Group items matching

in title, tags, annotations or url

Overview: In 2013, The US Department of Health and Human Services made major changes to rules implementing The Health Insurance and Portability Act of 1996 (HIPAA) and Health Information Technology for Economic and Clinical Health Act of 2003 (HITECH). Among the many areas impacted by these rules (billing, marketing, research, IT security, etc.) is fund raising. The amendments significantly modify the methods and practice that hospitals, their institutionally related foundations, and other healthcare charities may or must employ when using ANY patient or client information for fund raising. The webinar will cover how to effectively implement the fund raising regulations in a manner that increases both opportunities for philanthropic support and compliant implementation of the new mandates. The rules include specific operational requirements, some of which prohibit protocols that were required under the original HIPAA regulations. The "magic words" mandated by HIPPA-related regulations changed in multiple areas. The webinar will cover all of these areas to ensure your organization is both legally compliant and operationally effective. The types of information that may be used for fund raising changed significantly. This presents numerous substantial fund raising opportunities, as well as challenges on the use and storage of such information. Among other areas to be presented are The required method for individuals to opt-out of receiving fund raising communication The methods of informing patients and clients of their right to opt-out from receiving fund raising communication The broadly expanded types of fund raising communication subject to opt-out rights How providers, hospital, and related fund raising foundation apply an opt-out election by an individual The type of patient and client information that health charities may use for fund raising The contents of provider's Notice of Privacy Practice How clinicians can assist both their patients/clients and the

Are you seeking professional provider credentialing and enrollment services? Look no further than Instapay Healthcare Services! Our efficient team takes care of all the paperwork, saving you time and reducing complexities. Trust us to simplify the process, so you can concentrate on delivering exceptional care. Connect with us today! Fax:- 9179607960

Overview: Remember spaghetti code? The HIPAA breach area is now almost as convoluted and overlapping and confusing as spaghetti code. Sometimes you think you are both coming and going at the same time when you think through an event to determine if your organization has had a breach. For example: Is a security incident always a beach? Is an ePHI breach a security incident as well? Is a cybersecurity event always a breach? What if it does not steal any clinical information, diagnoses or procedures information, or any payment information? A security incident? Or both? Are all the necessary kinds of notice in the Breach rule? What is Cybersecurity Insurance? Is it really the finger in the dike or itself full of Swiss cheese? Can the loss of patient or member data be a HIPAA breach and identity theft plus a fraud issue? Why should you Attend: HIPAA breaches now number in the multiple thousands, if not multiple millions. Your organization needs to be prepared for the initial sense of panic, a complete investigation, and the federal, state and reputational costs of a mega breach. A breach now costs in money approximately $225/record. And this does not include any fine of any type. The loss and theft of 1000 records may cost you organization from a quarter to $1 M, or more, and 6 months to a year to resolve. You need to know the basics of what PHI and ePHI really are; what puts the event into the breach safe harbor, what breach exceptions keeps the event out of OCR's hands, what the 4 factors are and how they are used. You need to know that your organization's breach plan and your policies and procedures include the need to notify when necessary the police, the FBI and other state and federal organizations beyond the Office for Civil Rights. Your organization needs to know how to protect itself after the fact by considering Cybersecurity Insurance. Areas Covered in the Session: Definition and reporting of a Security Incident Definition of a breach Breach Guidance Br

Overview: The primary goal of this session is to demonstrate why the health care organization needs to perform a risk assessment and how to perform the risk assessment. This includes a description of the types of breaches of protected health information that have already occurred and the reasons those breaches happened. The presentation then provides that reasons that a risk assessment is required in a health care organization and who needs to perform the assessment. There are a number of approaches available both for purchase on the web and performed by professionals on site. This discussion helps the participant determine which approach is best for their health care organization and what portions of the assessment are most important to the organization. The topic addresses the key components of a risk assessment and how to perform the risk assessment. This includes how to define the specific risks, how to know, how to assess the likelihood and impact of the risk and the final determination on the level of severity of the risk for the organization. Finally, the session explains how to interpret the results of the risk assessment, how to use the results of the risk assessment for preparing the health care organization's policies and procedures and how to conduct the HIPAA training for its staff. Why should you attend: In addition to the negative publicity and potential fines, a breach of a patient's health information often leads to litigation which is also time consuming and costly. The way to avoid these situations is to perform a Risk Assessment to understand where the health care organization is risk of an unauthorized breach and provide a basis for becoming HIPAA compliant. There are three reasons why a Risk Assessment is necessary: First, both the HIPAA Privacy and Security Regulations require a Risk Assessment for the organization to be HIPAA compliant Second, as a result of the Risk Assessment the organization knows where it needs to address its effo

Medical coding audits are essential for healthcare providers aiming to optimize revenue cycle management, ensure compliance with coding guidelines, and minimize risks.

Overview: Hospital chargemasters are complex and represent a key component for the revenue cycle of hospitals. Chargemasters are intertwined with coding for services, billing for services, charging for services and even involve the cost reporting process. A myriad of decisions must be made concerning how the chargemaster is organized, impacts on coding and billing, charge structuring, cost accounting, and other processes within the revenue cycle. Whenever decisions are made, policies and procedures should be developed, approved and implemented. A proper system of billing and chargemaster policies and procedures can help to maintain an appropriate compliance stance in a world where ambiguous guidance is often the norm. The development of charges and charge structuring within the chargemaster is a major issue often referred to as transparent pricing. While even the Medicare program maintains that hospitals should charge for everything, the way in which charges are set and amalgamated at the claim level can vary significantly between hospitals. A key issue for the chargemaster is differentiating separately charging from separately reporting. The way in which hospitals make decisions about the bundling of charges at the line-item level within the chargemaster leads to many decisions, all of which need justification through proper policies and procedures. Due consideration must be given to departmental concerns about revenue generation, cost reporting implications, coding implications and any associate challenges with billing and claims filing. Why should you Attend: See Typical Questions - Here are some reworded marketing questions: Why are the chargemaster and hospital billing targets of compliance audits? How should we prioritize statutory and contractual compliance for the chargemaster and billing process? Will chargemaster and associated billing policies and procedures give us protection relative to compliance? How should we develop a system of chargemaster po

Methodist health system has managed to recover from the pain points of revenue cycle management with automation. Medical billing services and the overall healthcare delivery can improve in return if progressed in the same manner.

Healthcare professionals who used to manage medical bills in-house would understand the difference between in-house and outsourcing medical billing services quite explicitly.

Maintaining the accuracy of claims is tough, especially, when you have to manage the bulk of data at the same time. Therefore, outsourcing billing services to professionals is the best choice to avoid billing inconvenience or financial complexity.

Maintaining the accuracy of claims is tough, especially, when you have to manage the bulk of data at the same time. Therefore, outsourcing billing services to professionals is the best choice to avoid billing inconvenience or financial complexity.

A seamless flow of money is crucial to a medical practice, and it all starts with these two health IT personnel: medical billers and coders. Let's read a bit about them.

Medical billing services hire both professionals to carry out an effective revenue cycle management process on behalf of healthcare providers. Theoretically speaking, both professions require the professionals to read, interpret, and comprehend Electronic Health Records (EHRs) and doctors' notes. Hence, their education in science is a must.

We associate blockchain with cryptocurrencies like bitcoin which isn't wrong. However, blockchain is a database management system which works systematically saving data sequentially and openly. The information is available to the public following that network. Moreover, you will hear the word "digital ledger" when it comes to blockchain technology. "It means it is a shared record keeping system in which peer-to-peer transactions occur and are saved in the form of blocks."

Technology expedites healthcare delivery so that maximum help reaches the afflicted in minimum time. To aid the process of emergency response and management.

Friendly advice is to seek professional help at the earliest after finding in yourself the initials signs of depression. As soon as one is diagnosed, we are on our way towards recovery. A diagnosis is the first step of the healing ladder. My immediate support took me to a therapist in my teens and later to a psychiatrist when things got out of control.

Believe it or not, each step taken, each system constructed, and new strategies adopted by the medical billing services influence revenue management. They can either make it or break it.

If there is a difference in numbers on documents and accounts, you need to review and check for discrepancies in the revenue cycle management, especially the accounts receivable. Avoid the following four major pitfalls and generate revenue consistently.

Medical Billers and coders are required for the proper management of the workflow. It would not be wrong to call the billing experts the "bloodline of medical practice". Even though, finding an expert is a hard task. It is why many doctors have availed the medical billing services in the USA.

Medical coding has a great share in ensuring the quality of medical claims. The more accurately claims are compiled, the easier it is to timely send them to the payers and get reimbursements.

An audit prevents the billing system from inconsistencies and helps put measures in place to safeguard the system from malicious viruses and unauthorized access. Many errors can be avoided only via a medical record audit.