The HIPAA Journal

MARCH 19, 2025

On January 14, 2025, an employee emailed a document to a personal email account. The post Email Account Breaches Reported by Access TeleCare & Madison County, MS appeared first on The HIPAA Journal. It is currently unclear how many individuals had their data exposed in the incident.

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HIPAA Documentation Insurance Medication 75

Scrubs

AUGUST 22, 2023

Just this year alone, we’ve seen some of the largest and most alarming healthcare data breaches in history, including those related to the American Medical Collection Agency, insurer Dominion National, and Inmediata Health Group, just to name a few. The team will be responsible for updating and managing your facility’s cybersecurity system.

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Follow-Up Documentation HIPAA Patient Records 240

The HIPAA Journal

APRIL 27, 2025

HIPAA violation cases are compliance investigations that result from a data breach being notified to the Department of Health and Human Services’ (HHS) Office for Civil Rights (OCR) or a privacy complaint being submitted to OCR via the complaints portal. There are many different types of HIPAA violation cases.

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HIPAA Business Associate Hospital Medication 52

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.

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HIPAA Business Associate Insurance Transfers 56

Health Populi

FEBRUARY 27, 2024

That’s the mantra coming out of this week’s annual Capitol Conference convened by the National Association of Benefits and Insurance Professionals (NABIP). FYI you might know of NABIP by its former acronym, NAHU, the National Association of Health Underwriters).

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Billing Insurance Hospital HIPAA 141

The HIPAA Journal

JULY 4, 2024

The types of data involved varied from individual to individual and may have included names, addresses, dates of birth, Social Security numbers, health insurance information, and/or health information. The incident was detected on June 14, 2024, and attempts were made to retrieve the documents, but it was not possible to retrieve them all.

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HIPAA Documentation Billing Insurance 120

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. Automatically flagging errors before claims are submitted to insurance providers. Reducing duplication errors in medical claims documentation.

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Medication Billing Insurance HIPAA 52

CollaborateMD

APRIL 3, 2025

These regulations ensure that healthcare providers accurately bill patients and insurance companies while protecting sensitive patient information. Following health insurance policies and procedures. Real-world example: A violation of HIPAA due to ignorance of the rules can result in fines of $141 $35,581. The result?

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Billing Medication HIPAA Follow-Up 52

Arkenea

MARCH 29, 2025

Having a profound understanding of the HIPAA rules puts you one step ahead in the healthcare sector. HIPAA risk assessment ensures that ePHI is protected from threats and vulnerabilities such as fraud, data breaches, financial scams, identity thefts, etc. HIPAA Compliance Checklist 1.

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HIPAA Business Associate Documentation Follow-Up 52

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. To comply with HIPAA regulations, CE and BA must adhere to certain requirements, and audit trail is one of them. Capture login, logout, and access to ePHI.

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HIPAA Documentation Business Associate Best Practices 52

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.

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Follow-Up HIPAA Best Practices Documentation 111

Health Prime

JUNE 13, 2024

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. Double-check documentation: Accurate coding begins with comprehensive documentation.

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Billing Medical Coding Medication Best Practices 105

Valant

JULY 16, 2024

HIPAA regulates that therapy notes be stored separately from progress notes. Progress notes help other practitioners or treating physicians stay up-to-speed on your work with a patient, and they inform insurance companies of the reliability and efficacy of your methods.

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Documentation Appointments HIPAA Follow-Up 98

Healthcare Law Insights blog

JANUARY 15, 2025

This marks the first update to the HIPAA Security Rule since 2013. 1] The Proposed Rule applies to HIPAA-regulated entities, including Covered Entities such as health plans, healthcare clearinghouses, most healthcare providers, and their Business Associates. population. [1]

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HIPAA Business Associate Follow-Up Documentation 52

The HIPAA Journal

JULY 9, 2024

Change Healthcare is still conducting the document review to determine exactly which individuals have had their data exposed or stolen, and notification letters are expected to be mailed on behalf of its clients by the end of the month.

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Triage HIPAA Documentation Billing 123

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.

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Billing Medical History HIPAA Collaboration 98

19 Labs

JULY 8, 2024

This collaboration adds the ability to streamline how schools send and collect consent forms and other documents to the GALE platform. During the COVID-19 pandemic, WellCheck pivoted to utilize its cloud-based, HIPAA-compliant platform for wellness screenings.

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HIPAA Diagnostics Medical History Communication 91

CollaborateMD

JANUARY 3, 2024

HIPAA compliance is a crucial aspect of any medical billing software. Understanding the importance of HIPAA compliance and implementing the necessary protocols helps healthcare providers avoid legal and financial repercussions. Within HIPAA, many rules dictate privacy, security, and confidentiality.

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HIPAA Billing Medication Best Practices 52

Arkenea

JULY 12, 2024

Medical insurance verification software is developed to automate the process of verifying patients’ insurance coverages. This software is connected to the insurance company’s database to retrieve real-time data on a patient’s insurance status. In 2022, 92.1 percent of people, or 304.0 percent and 36.1

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Insurance EHR / EMR Medication Patient Satisfaction 52

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.

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Documentation Patient Care Billing Insurance 102

The HIPAA Journal

MARCH 7, 2025

Hackers had access to its network between August 27, 2021, and October 10, 2021, and potentially viewed or obtained personal, medical, health insurance, and financial information. Data Breach Settlement appeared first on The HIPAA Journal. The cash payments will be paid pro rata from the cash remaining in the settlement fund.

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HIPAA Documentation Insurance Medication 81

Health Prime

MARCH 6, 2024

Consequently, this reduces the likelihood of errors in documentation and ensures that the practice has the most up-to-date information. Moreover, patient portals adhere to stringent security and privacy standards, promoting compliance with regulations like the Health Insurance Portability and Accountability Act (HIPAA).

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Communication HIPAA Billing Appointments 98

The HIPAA Journal

APRIL 4, 2025

After an extensive forensic investigation and comprehensive document review, on March 21, 2025, we determined your personal data may have been subject to unauthorized access or acquisition, which occurred between November 4, 2023, and November 5, 2023. Notification letters were mailed to the affected individuals on February 21, 2025.

Hospital 69

Hospital Follow-Up HIPAA Insurance 69

The HIPAA Journal

APRIL 29, 2025

The review of the account confirmed it contained names, addresses, birth dates, Social Security numbers, drivers license and other ID numbers, financial information, and limited health and health insurance information related to treatment and prescriptions. The breach was reported to the Maine Attorney General as affecting 5,971 individuals.

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Follow-Up HIPAA Best Practices Documentation 60

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 HIPAA Insurance Medication 97

Valant

APRIL 17, 2024

Not only is it a map for treating a client, it is necessary for compliance with insurance and governmental mandates. If you’re struggling to manage the logistics of treatment plan documentation and wondering how you’ll cope in light of practice growth, be encouraged. Automated workflows and documentation tools.

Documentation 102

Documentation HIPAA Best Practices Collaboration 102

Arkenea

APRIL 10, 2025

Faster TimetoMarket In a health insurance policy management system project, a client achieved a fourmonth launch timeline by outsourcing development and QA to a dedicated vendor. This rapid turnaround was possible due to the vendors agile processes, continuous integration pipelines, and prebuilt compliance frameworks for HIPAA and GDPR.

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Tests Communication Documentation Follow-Up 52

MedCerts

APRIL 8, 2024

MS 2000: Microsoft Office Series I: This two-week course focuses on creating, editing and enhancing Word and Excel documents. The course concludes with HIPAA rules, drug regulations and legal ethics. You’ll also learn to analyze data and perform calculations. Why Should You Become a Medication Care Coordinator?

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Medication Medical Administrative Assistant Medical Terminology HIPAA 73

Health Populi

MARCH 2, 2021

But another patient side-effect of COVID-19 has been the digital transformation of many patients , documented by data gathered by Rock Health and Stanford Center for Digital Health and analyzed in their latest report explaining how the public health crisis accelerated digital health “beyond its years,” noted in the title of the report.

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Follow-Up Hospital Insurance Medication 174

CollaborateMD

AUGUST 5, 2024

An analysis by KFF found that insurance denial rates could be as high as 49%. This ensures that documentation is compliant. As a result, the technology is subject to HIPAA compliance rules. The solution you select must be HIPAA compliant. Then, find the gaps by documenting your billing and coding workflow.

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Billing Medication Best Practices HIPAA 98

Health Populi

MAY 30, 2018

These concerns fall into the buckets of health insurance coverage, or lack thereof; insurance denials; affordability for the breakthrough therapies; and, potential risks of future denials for insurance based on the patient’s personalized genomic or other health data.

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Insurance Tests HIPAA Diagnostics 69

Health Populi

FEBRUARY 8, 2021

Secure health data (updating privacy/HIPAA). The Manatt document is a wonderful example of a company’s clear articulation of values and corporate social responsibility in an era of declining trust between citizens and institutions, found in the 2021 Edelman Trust Barometer. Help our children achieve their potential.

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Long Term Care HIPAA Diagnostics Documentation 133

The HIPAA Journal

APRIL 28, 2025

Email accounts have been compromised at four HIPAA-regulated organizations: Alternate Solutions Health Network in Ohio; Park Royal Hospital in Florida; 90 Degree Benefits in Minnesota; and the Charleston Fire Department in West Virginia. Almost 107,000 individuals have been affected.

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HIPAA Billing Hospital Insurance 52

Valant

MAY 3, 2024

Several forms, such as HIPAA and TCPA forms, are legally required. Self-pay fees for your most used insurance codes should be included, and you should reiterate your cancellation and no-show fees here. Release of Information (HIPAA) Form This is also known as the Notice of Privacy Practices form and is required by federal law.

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HIPAA Appointments Insurance Communication 52

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. Compliance with audit requirements fosters trust and credibility with patients, insurers, and regulatory bodies.

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Billing Documentation Follow-Up Best Practices 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.

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Billing Patient Centered Care HIPAA Follow-Up 52

Health Populi

JULY 15, 2018

I scanned the cover of this document, shown here, advising me of, “New privacy rules mean you’re (“I’m”) in control of your (“My”) data. Health Populi’s Hot Points: As I was reviewing the 2018 Ponemon data breach study, I received a brochure in the mail from a bank I deal with, NatWest.

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Documentation Insurance Hospital Medication 86