Healthcare IT Today

NOVEMBER 14, 2022

Employees get endless bills, statements and notices, but the information rarely adds up. Nor do they understand what’s been covered by health insurance and what hasn’t. How Billing Became a Broken System. And all this confusion has real-world consequences on health care consumers. “And The High Stakes.

Medical Billing 101

Medical Billing Payment Systems Health Insurance HIPAA 101

Health Populi

AUGUST 21, 2023

.” HealthEdge’s latest research into health consumers’ perspectives finds peoples’ satisfaction with their health insurance plans lacking, with members seeking easier access their personal health information, high levels of service, and rewards for healthy behaviors.

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Healthcare It News

OCTOBER 19, 2021

The companies say they will use automated processing, artificial intelligence and machine learning software on a cloud platform to digitize healthcare claims and improve the accuracy and timeliness of billing information. THE LARGER TREND. ON THE RECORD. Navigating the healthcare economy.

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Medical Billing Health Insurance 347

Health Populi

FEBRUARY 24, 2020

The key findings in the survey of 136 health care executives were that: Digital health tools are a priority for half of the health system leaders. The post Tools for Paying Medical Bills Don’t Help Health Consumers Manage Their Financial Health appeared first on HealthPopuli.com.

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Medical Billing Patient Satisfaction Hospitals Doctors 96

Medisys Compliance

JANUARY 30, 2023

The medical billing industry is a complex and ever-changing field, and it is crucial for healthcare providers and billing companies to stay compliant with government regulations. State Laws: In addition to federal laws, medical billing companies and healthcare providers must also comply with state laws and regulations.

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Compliance Medical Billing Medical Billing Outsourcing HIPAA 52

HIT Consultant

OCTOBER 5, 2023

T EXPECTATION: Patients have a thorough understanding of their own medical coverage. REALITY: Common health insurance terms such as “in-network,” “deductible,” and “copay” are used so frequently in medical practices that they are recognized and understood immediately by staff.

Medical Billing 111

Medical Billing Health Insurance 111

Kaiser Health News

APRIL 16, 2024

In turn, sales agents used the information to either enroll them in ACA plans or switch their existing policies without their consent. Armed with that information, sales agents then changed her ACA coverage and the agent listed on it five times in just a few weeks, dropping coverage of her son along with way, all without her consent.

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ACA Health Insurance Governance Medical Billing 141

Medisys Compliance

SEPTEMBER 9, 2022

Medical billing errors are simple to make but have a significant impact on the overall revenue of the healthcare organization. Optometry medical billers deal with a variety of problems, including returned claims, denied claims, rejected invoices, improper coding, and insufficient data. Insurance Legibility. Wrapping Up .

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Medical Billing Medical Billing Outsourcing Doctors Fraud 98

Health Populi

JULY 24, 2023

Health Populi’s Hot Points: That’s a lot of “free” for $39.99 in any one’s definition of value-based health care — most especially, a consumer’s. ” A: “Nope — insurance isn’t needed or accepted.”

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Health Insurance Medical Billing Licensing HIPAA 118

Medisys Compliance

JANUARY 21, 2024

Introduction The mental health omnibus bill, recently passed by Congress, marks a significant milestone in improving access to mental healthcare in the United States. Understanding the Bill and its Implications The mental health omnibus bill encompasses a multitude of provisions aimed at bolstering mental health resources and services.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

APRIL 24, 2024

Introduction As a behavioral health provider, protecting your patients’ privacy must be your top priority. The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that safeguards the privacy of individuals’ health information, including mental health and substance abuse treatment records.

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HIPAA Compliance Medical Billing Outsourcing Medical Billing 59

Health Populi

JUNE 24, 2024

He called out that, “In recent years, however, medical bills became the most common collection item on credit reports. For this research, Kantar conducted online surveys among employers (1,201 companies) and employees (2,000 workers) in June 2023. Looking forward even further out a decade to 2034, the U.S.

Medical Billing 62

Medical Billing COVID-19 Health Insurance Medicaid 62

HIPAA Journal

FEBRUARY 8, 2023

Sharp HealthCare in San Diego has recently notified almost 63,000 patients that some of their personal and protected health information has potentially been stolen in a recent cyberattack on its web server. Credit monitoring services are not being offered due to the limited nature of the stolen information.

Medical Billing 115

Medical Billing HIPAA Health Insurance 115

Medisys Compliance

JULY 11, 2022

The Consolidated Appropriations Act of 2021 established several new requirements to protect consumers from surprise medical bills. These requirements generally apply to items and services provided to consumers enrolled in group health plans, group or individual health insurance coverage, and Federal Employees Health Benefits plans.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Health Insurance Medicaid 52

HIPAA Journal

FEBRUARY 23, 2022

Logan Health Medical Center in Kalispell, MT, has recently started notifying certain patients that hackers gained access to a file server that housed patient information in “a highly sophisticated criminal attack.”. The intrusion was limited to a single file server and its electronic medical records were not compromised.

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Electronic Medical Records HIPAA Health Insurance Medical Billing 143

Medisys Compliance

JULY 30, 2024

Staying informed about these rates and negotiating with payers can optimize your revenue. Staying Up-to-Date with Billing and Coding Regulations Mental health billing regulations are complex and frequently updated. Staying informed about changes in billing rules, such as those related to telehealth services, is crucial.

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Medical Billing Outsourcing Medical Billing Compliance HIPAA 59

HIPAA Journal

MARCH 11, 2022

District Court for the District of Montana Great Falls Division by law firm Heenan & Cook on behalf of plaintiff Allison Smeltz and all similarly affected individuals over the alleged failure of the health system to protect the plaintiff’s and class members’ sensitive personal information.

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HIPAA Health Insurance Medical Billing Fraud 135

HIT Consultant

NOVEMBER 1, 2022

– With the Payer Intelligence Layer, Cedar can now integrate data from health insurers and healthcare providers to help create a single source of information for consumers managing medical bills. Delivering Real-Time Access to Medical Bills Via An Integrated Payer-Provider Billing Platform.

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Medical Billing Health Insurance 52

Health Populi

OCTOBER 26, 2023

The latest read from ONC, the Office of the National Coordinator for Health IT, tells a story about patients’ growing use of online portals, medical records, and smartphone apps to access personal health information. So what are patients most keen to access online in their medical records or portal?

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Medical Billing Health Insurance Electronic Medical Records 103

Physician Credentialing Company

OCTOBER 25, 2024

In the medical billing field, Current Procedural Terminology (CPT) codes refer to the universal code that is used by healthcare providers to report and bill their rendered services. In this article, we will discuss detailed information regarding what the 90834 CPT code means, who can assign it, and the services covered by it.

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Physician Credentialing Company

NOVEMBER 4, 2024

Diagnosis, treatment and follow-ups are billed using the specific billing codes. These codes are used in medical bills to get reimbursement from the insurance companies. In this article, we will learn the basics of oncology medical billing and its necessary billing guidelines.

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Medical Billing Medicare Medicare Telemedicine 52

Health Populi

OCTOBER 15, 2019

These study respondents had also visited a doctor or hospital and paid a medical bill in the past year. One-third of these patients had a health care bill go to collections in the past year, according to Cedar’s 2019 U.S. Just over one-half receive this information on a patient portal, and 34% via email.

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Medical Billing Doctors Medicare Medicare 97

Health Populi

AUGUST 2, 2021

This has raised the importance of price transparency, which is based on the hypothesis that if patients had access to personally-relevant price/cost information from doctors and hospitals for medical services, and pharmacies and PBMs for prescription drugs, the patient would behave as a consumer and shop around.

Doctors 133

Doctors COVID-19 Health Insurance ACA 133

HIPAA Journal

DECEMBER 29, 2022

Southwest Louisiana Health Care System, Inc. has confirmed that the protected health information of up to 269,752 patients of Lake Charles Memorial Health System has been compromised. The Palm Springs, FL-based federally qualified health center, FoundCare Inc., Some Social Security numbers were also compromised.

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Ransomware Health Insurance Licensing Medical Billing 110

Jane Sarashon

MAY 18, 2023

consumer credit rating companies — Equifax, Experian and TransUnion — planned to remove medical bill collections that were under $500 from consumers’ credit reports. And, over one-half of patients have also sought information about medical bills. On April 11, 2023, three of the largest U.S.

Medical Billing 52

Medical Billing Health Insurance Doctors Hospitals 52

Medisys Compliance

MARCH 23, 2023

About Medisys Data Solutions Medisys Data Solutions is a leading medical billing outsourcing company providing medical coding, billing, revenue cycle management, accounts receivable management, and provider credentialing services. The claim form is typically submitted electronically to the insurance company.

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Medical Billing Outsourcing Medical Billing Malpractice Health Insurance 52

Jane Sarashon

FEBRUARY 4, 2024

Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. According to the online Merriam-Webster dictionary , the first use of the phrase “health insurance” occurred in 1901. and ChatGPT.

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US Department of Health and Human Services Health Insurance Medicare Medicare 75

HIPAA Journal

JANUARY 25, 2023

Logan Health has agreed to settle a class action lawsuit related to a 2021 hacking incident that exposed the protected health information of 213,543 individuals. Under the terms of the settlement, Logan Health has agreed to create a fund of $4.3 million to cover claims from individuals affected by the breach.

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Medical Billing Fraud HIPAA Health Insurance 104

Medisys Compliance

NOVEMBER 6, 2023

This checklist outlines the key steps to achieve and maintain compliance: Patient Information Accuracy Verify that the patient’s name, date of birth, address, insurance information, and other demographic data are accurate and complete. Accurate patient information is the foundation of proper billing.

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Compliance Medical Billing Outsourcing Medical Billing ACA 59

AIHC

JANUARY 5, 2022

Written by: Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS As a result of the 2021 Consolidated Appropriations Act, several No Surprises Billing Act regulations went into effect on January 1, 2022, for providers, facilities and air ambulance services.

Medical Billing 52

Medical Billing Health Insurance Hospitals Medicare 52

Medisys Compliance

JUNE 7, 2022

The MSP provisions have protected Medicare Trust Funds by ensuring that Medicare does not pay for items and services that certain health insurance or coverage is primarily responsible for paying. The MSP provisions apply to situations when Medicare is not the beneficiary’s primary health insurance coverage.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Jane Sarashon

FEBRUARY 27, 2024

NABIP, whose members represent professionals in the health insurance benefits industry, drafted and adopted a new American Healthcare Consumer Bill of Rights launched at the meeting.

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ACA Prescription Drug Pricing Health Insurance Hospitals 118

Health Populi

DECEMBER 1, 2023

consumers say they can’t afford to pay their medical bills on-time, based on the 2023 Consumer Survey from Access One, a financial services company focused on healthcare payments. Furthermore, one-third of consumers are not confident they could pay a medical bill of $500 or more. Two-thirds of U.S.

Medical Billing 71

Medical Billing Governance Hospitals Health Insurance 71

Medisys Compliance

JULY 3, 2024

Data-Driven Decision Making Data-driven decision-making involves using detailed financial reports and data analysis to inform strategic choices. Implementing dashboards and automated reporting tools can help track performance and make informed decisions quickly.

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Medical Billing Outsourcing Compliance HIPAA Medical Billing 59

HIPAA Journal

JUNE 8, 2023

Peachtree Orthopedics said it cannot rule out unauthorized access to patient information. The group claims to have exfiltrated 194 gigabytes of data, including personal information and medical records and has threatened to publish the data if the ransom is not paid.

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Ransomware Hospitals Medical Billing HIPAA 98

Health Populi

FEBRUARY 20, 2020

health care system. As such, American health consumers are wrestling with sticker shock from surgical procedures, surprise medical bills weeks after leaving the hospital, and the cost of prescription drugs — whether six-figure oncology therapies or essential medicines like insulin and EpiPens.

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Telemedicine Medical Billing Health Insurance Hospitals 172

Medisys Compliance

APRIL 27, 2022

The Health Insurance Portability and Accountability Act (HIPAA) was introduced in year 1996. As the name suggests, it was created to ensure that all ‘protected health information’ was appropriately secured and restricted access to be given only to authorized individuals. that are used to store and send information.

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HIPAA Medical Billing Outsourcing Medical Billing Ransomware 52