The HIPAA Journal

MAY 21, 2025

CA Health Plan 12,224 Unauthorized Access/Disclosure Mailing incident involving mailing vendor (Billing Documents Specialists) Shipping labels contained Social Security numbers. Hackers exploited vulnerabilities in its PACS and gained access to sensitive patient data and medical images.

Business Associate 77

Business Associate HIPAA Hospital Insurance 77

Health Populi

JUNE 24, 2020

Whether healthcare spending in 2021 increases by double-digits or falls by one-third directly depends on how the coronavirus pandemic will play out over the rest of 2020, based on PwC’s annual report on medical cost trends for 2021. ” A high scenario of medical trend calculates a 10.0%

Insurance 112

Insurance Hospital Medication Documentation 112

Relias

APRIL 28, 2022

Many participants have a role to play in the revenue cycle, and at each stage they must employ their specialized knowledge of how that patient interaction and service is documented in the patient’s health record. How Clinical Documentation Integrity Affects Revenue. How Clinical Documentation Integrity Affects Revenue.

Documentation 52

Documentation Hospital Patient Experience Billing 52

Health Populi

FEBRUARY 3, 2021

have been self-rationing medical care for many years, well before any of us knew what “PPE” meant or how to spell “coronavirus.” adults had problems paying medical bills, largely delaying care due to cost for a visit or for prescription drugs. Fast-forward to 2020, a few months into the pandemic in the U.S.:

Medication 71

Medication Appointments Scheduling Documentation 71

The HIPAA Journal

MAY 13, 2025

Netgain Technology has agreed to settle consumer data breach litigation filed in response to a 2020 ransomware attack and data breach. A ransomware group gained access to Netgains environment between September and December 2020 and deployed ransomware on November 24, 2020. Netgain will establish a $1.9

HIPAA 78

HIPAA Documentation Medication 78

Scrubs

APRIL 20, 2023

According to the State of The World’s Nursing 2020 Report, nursing occupies the largest chunk of the healthcare domain. It accounts for approximately 59% of medical professionals. It also brought to light new medical innovations to address the crisis. Altogether, there are close to 27.9 million nurses, and 19.3

Tests 130

Tests Patient Care Documentation Hospital 130

Phlebotomy Careers

JUNE 30, 2025

Introduction Las‍ Vegas⁤ is not just‌ famous for its entertainment ⁢and hospitality industries-it’s also a growing hub⁣ for healthcare services⁤ and medical facilities. As the demand for qualified phlebotomists continues to rise, many healthcare providers in las Vegas are actively recruiting professionals to join their teams.

Certification 40

Certification Diagnostics Sterilization Hospital 40

Health Populi

FEBRUARY 8, 2021

Health Populi’s Hot Points: Everyone of Manatt Health’s ten imperatives are spot-on in this moment as we segue from Our Covid Year of 2020 to the Covid Year of 2021. Given the emergence of the virus variants emerging all over the world, we know our pandemic lifestyles, workstyles, school-styles, et al.,

Long Term Care 133

Long Term Care HIPAA Diagnostics Documentation 133

Health Populi

OCTOBER 22, 2024

Let’s start with the pocketbook of the patient — now a key payer in health systems’ revenue cycle management processes on the health system side, and continuing challenge for medical debt for U.S. PwC’s 2024 U.S.

Appointments 62

Appointments Follow-Up Documentation Medication 62

The Healthcare Blog

DECEMBER 18, 2024

Instead of shopping for care, consumers found themselves saddled with almost $200 billion in medical bills they could not pay, and hospitals and physicians ended up eating most of it. These firms used AI driven machine learning to analyze and process the flow of hundreds of billions of dollars in medical claims.

Insurance 57

Insurance Hospital Follow-Up Medication 57

Valant

FEBRUARY 1, 2024

New mental health medications are often more effective, while also offering fewer and/or less severe side effects. It is important for prescribers and other mental health professionals to stay informed about the latest medications so they can share the information with colleagues and make the right decisions for patients.

Medication 52

Medication Billing Communication Patient Education 52

Health Populi

APRIL 14, 2021

In the summer of 2020, four months into the pandemic, one-half of people living in the U.S. The last chart here, labeled Figure 7, details pandemic mental health impacts by demographic group in terms of people who may have needed mental health services or medications but did not receive them.

Documentation 104

Documentation Medication 104

Mobius MD

JULY 8, 2024

Many physicians use speech-to-text medical dictation software to save time on clinical notes. You need an easy-to-use dictation software that understands medical terminology and sends dictations directly from your iPhone or Apple computer to the patient chart. But in exchange, you will eliminate hours of documentation time each week.

Documentation 52

Documentation Medical Terminology Medication 52

Health Prime

JULY 27, 2023

Prior authorizations (PAs) play a crucial role in medical billing, ensuring that healthcare providers receive efficient and proper reimbursement for the services and treatments they provide. It involves obtaining approval from insurance companies before a specific procedure, treatment, or medication is administered.

Documentation 52

Documentation Insurance Follow-Up Communication 52

ACMA Blog

OCTOBER 8, 2024

The goal of PAs is to ensure patients receive the most appropriate care for their medical needs in agreement with the most up-to-date medical evidence and guidelines 1. Prior authorizations can be very time-consuming, as they require documentation and paperwork from healthcare providers to show why the patient would need the treatment.

Medication 40

Medication Insurance Documentation Follow-Up 40

Physicians Practice

JUNE 9, 2025

Physicians, whether in small practices or employed by hospitals, face a daunting challenge when trying to get a payer to approve a medication, procedure or imaging study. I sent them articles from the medical literature that confirmed the office procedure had outcomes equivalent to the surgical procedure.

Billing 52

Billing Communication Documentation Patient Satisfaction 52

The HIPAA Journal

DECEMBER 24, 2022

For example, if a covered entity has been denying patients the right to obtain copies of their medical records, and had been doing so for a period of one year, the OCR may decide to apply a penalty per day that the covered entity has been in violation of the law. Florida Medical Clinic Worker Sentenced to 48 Months in Jail over Theft of PHI.

HIPAA 124

HIPAA Business Associate Follow-Up Medication 124

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. While insurers prefer more descriptive ICD-10 codes, mental health practitioners should not list something specific if the patient’s medical record cannot support the diagnosis.

Diagnostics 97

Diagnostics HIPAA Insurance Medication 97

The HIPAA Journal

APRIL 27, 2025

The following three years saw similar numbers of financial penalties; however, there was another major increase in HIPAA fines in 2020 when 19 HIPAA violation cases were settled with OCR. The 2020 increase is largely due to OCR’s HIPAA Right of Access enforcement initiative, which was launched in late 2019.

HIPAA 81

HIPAA Business Associate Hospital Medication 81

Arkenea

OCTOBER 17, 2024

Key Takeaway: EHR software is designed primarily for the documentation and management of patient clinical information, while PM software is designed for the administrative functions of healthcare practices. The clinical side of hospitals and offices is managed by Electronic Medical Records (EMR) software.

Documentation 52

Documentation Billing Appointments Medical History 52

Relias

AUGUST 11, 2022

Medical billing and coding are two of the most important factors of the revenue cycle, yet the importance of coding accurately is often not monitored, assessed, or facilitated as much as it should be. Accurate medical coding leads to clean claims, prompt reimbursements, and a positive bottom line. What is the Revenue Cycle?

Medical Coding 52

Medical Coding Documentation Billing Insurance 52

Mobius MD

SEPTEMBER 5, 2024

It’s excellent news that burnout rates dropped for the first time since 2020. While burnout often improves with rest or positive workplace changes, depression is a medical diagnosis requiring treatment with therapy or medication. Documentation is still a significant stressor for physicians.

Documentation 59

Documentation Diagnostics Scheduling Medication 59

Relias

JUNE 6, 2024

Good nursing leadership improves patient outcomes, reduces medical errors, and improves staff retention — benefiting patients and healthcare organizations. While the definition of leadership in nursing often includes qualities such as being encouraging, inspirational, and supportive, effective styles may vary and evolve over time.

Unit Organization and Environment 98

Unit Organization and Environment Huddles/Rounds Patient Safety Patient Care 98

Health Prime

JULY 27, 2023

Prior authorizations (PAs) play a crucial role in medical billing, ensuring that healthcare providers receive efficient and proper reimbursement for the services and treatments they provide. It involves obtaining approval from insurance companies before a specific procedure, treatment, or medication is administered.

Documentation 40

Documentation Insurance Follow-Up Communication 40

The Healthcare Blog

APRIL 2, 2024

If true, this would still be between double and triple the size of Permanente Medical Groups. Optum’s medical group acquisition strategy to date has targeted independent (e.g. non-hospital) medical groups with significant at-risk (e.g. An educated guess would be that Optum employs from 45 to 60 thousand physicians.

Tests 132

Tests Hospital Insurance Follow-Up 132

ACMA Blog

OCTOBER 16, 2023

INTRODUCTION: The prior authorization (PA) process is critical in providing some patients with their medically necessary products. It is the insurance or payers’ way of controlling costs by approving or denying certain medications, procedures, or devices that may not usually be covered or is on a higher tier on the formulary.

Medical Assistant 40

Medical Assistant Documentation Certification Medical Coding 40

ACMA Blog

JUNE 25, 2024

Engagement in Prior Authorization: Duties and Training INTRODUCTION: The prior authorization (PA) process is critical in providing some patients with their medically necessary products. It ensures that what the patient receives is medically appropriate for their situation.

Medical Assistant 40

Medical Assistant Documentation Insurance Certification 40

Relias

FEBRUARY 1, 2023

It will be imperative for medical practices and organizations to focus on their billing and denial management to maximize revenue in 2023,” noted Cristy Good, MPH, MA, senior industry advisory and coding expert at MGMA. It’s not unusual for medical practices to lose 5 to 10% of their A/R due to denials, bad debt or other factors.

Insurance 10

Insurance Billing Documentation Hospital 10

NHA Now

AUGUST 11, 2020

The top three most important soft skills for billing & coding specialists are professionalism, dependability , and critical thinking , according to a recent survey of employers for our 2020 Industry Outlook. You're often dealing with a lot of information, or conversely, you could be missing documentation.

Billing 52

Billing Critical Thinking Insurance Certification 52

Arkenea

DECEMBER 2, 2024

Med tracker is one of the vial patient portal examples as it effectively manages medications. It not only offers a history of prescriptions and medications but also alerts providers in case of improper drug-drug interactions. The Covid-19 pandemic accelerated the use of technology in the healthcare industry.

Appointments 52

Appointments Scheduling Billing Communication 52

NHA Now

APRIL 22, 2020

Medical offices and hospitals rely on electronic health records (EHRs) to securely and accurately document patient information. They depend on these systems to organize patient data, medical records, and treatment histories. In fact, we're releasing a new CEHRS exam in June 2020.

Certification 52

Certification Patient Satisfaction Best Practices Patient Safety 52

Arkenea

JANUARY 25, 2025

Key Takeaways A need to control substance usage and reduce medication errors is driving the e-prescribing market growth during the 2023-2030 timeframe. Online medication orders, refills, and reminders help such patients to keep a track of their health care. Around 75 percent of medication errors have occurred due to distraction.

Transfers 52

Transfers Medical History HIPAA Follow-Up 52

Healthcare Law Insights blog

AUGUST 8, 2023

For purposes of this subsection, a clinical affiliation does not include a collaboration on clinical trials or graduate medical education programs. OCHA will notify the submitting party if confidential treatment is granted and will maintain all documents and information for which such treatment is granted as confidential.

Documentation 52

Documentation Follow-Up Acute Care Transfers 52

Medical Advantage

MARCH 8, 2024

Practice management: Provides a single real-time medical billing dashboard to track all claim and appointment-related tasks, helping to maintain schedule density and optimize practice operations. athenaOne: Simplifies delivery of quality care with customizable documentation templates.

Appointments 52

Appointments Billing Scheduling Patient Care 52

Minority Nurse

MARCH 19, 2024

million from March 2020 to February 2021. Today, she is an assistant professor at UMass Chan Medical School and its Tan Chingfen Graduate School of Nursing in Worcester, Massachusetts , and a senior telehealth consultant with Blue Cirrus Consulting, Greenville, South Carolina. Numbers skyrocketed from 2.1

Admissions 59

Admissions Collaboration Discharges Transfers 59

Arkenea

JANUARY 3, 2025

Key Takeaway Electronic Health Records (EHRs) have revolutionized nursing documentation, making it more efficient, accurate, and accessible. Robotics and automation technologies are transforming nursing workflows and patient care delivery, such as medication administration, wound care, and rehabilitation.

Patient Care 52

Patient Care Vital Signs Communication Hospital 52

Healthcare Law Insights blog

NOVEMBER 10, 2023

Addressing medical necessity, patient safety, and other quality compliance issues when conducting risk assessments. Ensuring that proper supporting documentation is maintained, and regular legal reviews are conducted. Implementing a program for compliance audits and reviews of quality and patient safety incidents.

Patient Safety 59

Patient Safety Billing Huddles/Rounds Best Practices 59