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If medical claims management is such a vital part of the healthcare ecosystem, why is it so frustrating? Don’t worry; we’ll also recommend actionable strategies for quick wins and long-term solutions, improving medical claims processing for better results and happier staff. Not if you ask billing managers.
Medicalbilling 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.
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HIPAA is a short form of the Health Insurance Portability and Accountability Act , a law devised to protect patients’ personal information regarding their health conditions. A medicalbilling and coding professional plays a big part in ensuring that this health information is handled as it should be.
The database also contained software billing and compliance reports belonging to a medical software company. Fowler notified the medical software company about the exposed database, which identified the database owner, and notified them.
Medical records are now digital. One of the most effective is artificial intelligence medicalbilling. If you’re considering integrating AI into medicalbilling, keep reading to understand how it works. If you’re considering integrating AI into medicalbilling, keep reading to understand how it works.
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Kettering Health, a large health system with 14 medical centers and 120 outpatient facilities in western Ohio, has experienced a system-wide technology outage that has affected all 14 of its medical centers and disrupted its call center. The medical centers remain open, and emergency rooms are continuing to accept patients.
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The file review was completed on May 13, 2025, and confirmed that some of the files contained patient information such as names, dates of birth, demographic information, medical record numbers, diagnosis information, treatment information, dates of treatment, provider names, and sleep study details and results.
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These are likely to continue to be reported by affected HIPAA-regulated entities over the next few weeks. CA Health Plan 12,224 Unauthorized Access/Disclosure Mailing incident involving mailing vendor (Billing Documents Specialists) Shipping labels contained Social Security numbers.
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Esse Health had previously publicly announced the cyberattack, which prevented access to its electronic medical record system, resulting in appointments being cancelled. The post Esse Health Confirms Almost 264,000 Patients Affected by April 2025 Cyberattack appeared first on The HIPAA Journal.
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A medical assistant student who seeks a fulfilling career that blends science and healthcare should consider becoming a medical lab assistant. Prism Career Institute offers healthcare training programs, including a Medical Assistant program, in New Jersey and Pennsylvania. According to U.S.
The HIPAA Journal has not downloaded any of the leaked data, so cannot confirm the accuracy of the groups’ claims. The group claims to have published a huge variety of documents, including EMRs, test results, patient histories, and billing information. Generally, it does serve as confirmation of a cyberattack.
In today’s digital age, medicalbilling software plays a vital role in streamlining the billing process and improving patient care. HIPAA compliance is a crucial aspect of any medicalbilling software. Within HIPAA, many rules dictate privacy, security, and confidentiality.
Smartphones sit on the reception counter, physicians tap tablets at the bedside, and billing staff troubleshoot laptops from home. Recent Videos Related Content Clarifying a patient’s misunderstanding of the HIPAA privacy rule Rachel V. Against that backdrop, a technology and device policy is no longer a “nice to have.”
The compromised email account was reviewed and found to contain patients full names, addresses, dates of birth, medical and treatment information, dates of service, provider and facility names, procedure codes, billing and claims information, patient account identifiers, and payor information.
Reynolds Fact checked by Chris Mazzolini Blog Article Thoughtful design in medical practices enhance patient experience, boost staff productivity, and improve online reviews without major renovations. That means décor is not a luxury add-on; it is an operational tool every bit as critical as the EHR or billing software.
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Email accounts have been compromised at the University of Wisconsin Hospitals and Clinics Authority and the Medical Home Network in Illinois. The post Email Accounts Compromised at UW Health and Medical Home Network appeared first on HIPAA Journal.
I refer to this thought transference as the Bathroom Experience (BE), a powerful metaphor for how seemingly minor details can dramatically impact patients’ perceptions of a medical practice. A clean bathroom goes unnoticed because it’s expected. But a dirty one? The BE concept also extends beyond restrooms.
Safeguarding patient information and ensuring data security is always the highest priority in medicalbilling. Medical practices should, therefore, incorporate various data security measures within a health institution to prevent any possible breach of Protected Health Information (PHI), comply, and evade penalties.
” Health Populi’s Hot Points: HIPAA, the Health Insurance Portability and Accountability Act, was signed into law in 1996 by President Bill Clinton. This week, Ken Mandl and Eric Perakslis co-wrote an essay in The New England Journal of Medicine on HIPAA and the “leak of ‘deidentified’ EHR data.”
A similarly sized breach was reported by Oklahoma’s largest emergency medical care provider, Emergency Medical Services Authority. The HIPAA Journal has determined the location of the breaches, with the pie charts below show where the breaches occurred, rather than the entity that reported the breach.
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Million Data Breach Settlement appeared first on The HIPAA Journal. Legal action was taken against Azura Vascular Care over the data breach, with the plaintiffs alleging the defendants failed to implement reasonable and appropriate cybersecurity measures to prevent unauthorized access to its network and sensitive patient data.
In March, Harbin Clinic was provided with a list of 210,140 affected individuals and the types of data involved, which included names, addresses, dates of birth, Social Security numbers, financial account information, guarantor information, and medical-related information.
Medicalbilling 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.
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