The HIPAA Journal

MAY 2, 2024

Hackers gained access to the BioPlus network for more than 2 weeks between October and November 2021, and potentially stole names, dates of birth, contact information, health insurance information, prescription information, and Social Security numbers. The maximum claim permitted depends on whether Social Security numbers were compromised.

HIPAA 89

HIPAA Follow-Up Best Practices Documentation 89

Health Prime

MAY 30, 2024

Implement robust coding and documentation practices Accurate medical coding and detailed documentation are crucial elements in preventing underpayments. Therefore, it is important to ensure your staff is well-trained in coding practices and emphasize the importance of thorough documentation to support the services provided.

Billing 76

Billing Documentation Continuing Education Medical Coding 76

Valant

JANUARY 30, 2024

External Audit Requirements In the behavioral health field, audits involve a comprehensive examination of a practice’s compliance with regulations and standards, such as those from states and insurance providers. Common audit requirements help providers maintain practices that align with the highest standards of care.

Billing 52

Billing Documentation Follow-Up Best Practices 52

EvidenceCare

APRIL 16, 2024

This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. This section delves into the specific criteria and expectations set by CERT audits, emphasizing the need for meticulous attention to detail and documentation accuracy.

Documentation 130

Documentation Admissions Discharges Billing 130

Valant

APRIL 17, 2024

Not only is it a map for treating a client, it is necessary for compliance with insurance and governmental mandates. However, managing these plans at scale is a complex task that often creates headaches for clinicians and directors in large outpatient behavioral health practices. Automated workflows and documentation tools.

Documentation 102

Documentation HIPAA Best Practices Collaboration 102

Health Prime

JULY 18, 2024

Denial management refers to identifying, analyzing, and resolving denied claims from insurance companies or payers. It’s vital because denied claims directly impact a medical practice’s revenue stream. By effectively managing denials, practices can minimize revenue loss and improve cash flow.

Billing 77

Billing Patient Satisfaction Documentation Medication 77

Arkenea

JULY 8, 2024

HIPAA (Health Insurance Portability and Accountability Act) rules and regulations ensure that ePHI (Protected Health Information) is safe and secure from potential hackers. ’ HIPAA classifies retention for two types of documents – HIPAA medical records retention and HIPAA retention for other documents.

HIPAA 52

HIPAA Documentation Business Associate Best Practices 52

CollaborateMD

MAY 25, 2023

Oncology medical billing is the process of submitting claims to insurance companies or other payers for oncology-related billing services associated with cancer management. The process involves verifying the patient’s coverage, accurately documenting medical history, submitting claims promptly, and ensuring compliance with regulations.

Billing 52

Billing Medication Medical Coding Insurance 52

Relias

JULY 4, 2023

This coordinated partnership requires a joint effort toward the common goal of accurate charges, identification and resolution of any discrepancies, and signed documentation indicating completion. Ensure that every member of your revenue cycle management team is performing with current knowledge and best practices.

Follow-Up 52

Follow-Up Medical Coding Documentation Best Practices 52

Minority Nurse

NOVEMBER 22, 2023

Shelise Valentine, RNC, MSN, C-EFM, CPPS, CPHRM, is the Director of Clinical Education, Healthcare Risk Advisors, part of TDC Group and chairs nursing, co-chairs obstetric and simulation initiatives, and directs risk management and obstetric education for insured hospital clients to improve patient safety and reduce malpractice risk.

Patient Safety 59

Patient Safety Unit Organization and Environment Best Practices Hospital 59

Valant

APRIL 2, 2024

Performance Reporting: The ability to focus on metrics such as patient retention, insurance aging, and billing documentation status goes a long way towards practice efficiency. Clinical Workflow Improvement EHR data can reveal gaps in care delivery, such as missed appointments or incomplete documentation.

HIPAA 40

HIPAA Documentation Best Practices Appointments 40

Valant

MARCH 2, 2024

Training sessions should cover the steps involved in the billing cycle, from verifying patient insurance coverage to submitting claims to following up on denials. Training should also emphasize the importance of maintaining patient confidentiality and accurately documenting services provided.

Billing 52

Billing Documentation Follow-Up Insurance 52

NHA Now

APRIL 22, 2020

Medical offices and hospitals rely on electronic health records (EHRs) to securely and accurately document patient information. As insurance shifts to value-based reimbursement, patient satisfaction has become a major focus. You'll demonstrate you know the most up-to-date information and best practices.

Certification 52

Certification Best Practices Patient Satisfaction Patient Safety 52

CollaborateMD

JANUARY 3, 2024

Understanding HIPAA Regulations HIPAA, or the Health Insurance Portability and Accountability Act , became law in 1996. Those regulations must be followed during the medical claim submission process, from insurance eligibility verification to claim submission to payment processing. Ensure staff training and education is ongoing.

HIPAA 52

HIPAA Billing Medication Best Practices 52

Relias

APRIL 27, 2023

2 – Financial consequences of registration errors Staff members might not realize that an entire claim can be denied just because they selected the incorrect insurance. Some health plans are refusing to pay claims due to missing documentation to support the need for a procedure. Staff should review why specific claims were denied.

Critical Thinking 52

Critical Thinking Follow-Up Billing Best Practices 52

Medical Advantage

MARCH 28, 2024

In this blog, we will explore patient engagement best practices and the top patient engagement tools available. Explanation of Benefits (EOB): Understanding an EOB can be complex due to medical codes and insurance jargon.

Patient Satisfaction 52

Patient Satisfaction Appointments Communication Scheduling 52

Valant

FEBRUARY 24, 2024

To optimize staff levels and allocate resources effectively, practice managers need to have accurate insights into the practice’s operations. Identifying areas of inefficiency helps practices shift resources to the areas of greatest need, enhancing patient satisfaction.

Billing 52

Billing Patient Satisfaction Appointments Scheduling 52

Coronis Health

AUGUST 10, 2023

Best practices in hospital billing and coding processes are key to guiding coders as they navigate the complexities of chart documentation. Revision of the Medicare Physician Fee Schedule, changing the way providers are reimbursed for evaluation and management services, which affects coding and documentation requirements.

Best Practices 52

Best Practices Hospital Medical Coding Documentation 52

Health Populi

NOVEMBER 12, 2019

At least 150 Google employees already have access to much of the data on tens of millions of patients, according to a person familiar with the matter and the documents.” I’ve pointed to the Dignity Health campaign #HelloHumanKindness as a best practice communications and branding strategy for helping heal healthcare.

Collaboration 66

Collaboration Hospital HIPAA Best Practices 66

Relias

NOVEMBER 10, 2021

They were property to be purchased, insured, and then transferred to relatives after the death of the master. These are brief comments that don’t even begin to describe and document the history of racism in America. Africans were generally enslaved their entire life. Additionally, many of the major U.S.

Follow-Up 52

Follow-Up Transfers Best Practices Documentation 52

CollaborateMD

AUGUST 5, 2024

Then review best practices in implementing AI into medical billing. An analysis by KFF found that insurance denial rates could be as high as 49%. This ensures that documentation is compliant. Transforming your practice’s technology may receive pushback from some staff.

Billing 98

Billing Medication Best Practices HIPAA 98

Valant

AUGUST 20, 2024

Become familiar with the mandates and best practices that will contribute to a safe and effective treatment environment: Maintain confidentiality. Documentation: How will you document the group session along with assessing each individual as needed? Therapists are legally bound by confidentiality.

Billing 105

Billing Documentation Scheduling Appointments 105

Relias

MARCH 13, 2023

In the healthcare industry, regulations and best practices are always changing. The best way to protect your organization is to monitor your compliance risks proactively. Cross-check the payer information and any information about insurance plan coverage elsewhere on the hospital’s website to confirm that they match.

Hospital 52

Hospital Documentation Insurance Billing 52

Valant

MARCH 1, 2024

Compliance with the Health Insurance Portability and Accountability Act ( HIPAA ) and other laws/regulations is mandatory. In addition, complying with HIPAA protects your patients, your practice, and helps you avoid fines and penalties. Your EHR software can help with HIPAA compliance.

Billing 52

Billing HIPAA Patient Centered Care Scheduling 52

Relias

JULY 20, 2023

Maternal mortality is closely linked to social and behavioral factors As documented extensively, higher U.S. It is important to focus on clinical protocols and reduction in practice variation. Ensuring that behavioral health and medical documentation are in the same system can help integrate and improve care.

Hospital 40

Hospital Documentation Discharges Best Practices 40

Accepted Blog

SEPTEMBER 19, 2023

And the other thing is that it’s always good to, when you are mostly or solely in one hospital, there are practices that hospitals do not because they’re best practice necessarily, but because they’re habit or it’s the way that the hospital has always done it. It’s entirely done without my supervision.

Admissions 52

Admissions Medication Follow-Up Hospital 52