CollaborateMD

AUGUST 5, 2024

One of the most effective is artificial intelligence medical billing. If you’re considering integrating AI into medical billing, keep reading to understand how it works. 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%.

Billing 98

Billing Medication Best Practices HIPAA 98

Health Prime

JUNE 13, 2024

In the intricate world of medical billing, accuracy is paramount. Every code entered, every diagnosis documented, and every procedure billed must be meticulously coded to ensure proper reimbursement and compliance with regulations. Increased denials: Insurance companies are quick to deny claims with coding errors.

Billing 105

Billing Medical Coding Medication Best Practices 105

The HIPAA Journal

MARCH 19, 2025

The compromised email account was reviewed and found to contain patients full names, addresses, dates of birth, medical and treatment information, dates of service, provider and facility names, procedure codes, billing and claims information, patient account identifiers, and payor information.

HIPAA 83

HIPAA Scheduling Hospital Billing 83

Electronic Health Reporter

AUGUST 7, 2018

The Health Insurance Portability and Accountability Act (HIPAA) is US legislation that was signed into law by President Bill Clinton in 1996. The article What Are HIPAA Compliant Storage Requirements? This content is copyrighted strictly for Electronic Health Reporter. appeared first on electronichealthreporter.com.

HIPAA 79

HIPAA Billing Insurance Business Associate 79

Scrubs

AUGUST 9, 2023

Under HIPAA’s privacy rule, all patients have the right to inspect, review, and receive a copy of their medical records and billing records that are held by health plans and health care providers. Getting access to your medical records isn’t always easy. However, state laws and provider regulations can complicate this process.

Medication 234

Medication HIPAA Insurance Tests 234

CollaborateMD

DECEMBER 10, 2024

Understanding the Challenges in Claims Processing Errors in medical claims processing have traditionally posed significant challenges for hospitals, insurers, and patients alike. Manual methods are prone to: Human Error : Misfiled billing codes, missing data, and inaccuracies are common with manual input, according to one report.

Medication 52

Medication Billing Insurance HIPAA 52

CollaborateMD

JANUARY 3, 2024

In today’s digital age, medical billing software plays a vital role in streamlining the billing process and improving patient care. HIPAA compliance is a crucial aspect of any medical billing software. It will also help you ensure that the medical billing software you select is compliant with HIPAA requirements.

HIPAA 52

HIPAA Billing Medication Best Practices 52

The HIPAA Journal

APRIL 1, 2025

Million Data Breach Settlement appeared first on The HIPAA Journal. Legal action was taken against Azura Vascular Care over the data breach, with the plaintiffs alleging the defendants failed to implement reasonable and appropriate cybersecurity measures to prevent unauthorized access to its network and sensitive patient data.

HIPAA 54

HIPAA Documentation Billing Scheduling 54

Health Prime

FEBRUARY 28, 2024

Consequently, many practices are contemplating hiring a new billing partner, either for the first time or to replace an existing provider. Partnering with the right medical billing company is crucial for the financial health of your practice. Here are six key factors to consider when evaluating a medical billing partner: 1.

Billing 88

Billing Medication Patient Satisfaction HIPAA 88

The HIPAA Journal

MARCH 28, 2025

The data in the appointment software included names, dates of birth, Social Security numbers, health insurance information, and appointment information, which may have included the treating physician name, date/location of the appointment, and the appointment type (surgical, MRI, etc).

Appointments 51

Appointments HIPAA Insurance Billing 51

The HIPAA Journal

JULY 4, 2024

The HIPAA rules and regulations are the standards and implementation specifications adopted by federal agencies to streamline healthcare transactions and protect the privacy and security of individually identifiable health information. This guide explains why the HIPAA rules and regulations exist, what they consist of, and who they apply to.

HIPAA 56

HIPAA Business Associate Insurance Transfers 56

CollaborateMD

MARCH 20, 2025

It can bring a refreshing shift from scattered patient files and billing information to seamless, stress-free workflows and revenue management. Billing and Claims Management : Ensure smooth processes for medical billing , insurance claims, and payment collection. What happens if systems are mismatched?

Appointments 52

Appointments Billing Scheduling HIPAA 52

The HIPAA Journal

JULY 4, 2024

Gaia Software Gaia Software, a provider of electronic medical record and billing management software services to Americare Renal Center, has mailed notification letters to patients whose protected health information was compromised in a February 2024 cyberattack. Steps have since been taken to prevent similar incidents in the future.

Documentation 119

Documentation HIPAA Billing Insurance 119

Health Populi

JUNE 10, 2021

.” Health Populi’s Hot Points: HIPAA, the Health Insurance Portability and Accountability Act, was signed into law in 1996 by President Bill Clinton. This week, Ken Mandl and Eric Perakslis co-wrote an essay in The New England Journal of Medicine on HIPAA and the “leak of ‘deidentified’ EHR data.”

HIPAA 173

HIPAA Diagnostics Best Practices Medication 173

The HIPAA Journal

JULY 8, 2024

The Breach of Personal Information Notification Act was amended by Senate Bill 824 and was signed into law by state Governor Josh Shapiro on June 28, 2024. The post Pennsylvania’s Updated Breach Notification Law Requires Credit Monitoring Services for Breach Victims appeared first on The HIPAA Journal.

HIPAA 122

HIPAA Insurance Billing Medication 122

Valant

AUGUST 2, 2024

In addition, it’s important to be able to obtain prior authorization from insurance and track prescription statuses. Telehealth Capabilities HIPAA-compliant telehealth capabilities allow you to treat patients remotely in individual or group therapy sessions. Communication with patients is a key part of this.

Billing 98

Billing Medical History HIPAA Collaboration 98

CollaborateMD

DECEMBER 11, 2023

Medical billing plays a critical role in the financial stability of healthcare providers. Fortunately, medical billing software offers a solution to the challenges healthcare providers face. The impact of billing challenges is felt by healthcare providers and patients. They can have significant consequences for patients.

Billing 52

Billing Medication Follow-Up HIPAA 52

Arkenea

JULY 8, 2024

A variety of patient information is collected and stored in the system, from medical bills to treatment plans. HIPAA (Health Insurance Portability and Accountability Act) rules and regulations ensure that ePHI (Protected Health Information) is safe and secure from potential hackers. Capture login, logout, and access to ePHI.

HIPAA 52

HIPAA Documentation Business Associate Best Practices 52

The HIPAA Journal

MARCH 20, 2025

The HIPAA Journal has compiled healthcare data breach statistics from October 2009, when the Department of Health and Human Services (HHS) Office for Civil Rights (OCR) started publishing summaries of healthcare data breaches on its website. Dominion National Insurance Company, and Dominion Dental Services USA, Inc.

Business Associate 111

Business Associate HIPAA Unit Organization and Environment Hospital 111

The HIPAA Journal

APRIL 22, 2024

The emails did not contain any Social Security numbers, health insurance ID numbers, or financial information. The post Email Accounts Compromised at UW Health and Medical Home Network appeared first on HIPAA Journal. The breach was recently reported to the HHS’ Office for Civil Rights as affecting 85,902 individuals.

Medication 117

Medication HIPAA Hospital Billing 117

The HIPAA Journal

MARCH 25, 2025

The file review was completed on February 24, 2025, and confirmed that the types of data compromised included names plus some or all of the following: date of birth, Social Security number, drivers license or state identification number, medical information, and health insurance information.

Insurance 88

Insurance HIPAA Billing Medication 88

Health Prime

MAY 23, 2024

Opting for the correct coding partner holds the key to: Accurate reimbursement Streamlined billing processes Overall operational efficiency Beyond financial considerations, choosing the right coding partner allows providers to redirect their focus towards core competencies , confident that medical coding is in the hands of specialists.

Medical Coding 105

Medical Coding Medication Billing Communication 105

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.” Cost, cost, cost, cost, and cost — above quality of care.

Insurance 118

Insurance Acute Care Billing Follow-Up 118

Health Prime

MARCH 6, 2024

Additionally, patients can address billing inquiries, view statements, and understand their financial responsibilities, promoting transparency in the billing process. Read more about other steps you can take to ensure HIPAA in our blog 4 steps to reduce HIPAA breaches within your medical practice.

Communication 98

Communication HIPAA Billing Appointments 98

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! Medical billing and coding professionals are aging out–as in retiring–and there aren’t enough qualified people to replace them. They’re used for billing and insurance reasons.

Billing 52

Billing Medication Medical Coding Certification 52

The HIPAA Journal

JULY 9, 2024

Clear Spring Health said the types of data that may have been exposed include contact information, health insurance information, health information, billing information, and personal information, including Social Security numbers, driver’s license numbers, state ID numbers, and passport numbers.

Triage 122

Triage HIPAA Documentation Billing 122

CollaborateMD

JANUARY 31, 2024

Navigating piles of billing paperwork drains your time and energy. The right medical billing software streamlines this process, making it quicker and more accurate. This article breaks down chiropractic medical billing software. Then, we’ll show you how it helps keep your billing process moving along smoothly.

Billing 52

Billing Medication Follow-Up Insurance 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

Northwest Career College

JUNE 12, 2024

Medical billing and coding are essential components of the healthcare system and are pivotal in reimbursing healthcare providers. Medical billing and coding professionals are a crucial link between healthcare providers, insurance companies, and patients. However, ethical challenges often arise in this field.

Billing 40

Billing Medication Insurance HIPAA 40

Northwest Career College

APRIL 19, 2024

As we delve into the realm of the top medical billing software of 2024, you will discover a new set of tools that can empower you, as a medical billing and coding practitioner, to handle your billing responsibilities with increased confidence and efficiency. What is Medical Billing Software?

Billing 40

Billing Medication Documentation HIPAA 40

EvidenceCare

APRIL 16, 2024

Regulatory Standards CERT (comprehensive error rate testing) is a program administered by the Centers for Medicare & Medicaid Services (CMS) that utilizes Recovery Audit Contractors (RACs) to review medical records and identify potential billing errors. Traditional Medicare vs. Medicare Advantage vs commercial insurance).

Documentation 130

Documentation Admissions Discharges Billing 130

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.

Insurance 83

Insurance HIPAA Medication Certification 83

Valant

MAY 2, 2024

There are a number of factors to consider, such as service fees, patient volume, and reimbursement rates from insurance providers. Examples of overhead costs include rent, utilities, insurance premiums, administrative salaries, and software subscriptions. An operating budget has fixed, variable, and isolated costs.

Documentation 102

Documentation Patient Care Billing Insurance 102

Health Populi

MARCH 21, 2019

A huge friction point we identified in our data-for-healthcare-good panel wrapping up the day is surprise medical billing due to patients’ unwitting use of out-of-network physicians and providers. You know about CVS buying Aetna late last year, bringing together the pharmacy-cum-healthcare services operation with a health insurance plan.

Insurance 102

Insurance HIPAA Patient Care Billing 102

The HIPAA Journal

NOVEMBER 7, 2024

ORM Fertility said there was no unauthorized access to its electronic medical records (EMR), email, or customer relationship management system (CRM), and financial and insurance information was not exposed. The post Presbyterian Healthcare Services & ORM Fertility Patients Affected by Data Breaches appeared first on The HIPAA Journal.

HIPAA 64

HIPAA Insurance Billing Medication 64

The HIPAA Journal

MARCH 29, 2024

billion in loans to healthcare providers under its temporary funding program to help ease the financial strain caused by delays to the processing of insurance claims and providers will have 45 days to pay back the loans. United Health Group has also confirmed that it has paid out more than $3.3 40% of the $3.3

HIPAA 97

HIPAA Unit Organization and Environment Follow-Up Business Associate 97

Valant

JULY 29, 2024

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

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Diagnostics Insurance HIPAA Medication 97