HIPAA Journal

APRIL 8, 2022

Advanced Medical Practice Management Sends Notification Letters About July 2021 Cyberattack and Data Theft Incident. The New Jersey medical billing administrator, Advanced Medical Practice Management (AMPM), has recently announced it was the victim of a cyberattack that involved the data of several of its healthcare provider clients.

Medical Billing 122

Medical Billing Licensing Health Insurance Medicaid 122

Center for Health Insurance Reform

JANUARY 7, 2022

As we enter 2022, consumers are now protected from many of the worst surprise medical bills. Continue reading → The post The New Year Brings New Protection Against Surprise Medical Bills: What Consumers Need to Know appeared first on Center on Health Insurance Reforms.

Medical Billing 81

Medical Billing Health Insurance Hospitals 81

Health Populi

DECEMBER 5, 2019

Workers covered by health insurance through their companies spend 11.5% of their household income on health insurance premiums and deductibles based on The Commonwealth Fund’s latest report on employee health care costs, Trends in Employer Health Coverage, 2008-2018: Higher Costs for Workers and Their Families.

Health Insurance 109

Health Insurance Medical Billing 109

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. And all this confusion has real-world consequences on health care consumers. “And They don’t know what they owe and to whom. The High Stakes.

Medical Billing 105

Medical Billing Payment Systems Health Insurance HIPAA 105

HIT Consultant

SEPTEMBER 19, 2023

A staggering 71% of consumers find the process of reconciling billing issues between their health insurer and healthcare provider to be stressful, and 4 in 10 will withhold payment if they cannot comprehend the administrative procedures.

Medical Billing 110

Medical Billing Health Insurance Hospitals 110

Health Populi

FEBRUARY 12, 2024

Those with medical debt in the U.S. Health Populi’s Hot Points: Having health insurance in the U.S. is no guarantee of being safe from medical debt exposure. ” Here we see that among people who have health insurance in the U.S.,

Medical Billing 122

Medical Billing Health Insurance Doctors Health Care Access 122

Compliancy Group

JANUARY 3, 2024

One of the most common ways for providers and healthcare organizations to run afoul is to incorrectly or illegally bill and code for services or supplies. No matter the intent, noncompliance in medical billing can have severe consequences. It pays to know the law and avoid temptations to cut corners.

Medical Billing 52

Medical Billing Compliance ACA Health Insurance 52

Center for Health Insurance Reform

FEBRUARY 28, 2022

Unpaid medical bills are among the largest contributors to personal debt in the United States. Evidence indicates that medical debt disproportionately affects people of color and individuals with lower incomes.

Medical Billing 131

Medical Billing Health Insurance 131

Health Populi

SEPTEMBER 4, 2018

Most Americans have been surprised by a medical bill, a NORC AmeriSpeak survey found. Nearly all Americans (86% net responsible) first blame health insurance companies, followed by hospitals (82%). Who’s responsible? I included this image from Tom’s Shell petrol station in that first post. Plus ça change.

Medical Billing 47

Medical Billing Health Insurance Doctors Hospitals 47

Medisys Compliance

NOVEMBER 16, 2023

Introduction Efficient medical billing is a critical aspect of managing a successful podiatry practice. Podiatrists, specializing in foot and ankle health, often face unique challenges in navigating the complex landscape of medical billing. This can reduce stress and burnout.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Patient Satisfaction Health Insurance 59

Health Populi

FEBRUARY 24, 2020

Prioritizing the digital health experience, with financial health baked into the front-end and not just the back-end bill payment and ex post facto EOB from the health plan will help reverse this era of eroding trust between patient and hospital.

Medical Billing 96

Medical Billing Patient Satisfaction Hospitals Doctors 96

Health Populi

MAY 5, 2019

This is what rationing health care looks like in America: one in two people in families dealing with a chronic health condition have difficulty affording paying medial bills before meeting a deductible, unexpected medical bills, co-payments for prescription drugs, co-payments for physician visits, and/or their monthly health insurance premium.

Health Insurance 98

Health Insurance Medical Billing Governance 98

Health Populi

FEBRUARY 1, 2022

consumers are facing historically high levels of inflation for household spending on food, petrol, and home goods, health consumers will be dealing with greater out-of-pocket spending based on health insurance forecasts such as this latest one from Segal. For more on health care costs facing U.S.

Medical Billing 62

Medical Billing Health Insurance Hospitals 62

HIT Consultant

OCTOBER 21, 2024

Charlie Byrge, Senior Vice President of Tendo Surprise medical bills can be a major headache for anyone, but they can be annoyingly common for those with high-deductible health insurance plans (HDHPs). However, these plans can leave patients on the hook for unexpected medical costs that they may not be able to afford.

Health Insurance 52

Health Insurance Medical Billing Doctors Hospitals 52

Medisys Compliance

JUNE 23, 2024

Introduction In the ever-evolving landscape of healthcare, compliance with the Health Insurance Portability and Accountability Act (HIPAA) is crucial for protecting patient information and maintaining trust. Enacted in 1996, HIPAA is a federal law designed to safeguard patient health information (PHI) from fraud and abuse.

Medical Billing 45

Medical Billing HIPAA Compliance US Department of Health and Human Services 45

Center for Health Insurance Reform

FEBRUARY 10, 2023

In the first month of 2023, CHIR reviewed studies on how policies expanding health coverage would impact household spending, surprise medical bills generated by ground ambulance rides, and health care costs associated with substance use disorders.

Medical Billing 94

Medical Billing Health Insurance Medicaid Medicaid 94

Healthcare IT Today

JANUARY 9, 2024

“Even with good health insurance, both my Co-Founder and I have received unexpected medical bills for thousands of dollars over the years,” said Kevin Chiu , Co-Founder and CEO. ” To learn more about Certainly Health and its initiatives, please visit certainlyhealth.com.

Doctors 126

Doctors Health Insurance Medical Billing 126

Center for Health Insurance Reform

OCTOBER 20, 2022

The No Surprises Act (NSA) aims to protect consumers facing surprise medical bills after receiving care from out-of-network providers under circumstances beyond their control. In a new report for the Commonwealth Fund, CHIR experts look at how states are working with the federal government to implement this landmark law.

Medical Billing 93

Medical Billing Health Insurance Governance 93

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.

Health Insurance 62

Health Insurance Medical Billing 62

Medisys Compliance

OCTOBER 19, 2022

Understanding the concept of Mental Health Medical Billing. Medical billing include submitting claims for the patient’s healthcare services. Medical billing for behavioral health may be more challenging than for other healthcare specialties due to the specialty’s complexity.

Medical Billing 105

Medical Billing Medical Billing Outsourcing Medical Billing Services Health Insurance 105

Medisys Compliance

AUGUST 31, 2022

With the increase in the cases it is difficult for the medical practitioners to focus on the billing structure and then carry out the paperwork. It is a tedious task and it calls for a lot of hours to be put into so it is better to hire a medical billing company. Health billing for the behavioral industry.

Medical Billing 98

Medical Billing Medical Billing Services Medical Billing Outsourcing Doctors 98

Center for Health Insurance Reform

JULY 15, 2022

The No Surprises Act (NSA) went into effect this year, providing new protections against surprise medical bills for patients who receive unanticipated out-of-network care. In the newest iteration of the map, CHIR added updates on state payment determination mechanisms and protections against surprise ground ambulance bills.

Medical Billing 94

Medical Billing Health Insurance 94

Health Populi

JUNE 26, 2023

People love being health-insured, but their negative experiences with health plans create serious burdens on patients-as-consumers. The 2023 Kaiser Family Foundation Survey of Consumer Experiences with Health Insurance updates our understanding of and empathy for insured peoples’ Patient Administrative Burdens (PAB).

Health Insurance 62

Health Insurance Doctors COVID-19 Medical Billing 62

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 .

Medical Billing 98

Medical Billing Medical Billing Outsourcing Doctors Fraud 98

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

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.

Telemedicine 172

Telemedicine Medical Billing Health Insurance Hospitals 172

Health Populi

JUNE 20, 2022

When high-deductible health plans became part of health insurance design in America, they were lauded as giving patients “more skin in the game” of health care payments. “Instead, they’ve faced thousands of dollars in bills as health insurers shifted costs onto patients through higher deductibles.”

Medical Billing 124

Medical Billing Health Insurance ACA 124

Health Populi

AUGUST 2, 2021

Health Populi’s Hot Points: While having health insurance is better than being uninsured, people in the U.S. who receive coverage through the workplace are still quite concerned that they are but one diagnosis away from bankruptcy — specifically, medical bankruptcy.

Doctors 133

Doctors COVID-19 Health Insurance ACA 133

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.”

Health Insurance 118

Health Insurance Medical Billing Licensing HIPAA 118

Kaiser Health News

APRIL 16, 2024

As a result, the lawsuit alleges, consumers lost access to their doctors or medications and faced financial costs, such as owing money toward medical care or having to repay tax credits that were paid toward the unauthorized coverage. Some consumers were switched multiple times or had duplicative policies.

ACA 141

ACA Health Insurance Governance Medical Billing 141

HIPAA Journal

FEBRUARY 23, 2022

A review of the files on the affected server revealed they contained patient information including names, addresses, medical record numbers, dates of birth, telephone numbers, email addresses, insurance claim information, date(s) of service, treating/referring physician, medical bill account number, and/or health insurance informa­tion.

Electronic Medical Records 139

Electronic Medical Records HIPAA Health Insurance Medical Billing 139

HIPAA Journal

MARCH 11, 2022

Hackers gained access to a single file server housing files that contained patients’ protected health information such as names, contact information, insurance claim information, date(s) of service, medical bill account number, and health insurance informa­tion.

HIPAA 120

HIPAA Health Insurance Medical Billing Fraud 120

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. 50% want clearer, easier-to-understand medical bills.

Medical Billing 97

Medical Billing Doctors Medicare Medicare 97

Health Populi

SEPTEMBER 12, 2018

Accenture developed a healthcare system literacy index to quantify the relationship between peoples’ understanding of how health insurance works and what a lack of understanding can cost the system. What does my doctor bill mean?” and “which doctor can I see?” deal with the in/out-of-network uncertainties.

Health Insurance 22

Health Insurance Doctors Medical Billing 22

Health Populi

MAY 30, 2022

Year 3 into the COVID-19 pandemic, health citizens are dealing with coronavirus variants in convergence with other challenges in daily life: price inflation, civil and social stress, anxiety and depression, global security concerns, and the safety of their families.

Medical Billing 105

Medical Billing COVID-19 Health Insurance 105

Health Populi

APRIL 28, 2021

Health care has increased its role in popular culture over the years. I look around and I see families devastated by medical bills and escalating prescription costs. No one should lose their livelihood, their home, their life because they can’t afford or understand the prices of their medical treatment.

Health Insurance 143

Health Insurance Medical Billing Health Care Access Public Health 143

Health Populi

FEBRUARY 26, 2020

Walmart, clearly, is growing its primary care and mental health service supply side, planning to replicate health centers across markets where it makes sense to do so… like in under-served areas where more people live without health insurance.

Hospitals 127

Hospitals Health Insurance Medical Billing 127