Tag: HIPAA Compliance

RCM Compliance Challenges

Top 10 Revenue Cycle Management Compliance Challenges

Revenue cycle management (RCM) is the financial backbone of any medical practice, ensuring timely reimbursement while maintaining compliance with ever-evolving regulations. However, many practices unknowingly face significant compliance risks that can lead to claim denials, audits, financial penalties, and even legal consequences. Common pitfalls include billing and coding errors, fraud and abuse violations, HIPAA breaches, […]
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healthcare compliance issue Logs

Healthcare Compliance Issue Logs & Risk Assessment

Troubleshooting and insurance: These are the dual purposes of maintaining a detailed Healthcare Compliance Issue Logs, according to a senior compliance executive. Speaking at AAPC’s HEALTHCON Regional, the senior compliance executive highlighted the Office of Inspector General’s (OIG) new voluntary compliance guidance, emphasizing its importance even for organizations already familiar with the seven elements of […]
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HIPAA Security Rule updates

Healthcare Cybersecurity: Proposed Updates to the HIPAA Security Rule

The U.S. Department of Health and Human Services (HHS) has issued a Notice of Proposed Rulemaking (NPRM) aimed at strengthening the HIPAA Security Rule. If finalized, these HIPAA Security Rule updates will significantly impact the healthcare sector. HHS has highlighted that healthcare breaches pose far greater risks than breaches in other industries. In announcing the […]
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Cryptocurrency benefits medical billing

How Cryptocurrency is Revolutionizing Medical Billing with Technology

Cryptocurrency benefits medical billing by revolutionizing the industry. It offers a decentralized digital currency that serves as a medium of exchange, similar to traditional money. This innovative approach facilitates secure digital transactions, making counterfeiting nearly impossible due to the robust cryptography employed.  Another key advantage is that cryptocurrency operates outside government authority, eliminating taxes or […]
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HIPAA Compliance and Ransomware Attacks

HIPAA Compliance and Ransomware Attacks: What Need to Know

The U.S. Department of Health and Human Services (HHS) recently announced a $250,000 settlement with a Washington-based healthcare provider for alleged HIPAA violations. The violation stemmed from a ransomware attack and subsequent investigation by the HHS Office for Civil Rights (OCR) Ransomware Attacks and HIPAA Compliance: Protecting Patient Data: This settlement highlights a growing concern […]
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Healthcare cyberattacks

Healthcare Cyberattacks: Protecting Small Practices from Rising Threats

Healthcare providers face a rising tide of Healthcare cyberattacks, which can have devastating consequences. These attacks are becoming more frequent and costly, and healthcare organizations are spending more than any other industry to recover from them. Small Practices at Risk: Small healthcare providers are particularly vulnerable to Healthcare cyberattacks due to limited resources and staff. […]
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Healthcare online Forms

Paperless Healthcare: 5 Reasons to Transition to Online Healthcare Forms

The healthcare industry has long been burdened with paperwork, from patient intake forms to insurance documentation. While many healthcare providers have already adopted Electronic Medical Records (EMRs), there’s a growing realization that going paperless can extend far beyond just digitizing patient records. One significant area where healthcare can continue to evolve is through the use […]
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Telehealth billing guide

Telehealth Billing: What You Need to Know for Success

Telehealth billing, the process of submitting claims for telehealth services, is an essential component of this virtual care model. Efficient and accurate telehealth billing ensures that providers are reimbursed for their services and that patients are not overbilled. The healthcare landscape has undeniably shifted towards a more virtual model. Telehealth, the utilization of telecommunications technology […]
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Why Healthcare Providers Need Medical Claim Clearinghouses

Medical claim clearinghouses enhance the efficiency of claim submissions for healthcare providers, thereby reducing costs and improving payment accuracy. Each year, healthcare payers and providers exchange billions of claims to finalize patient encounters, a number that continues to rise. As claim volumes increase annually (except for a dip in 2021 due to the COVID-19 pandemic), […]
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HIPAA violations

How to prevent HIPAA violations in healthcare

HIPAA violations happen when a healthcare organization fails to follow the Health Insurance Portability and Accountability Act (HIPAA) rules. HIPAA is a law that protects patients’ privacy by setting standards for securing and sharing their medical information. There are different ways a HIPAA violation can occur, but they often involve a patient’s protected health information […]
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