The HIPAA Journal

MAY 12, 2025

The HIPAA Journal first reported a potential data breach in August 2024, after the RansomHub ransomware group added NeuroSav to its dark web data leak site. The post Georgia & Missouri Healthcare Providers Notify Patients About 2024 Hacking Incidents appeared first on The HIPAA Journal.

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HIPAA Follow-Up Billing Tests 73

The Healthcare Blog

DECEMBER 18, 2024

If you missed it read Part 1 & Part 2 By JEFF GOLDSMITH Two major changes in health insurance ensued as the US health system entered the 21 st century- a strategic shift of health cost risk from providers to patients and the emergence of machine driven managed care. Some 60% of hospital bad debts are now from patients with insurance.

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Insurance Hospital Follow-Up Medication 57

Health Populi

JUNE 11, 2024

between 2023 and 2024, according to the 2024 Milliman Medical Index. The big number this year is $32,066, which is the cost of that employer-sponsored PPO for a family of 4 in 2024. Health care costs for an “average” person covered by an employer-sponsored PPO in the U.S.

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Medication Follow-Up Billing Insurance 77

Minority Nurse

DECEMBER 29, 2023

If you spent too much over the holidays, open up a separate account in January that’s devoted solely to holiday expenses. “In general, for every one thousand after taxes, if you follow the 50/30/20 rule, no more than $300 of that amount goes to wants,” he says. “And then you aren’t scrambling.”

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Insurance Follow-Up Appointments 81

The HIPAA Journal

MAY 2, 2024

BioPlus Specialty Pharmacy Services has proposed a settlement to resolve a class action lawsuit that was filed in response to a 2021 data breach that exposed the data of up to 350,000 patients. The settlement has received preliminary approval from the court and the final settlement hearing is scheduled for August 22, 2024.

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Follow-Up HIPAA Best Practices Documentation 113

The Healthcare Blog

DECEMBER 10, 2024

Following the surge, investment plummeted. What were left with entering into 2025 are a smorgasbord of solutions clamoring to attach themselves to traditional enterprise incumbents (Health Insurance Providers, Electronic Health Records, Hospital Systems). Those regions are ripe for follow-on expansion and digital scale.

Insurance 67

Insurance Follow-Up Collaboration Patient Support 67

The HIPAA Journal

APRIL 30, 2024

On January 22, 2024, DRS identified suspicious activity within its network. On March 8, 2024, after a time-consuming and detailed review of the files, DRS confirmed that they contained the personal and protected health information of current and former patients of its healthcare clients.

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Business Associate HIPAA Follow-Up Hospital 108

The HIPAA Journal

MAY 21, 2025

Last month, it looked like data breach numbers were starting to reduce; however, Aprils figures are well above the 12-month average of 57 data breaches per month, with breaches reported in similar numbers to April 2024. million in March to 12.9 million individuals. states reported large data breaches in April.

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Business Associate HIPAA Hospital Insurance 83

Health Populi

DECEMBER 1, 2023

consumers’ use of credit has grown post-pandemic, delinquencies on credit cards are up, and savings falling after having achieved some nice growth in the pandemic largely owed to pandemic payments from the Federal government. Health Consumers in 2024 appeared first on HealthPopuli.com. Note that U.S.

Billing 71

Billing Follow-Up Communication Insurance 71

Health Populi

MAY 27, 2025

This year, we learn that outpatient care and pharmacy were the two line items most responsible for driving the PPO cost up to over $35K: pharmacy costs rose 9.7% making up 28% of spending, pharmacy (one in $5 of spending, inpatient (hospital) care constituting 17% of spending, and other line items at 2% of the remainder.

Billing 71

Billing Outpatient Care Follow-Up Medication 71

Coronis Health

MARCH 13, 2024

The agency has been in constant communication with Change Healthcare and its parent company, UnitedHealth Group, since the company revealed the details of the attack and its attendant disruptions in downline processes, including interruptions in the payment of medical claims by multiple insurance plans and programs.

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Hospital Follow-Up Insurance Certification 105

The HIPAA Journal

APRIL 4, 2025

Mercer County Joint Township Community Hospital in Coldwater, Ohio, has suffered a significant data breach involving the electronic protected health information of up to 88,541 individuals. The post Mercer County Joint Township Community Hospital Cyberattack Affects Up to 88,500 Individuals appeared first on The HIPAA Journal.

Hospital 71

Hospital Follow-Up Insurance HIPAA 71

Health Populi

MARCH 19, 2024

Having health insurance in America is no guarantee of actually receiving health care. It’s a case of having health insurance as “necessary but not sufficient,” as the cost of deductibles, out-of-pocket coinsurance sharing, and delaying care paint the picture of The Hidden Lives of Workplace-Insured Americans.

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Insurance Follow-Up Communication Tests 77

CollaborateMD

MARCH 7, 2025

billion in 2024 and is expected to surpass this number by around 56.39 Automation tools like RPA in healthcare can handle repetitive tasks like data entry and insurance claim processing to free up valuable time and reduce administrative burden. This includes everything from verifying insurance eligibility to tracking payments.

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Billing Appointments Patient Satisfaction Patient Care 52

The HIPAA Journal

MARCH 20, 2025

You can view our H1, 2024 Report here.You can also receive a free copy of our HIPAA Compliance Checklist to understand your organization’s responsibilities under HIPAA. Healthcare Data Breaches of All Time Rank Year Name of Covered Entity State Covered Entity Type Individuals Affected Type of Breach 1 2024 Change Healthcare, Inc.

Business Associate 113

Business Associate HIPAA Unit Organization and Environment Hospital 113

The HIPAA Journal

MARCH 18, 2025

subsidiary that provides life insurance and retirement software and services. In an April 2024 update on the incident, Infosys McCamish explained that the affected systems were substantially restored by December 31, 2023, and its third-party cybersecurity investigation confirmed that sensitive data had been exfiltrated.

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HIPAA Follow-Up Insurance Medication 84

The Healthcare Blog

SEPTEMBER 17, 2024

The initial focus was never healthcare providers and insurers. These organizations were seen as too slow to adopt new technologies, and there was a general distrust of integrated care and insurers. No More Excuses Fast forward to 2024. According to a recent article in Forbes , there are 5.4 In the U.S., So, what’s the problem?

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Insurance Follow-Up Patient Support 120

Health Populi

JUNE 17, 2024

But a surprising two-thirds of young Americans between 18 and 29, and 7 in 10 between 30 and 39 years of age, are concerned that Medicare’s solvency will worsen leading to their not being able to receive Medicare when eligible to receive it, discovered in the 2024 Healthcare in America Report from West Health and Gallup.

Follow-Up 71

Follow-Up Medication Insurance 71

Northwest Career College

AUGUST 24, 2024

As we look ahead to 2024, many individuals are considering whether medical billing and coding is a promising career choice. Medical coding involves translating medical diagnoses, procedures, and supplies into universal alphanumeric codes for billing and insurance purposes.

Billing 40

Billing Medication Certification Insurance 40

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.

Tests 132

Tests Hospital Insurance Medication 132

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. And keeping up with evolving audit requirements is essential, as regulations are updated or revised.

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Billing Documentation Follow-Up Best Practices 52

Health Populi

APRIL 1, 2024

As we start the month of April 2024 in the U.S., Paper checks are still a go-to form of payment to patients and plan members, and there remains lots of confusion among patients when it comes to up-front pricing and eventually the EOB statements resulting from the claims payment process. ‘Tis the season for J.P.

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Billing Follow-Up Communication Medication 87

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. Follow the instructions at: [link] for submitting electronic comments.

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HIPAA Business Associate Follow-Up Documentation 52

Health Populi

OCTOBER 9, 2024

In 2024, this is a thriving business, led by a recently-appointed new executive from the fashion industry , 800+ years later operating in both brick-and-mortar shops around the world as well as an ecommerce business selling remedies as well as a line of fragrance and other personal care offerings.

Follow-Up 62

Follow-Up Insurance Appointments Hospital 62

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. Your EHR software can help with this.

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Billing Patient Centered Care Follow-Up Scheduling 52

Valant

MARCH 2, 2024

The up-front financial considerations include adequate staffing, suitable technology, and the necessary training. Rejected claims happen, but a software that simplifies claim creation, and that offers in-depth reporting features to back up the claims submitted, can reduce both claim denials the time spent on resubmitting or appealing denials.

Billing 52

Billing Documentation Follow-Up Insurance 52

Health Populi

JUNE 25, 2024

health care organizations have experienced a data breach, one-third in the last 3 years, according to Software Advice’s 2024 Healthcare Data Security Survey released in May 2024. As a simple example, think about something as benign as an annual check-up. Criminals don’t have to follow the rules. At least one-half of U.S.

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Follow-Up Patient Safety Hospital HIPAA 62

The HIPAA Journal

APRIL 27, 2025

OCR stepped up enforcement of compliance with the HIPAA Rules in 2016, more than doubling the number of financial penalties imposed. 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.

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HIPAA Business Associate Hospital Medication 85

Valant

JANUARY 16, 2024

Unbillable admin tasks outside of appointment times can eat up a shocking amount of your day. Request Pricing Streamlining the Patient Care Process with Valant’s EHR However, it’s not just the treatment phase that must become more efficient to free up your time. And much of that comes down to your EHR workflow.

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Patient Care Billing Documentation Appointments 52

A Young Doctor's Journey

SEPTEMBER 8, 2024

Please remember that I am by no means a financial advisor, and everything I know, I learned from reading books, watching videos, following Instagram accounts, and pestering my reluctant friends. Also, I’d like to preface this by two important things regarding personal finance: My parents taught me really good money habits growing up.

Follow-Up 52

Follow-Up Insurance Medication Transfers 52

Northwest Suburban College

JUNE 27, 2024

As we move forward into the latter stages of 2024, the role of a pharmacy technician continues to be vital in the healthcare system. They also handle administrative duties, such as answering phone calls, processing insurance claims, and managing patient records, which keeps the pharmacy’s operations running smoothly.

Long Term Care 52

Long Term Care Communication Follow-Up Medication 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

The Healthcare Blog

DECEMBER 16, 2024

Phase I- Health Maintenance Organizations and Delegated Risk Capitation In response to a long run of double-digit health cost inflation following the passage of Medicare in 1965, the Nixon administration launched a bold health policy initiative- the HMO Act of 1973- to attempt to tame health costs.

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Follow-Up Hospital Medication Insurance 40

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. This is done following the health plan’s formulary or the criteria for a specific medication, device, or procedure being requested.

Medical Assistant 40

Medical Assistant Documentation Certification Medication 40

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. This is done following the health plan’s formulary or the criteria for a specific medication, device, or procedure being requested.

Medical Assistant 40

Medical Assistant Documentation Certification Communication 40

MedAssistantEDU.org

SEPTEMBER 16, 2021

Different categories of medical assistant certifications- Medical assistant certifications can be of the following type- a) Distance learning – In distance learning, the candidates learn their syllabus online over a period at the comfort of their home. They must maintain privacy by following the HIPAA compliance guidelines.

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Medical Assistant Certification Tests Customer Service 40

The HIPAA Journal

MARCH 29, 2024

billion in loans to healthcare providers under its temporary funding program to help ease the financial strain caused by delays to the processing of insurance claims and providers will have 45 days to pay back the loans. United Health Group has also confirmed that it has paid out more than $3.3 40% of the $3.3

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HIPAA Unit Organization and Environment Follow-Up Business Associate 99