The HIPAA Journal

JULY 9, 2024

The review of the affected files was not completed until June 13, 2024. Call 4 Health Issues Notifications About March 2024 Cyberattack Call 4 Health, Inc., Unauthorized network access was detected on May 6, 2024, and immediate action was taken to prevent further unauthorized access.

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Triage HIPAA Documentation Billing 123

Health Populi

FEBRUARY 27, 2024

That’s the mantra coming out of this week’s annual Capitol Conference convened by the National Association of Benefits and Insurance Professionals (NABIP). FYI you might know of NABIP by its former acronym, NAHU, the National Association of Health Underwriters).

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Billing Insurance Hospital HIPAA 141

The HIPAA Journal

MAY 2, 2024

Hackers gained access to the BioPlus network for more than 2 weeks between October and November 2021, and potentially stole names, dates of birth, contact information, health insurance information, prescription information, and Social Security numbers. The maximum claim permitted depends on whether Social Security numbers were compromised.

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Follow-Up HIPAA Best Practices Documentation 111

ACMA Blog

JULY 9, 2024

FTC Conducts Investigation into PBMs Because PBM practices lack transparency and accountability to the public, in 2022, the Federal Trade Commission (FTC) requested data and documents of business practices to the six largest PBMs: Caremark Rx, LLC, Express Scripts, Inc., July 9, 2024. May 23, 2024. OptumRx, Inc., Endpoints News.

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Insurance Patient Centered Care Medication Certification 98

Valant

DECEMBER 16, 2024

r/therapists offers advice on practice management, such as detailed discussions on handling insurance claims. Implementing community-sourced tips can streamline documentation and administrative processes, freeing up more time for direct client care. Members sometimes share anonymized cases to seek advice or discuss treatment options.

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Collaboration Continuing Education Documentation Insurance 52

The HIPAA Journal

APRIL 4, 2025

According to the substitute breach notice on its website, linked on the home page using the text For information on data security click here,” the hospital said unauthorized activity was identified on a limited number of devices on its network on or about April 2, 2024.

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Hospital Follow-Up Insurance HIPAA 69

Valant

JULY 25, 2024

Always document the actual time spent to ensure accurate billing. Insurance Considerations: Reimbursement varies by insurer, degree level of the provider, and age requirements (often 18 or 21). Some insurers may not reimburse for 90846, so verify with each insurance company.

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Billing Documentation Insurance Communication 52

19 Labs

JULY 8, 2024

This collaboration adds the ability to streamline how schools send and collect consent forms and other documents to the GALE platform. Redwood City, CA – July 9, 2024 Background of WellCheck WellCheck , founded by a second-grade teacher, initially developed a two-way notification platform for school lockdowns and emergency drills.

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HIPAA Diagnostics Medical History Communication 91

Healthcare Law Insights blog

FEBRUARY 24, 2025

However, the meaningful benefits requirement in the 2024 Final Rule imposes a benefits mandate, ERIC argues, exceeding the Departments statutory authority under MHPAEA. Throughout the 2024 Final Rule, the Departments indicate that they will issue further guidance on how plans should perform the comparative analysis.

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Certification Diagnostics Documentation Medication 52

Northwest Career College

APRIL 19, 2024

As we delve into the realm of the top medical billing software of 2024, you will discover a new set of tools that can empower you, as a medical billing and coding practitioner, to handle your billing responsibilities with increased confidence and efficiency. What is Medical Billing Software?

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Billing Medication Documentation HIPAA 40

MedCerts

APRIL 8, 2024

MS 2000: Microsoft Office Series I: This two-week course focuses on creating, editing and enhancing Word and Excel documents. Payscale notes that the average 2024 salary for pharmacy technicians is $40,762 and that of medical assistants (a closely related field) is $39,592. You’ll also learn to analyze data and perform calculations.

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Medication Medical Administrative Assistant Medical Terminology HIPAA 73

Valant

JANUARY 30, 2024

External Audit Requirements In the behavioral health field, audits involve a comprehensive examination of a practice’s compliance with regulations and standards, such as those from states and insurance providers. Compliance with audit requirements fosters trust and credibility with patients, insurers, and regulatory bodies.

Billing 52

Billing Documentation Follow-Up Best Practices 52

Valant

SEPTEMBER 30, 2024

It’s essential for mental health professionals and billing specialists to accurately use this code for proper documentation and reimbursement. Stay updated on the latest coding changes with our guide to 2024 ICD-10 updates. What is ICD-10? ICD-10 stands for the International Classification of Diseases, 10th Revision. Read More

Diagnostics 52

Diagnostics Billing Documentation Insurance 52

Valant

MARCH 20, 2024

Reduced revenue or profitability can be the result of missed billing opportunities, inefficient billing processes , or changes in insurance reimbursement rates, among other things. In addition, fluctuations in insurance coverage or changes in policies can lead to delays in reimbursements, or lower reimbursement rates for specific services.

Billing 52

Billing Communication Documentation Patient Satisfaction 52

Valant

JANUARY 16, 2024

Auto-generating narratives, check boxes, and the ability to pull material forward from a previous note all make it easier to capture and document info quickly. This means less time spent on documentation between sessions—a task which significantly contributes to most clinicians’ nonbillable hours.

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Patient Care Billing Documentation Appointments 52

The Healthcare Blog

APRIL 2, 2024

An ill-starred Optum subsidiary, Change Healthcare, which suffered a catastrophic $100 billion cyberattack on February 21, 2024 that put most of the US health system on life support, put its parent company Optum in the headlines. Some are returned to insurers other than United for which Optum Rx processes pharmaceutical claims.

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Tests Hospital Insurance Medication 132

Valant

MARCH 2, 2024

Training sessions should cover the steps involved in the billing cycle, from verifying patient insurance coverage to submitting claims to following up on denials. Training should also emphasize the importance of maintaining patient confidentiality and accurately documenting services provided.

Billing 52

Billing Documentation Follow-Up Insurance 52

Healthcare Law Insights blog

JANUARY 15, 2025

On December 27, 2024, the U.S. One 2024 cyberattack on a healthcare payment cycle management company caused severe disruption throughout the healthcare industry and is estimated to have resulted in the compromise of the ePHI of up to one third of the U.S. Attachments should be in Microsoft Word or Portable Document Format (PDF).

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HIPAA Business Associate Follow-Up Documentation 52

Valant

MARCH 1, 2024

Compliance with the Health Insurance Portability and Accountability Act ( HIPAA ) and other laws/regulations is mandatory. Getting on insurance panels (also known as insurance credentialing ) is an involved process that can sometimes take months and requires a lot of steps and paperwork.

Billing 52

Billing Patient Centered Care Follow-Up HIPAA 52

Healthcare Law Insights blog

MARCH 7, 2024

The Health Insurance Portability and Accountability Act (HIPAA) sets the national standard for protecting patient health information. A Balanced Approach to Innovation and Compliance: In the run-up to SXSW 2024, it’s clear that an exciting era of healthcare innovation is upon us.

Diagnostics 52

Diagnostics HIPAA Patient Safety Insurance 52

ACMA Blog

JUNE 25, 2024

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. Clinical Documentation Specialist (CDS): A CDS can help in the PA process by accurately documenting patient records.

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Medical Assistant Documentation Certification Medication 40

The HIPAA Journal

APRIL 27, 2025

In 2022 and 2024, OCR resolved 22 HIPAA violation cases with financial penalties. As of December 2024, OCR has settled or imposed civil monetary penalties in 51 HIPAA violation cases under this compliance initiative. OCR also announced in 2024 that the HIPAA compliance audit program will be recommencing imminently.

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HIPAA Business Associate Hospital Medication 85

Valant

MARCH 14, 2024

EHRs streamline these tasks by automating routine, repetitive processes such as appointment scheduling , patient communications, and insurance claims processing. EHR Benefits: Enhanced Practice Efficiency The scale of large behavioral health practices means that administrative tasks can be cumbersome and time-consuming.

Billing 52

Billing Communication Patient Care Scheduling 52

ACMA Blog

OCTOBER 16, 2023

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. Clinical Documentation Specialist (CDS) : A CDS can help in the PA process by accurately documenting patient records.

Medical Assistant 40

Medical Assistant Documentation Certification Communication 40

Valant

FEBRUARY 24, 2024

Finally, accurate insurance reimbursement reports are essential for maximizing revenue and minimizing revenue cycle management challenges. To optimize staff levels and allocate resources effectively, practice managers need to have accurate insights into the practice’s operations.

Billing 52

Billing Patient Satisfaction Appointments Scheduling 52

ACMA Blog

MAY 21, 2024

Through enhanced coding and charge capture, these algorithms analyze clinical documentation to propose precise medical codes, minimizing the risk of undercoding or overcoding while ensuring comprehensive coverage of billable services. Accessed April 9, 2024. Published April 3, 2023. link] Jongsma KR, Sand M, Milota M. 2024;7(1):1-3.

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Billing Patient Satisfaction Documentation Patient Experience 40

Ciox

NOVEMBER 20, 2023

The Impact Health plan policies are changing more frequently, forcing healthcare organizations to defend their documentation when denials occur. This trend is not expected to change in 2024. A third of inpatient claims submitted by providers to commercial insurers were not paid for over three months.

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Documentation Insurance 40

Valant

NOVEMBER 7, 2024

The Biden administration announced a finalized Mental Health Parity Rule on September 9, 2024, bringing significant changes to how insurers cover mental health care. The insurance industry has raised concerns, arguing that the rule could drive up costs.

Documentation 111

Documentation Billing Insurance Patient Care 111

MedAssistantEDU.org

SEPTEMBER 16, 2021

As per BLS, employment opportunities will increase by 24% by the end of 2024 in the healthcare sector. For this, the medical assistants will have to make an account on the NHA website to upload the documents to confirm eligibility. With a CCMA certification, you also enter the workforce quickly.

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Medical Assistant Certification Tests Customer Service 40

The HIPAA Journal

NOVEMBER 8, 2024

As previously announced, suspicious activity was identified within its computer network on August 28, 2024. An investigation was launched and on September 6, 2024, it was confirmed that unauthorized actors had accessed its network and exfiltrated copies of documents that contained some patient information. Mountain Time.

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HIPAA Documentation Insurance Medication 95

ACMA Blog

OCTOBER 8, 2024

Their knowledge of insurance coverage, regulations in patient assistance, and health policy empowers healthcare providers with tools that reduce hurdles in treatment access. Reactive case management occurs when prior authorization for treatment is denied, affecting timeliness of patient treatment (Braxton, 2024)(DeMarzo & Ayoub, 2021).

Documentation 52

Documentation Medication Billing Follow-Up 52

Healthcare Law Insights blog

MARCH 12, 2024

5] MHPAEA requires covered individual and group health plans and issuers of health insurance (collectively “Health Plans”) to collect and evaluate data and address the material differences between access to MH/SUD benefits when compared to medical/surgical benefits. Sheridan, et al., 4] Dep’t Health Hum. 4 2023), [link]. [5] 5] 29 C.F.R.

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Documentation Insurance Medication 64

Practice Index

SEPTEMBER 26, 2024

Should ICBs be insurance companies? ICBs should be turned into social insurance companies, according to controversial plans to reform the NHS. The post Primary care news round-up (19th September to 25th September 2024) appeared first on GP Practice Management Blog.

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Huddles/Rounds Insurance Documentation Hospital 52

Health Prime

JANUARY 10, 2024

The American Medical Association (AMA) released the Current Procedural Terminology (CPT) code set for 2024. Overall, the 2024 CPT code set includes 349 editorial changes, including 225 additions, 75 deletions, and 93 revisions. Read the full updated CPT 2024 code set. Feel free to reach us at sales@hpiinc.com.

Discharges 52

Discharges Medication Admissions Hospital 52

Valant

DECEMBER 16, 2024

Understanding Complex Payer Rules in Behavioral Health The rules that payers set dictate how much and what type of information clinicians gather on patients, which billing codes to use, how to document treatment, and which treatments are covered. Heavier documentation. Develop documentation processes. Mental health parity laws.

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Billing Documentation Follow-Up Best Practices 94

The HIPAA Journal

MARCH 12, 2025

The breach was detected on May 21, 2023, and the forensic investigation confirmed that hackers had access to parts of its network between May 19, 2023, and May 21, 2024, including systems that contained the personal and protected health information of 132,887 individuals.

Medical History 76

Medical History HIPAA Documentation Scheduling 76

Valant

APRIL 21, 2025

For example, staff members who handle billing need insurance information, but not detailed clinical notes. External access should be granted only on a need-to-know basis, with permissions documented and reviewed regularly. Document and review any security incidents to ensure corrective actions were taken.

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HIPAA Patient Records Best Practices Documentation 66