costs by approving or denying certain medications, procedures, or devices that may not usually be covered or is on a higher tier on the formulary. They ensure that patients are appropriately utilizing the healthcare services available by their insurance. Dixson, Kiana. link] ASHP.

Medical Assistant 40

Medical Assistant Documentation Certification Insurance 40

ACMA Blog

OCTOBER 16, 2023

It is the insurance or payers’ way of controlling costs by approving or denying certain medications, procedures, or devices that may not usually be covered or is on a higher tier on the formulary. They ensure that patients are appropriately utilizing the healthcare services available by their insurance. Dixson, Kiana. link] ASHP.

Medical Assistant 40

Medical Assistant Documentation Certification Communication 40

ACMA Blog

MAY 21, 2024

However, navigating the complexities of RCM can be challenging, with billing errors, claim denials, and inefficiencies leading to financial losses and administrative burden. Detecting and Correcting Billing Errors Billing errors are a prevalent issue in healthcare, often resulting in delayed or denied reimbursements.

Billing 40

Billing Patient Satisfaction Documentation Patient Experience 40

Health Populi

AUGUST 12, 2024

Fidelity began to disaggregate the cost for a couple into the cost for a single average person, beginning in 2023 — when the individual’s health care costs in retirement were estimated to be $157,500.

Long Term Care 71

Long Term Care Medication Hospital Billing 71

Minority Nurse

MARCH 22, 2023

Latanya Weston is an important nursing leader , and we’re pleased to profile her as part of the Champions of Nursing Diversity Series 2023. Even if a patient has health insurance, they may still have financial concerns, making it difficult to afford medications and treatments.

Care Plan 98

Care Plan Follow-Up Communication Hospital 98

Relias

JUNE 1, 2023

More technology is not always the best solution In a recent healthcare provider survey , half of healthcare executives said the revenue cycle is a top priority for software investment in 2023. If the scheduling team doesn’t collect accurate insurance, for example, an entire claim can get denied. “A

Documentation 52

Documentation Admissions Follow-Up Scheduling 52

Relias

JUNE 1, 2023

More technology is not always the best solution In a recent healthcare provider survey , half of healthcare executives said the revenue cycle is a top priority for software investment in 2023. If the scheduling team doesn’t collect accurate insurance, for example, an entire claim can get denied. “A

Documentation 52

Documentation Admissions Follow-Up Scheduling 52

Health Populi

MARCH 22, 2022

Finally, in the first six months of 2023, the three agencies will no longer include medical collection debt under $500 on consumers’ credit reports. To determine whether unpaid medical billing data should be included in credit reports. “Medical collection debt often arises from unforeseen medical circumstances.

Medication 71

Medication Billing Insurance 71