Billing HIPAA Medical Coding 
Health Prime
JANUARY 8, 2025
Medical billing audits are a great tool for achieving compliance and safeguarding revenue. Also, third-party payers conduct billing audits through their employees or their agents. Fraud Avoidance: Either billing errors or fraudulent activities committed on your part can lead to criminal prosecution and a tainted public image.
CollaborateMD
DECEMBER 6, 2024
Typically, a claim includes: Patient registration Prior authorization Charge entry Medical coding Claim submission Once the provider submits a claim to the payer, they review the claim to determine whether it meets reimbursement requirements or adjudication. Not if you ask billing managers. Easy, right? Now, the positive news.
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Arkenea
JULY 23, 2025
trillion in annual transactions, yet billing inefficiencies cost hospitals an estimated $262 billion each year. At the heart of this challenge lies the complex world of billing in hospital management systems, where accuracy, compliance, and efficiency determine the financial viability of healthcare organizations worldwide.
CollaborateMD
APRIL 3, 2025
Healthcare practices are often plagued with medical billing compliance questions like: “Am I upcoding?” ” With all of these concerns, it’s vital that providers and billing departments understand and follow the key elements of proper medical billing compliance to run a successful practice.
Health Prime
JANUARY 8, 2025
Medical billing audits are a great tool for achieving compliance and safeguarding revenue. Also, third-party payers conduct billing audits through their employees or their agents. Also, document all the services provided and code them appropriately. Also known as chart audit or charge review.)
The HIPAA Journal
JULY 20, 2025
In June, HIPAA-regulated entities notified the HHS’ Office for Civil Rights (OCR) about 70 data breaches impacting 500 or more individuals, which is well above the 12-month average of 59 large data breaches per month. The sizeable increase in June was largely due to a mega data breach at Episource, which affected 5.4 million individuals.
Arkenea
JUNE 23, 2025
But what exactly is RAG in healthcare, and more importantly, how can your organization implement it successfully while maintaining HIPAA compliance and ensuring patient safety? Compliance Challenges : Many AI solutions weren’t designed with HIPAA requirements in mind, creating potential compliance risks.
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