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

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

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 118

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 110

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 121

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 90

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

Insurance 52

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

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

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 75

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.

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Documentation Best Practices HIPAA 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

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

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.

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Hospital Follow-Up HIPAA Insurance 60

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 Diagnostics HIPAA 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 Diagnostics HIPAA Documentation 133

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

Valant

MARCH 30, 2024

Complete and accurate documentation is a crucial part of the therapy intake process. A patient’s medical history, presenting concerns, treatment preferences, and any relevant psychosocial factors should all be documented. These can include fields for demographic information, medical history, insurance details, and consent forms.

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Best Practices Medical History Communication Documentation 52

Doximity

DECEMBER 20, 2022

I use it regularly for faxing prior authorizations and clinical documents to insurance companies as well as calling patients when working remotely.” pharmacists using Doximity's HIPAA-compliant telepharmacy suite: Doximity Dialer is free for all U.S. Jordan Orofino, PharmD, Chicago, IL To sum up, here are the benefits for U.S.

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Follow-Up Appointments Documentation Patient Care 52

Arkenea

AUGUST 15, 2024

They store protected health information (PHI), and aid providers in documentation process. An EMR API integration involves linking in-house EMR to third-party services such as insurance management, billing portals, appointment booking platforms and more. Developers are required to adhere to HIPAA compliance during API integration.

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HIPAA Appointments EHR / EMR Billing 40

Northwest Career College

OCTOBER 29, 2024

Insurance and Billing Issues The medical administrative assistant handles insurance claims and billing. However, mastering the medical insurance world is not easy; numerous insurance providers have their own rules and policies. Insurance management and billing. Maintain accurate patient records.

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Medical Administrative Assistant Medication Patient Records Appointments 40

CareerStep

NOVEMBER 14, 2023

They’re used for billing and insurance reasons. Think of it as a simplified language for a patient’s medical history, because every doctor and insurance company in the U.S Checking patient insurance coverage and eligibility before billing. Adhering to HIPAA regulations, ensuring patient confidentiality at all times.

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Billing Medication Medical Coding Certification 52

Relias

AUGUST 12, 2023

Respondents also commented that credentialing is important from a liability perspective, as it documents that health centers are carrying out their due diligence when hiring new healthcare practitioners. Quality improvement Quality improvement programs include the internal efforts to improve the quality of clinical care.

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Documentation Medication Continuing Education Communication 52