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Medical assistants should follow professionalism and ethical standards in other duties such as filling out paperwork, billing, bookkeeping, and communicating with insurance companies and other healthcare providers. Medical assistants also need to obey other local and workplace patient health information policies.
Behavioral health providers managing both clinical care and business operations face unique challenges: complex prior authorization requirements, extensive documentation standards, and insurance coverage barriers. Insurers denied 19% of in-network claims in 2023 , according to the Kaiser Family Foundation.
But do you know how to set up an efficient scheduling system? Do you know how to manage insurance claims to minimize denials and maintain your cash flow? Practice management skills like scheduling, billing, documentation, and compliance can protect you from professional burnout and set you on a path to success.
Work is ongoing to restore its computer systems and while progress has been made, its scheduling system has yet to be restored and patients are unable to schedule mammography or ultrasound services. The post Cyberattack Forces North Carolina Radiology Practice to Close for More Than a Month appeared first on The HIPAA Journal.
The file review confirmed that the types of data compromised in the cyberattack included names, addresses, dates of birth, Social Security numbers, drivers license numbers, medical information, and health insurance information. The post Cyberattack on Sunflower Medical Group Affects 221,000 Patients appeared first on The HIPAA Journal.
The group had access to its network since June 14, 2025, and exfiltrated patient information such as names, addresses, Social Security numbers, dates of birth, driver’s license/state identification card numbers, medical record numbers, treatment information, and health insurance information. A lawsuit – Horvath v.
HIPAA violation cases are compliance investigations that result from a data breach being notified to the Department of Health and Human Services’ (HHS) Office for Civil Rights (OCR) or a privacy complaint being submitted to OCR via the complaints portal. There are many different types of HIPAA violation cases.
The hackers encrypted files and stole data such as names, addresses, telephone numbers, email addresses, dates of birth, demographic information, Social Security numbers, drivers license numbers, medical record numbers, health information, payment information, and health insurance information. Bean of Siri & Glimstad LLP.
The settlement has received preliminary approval from the court, and the final approval hearing has been scheduled for June 16, 2025. Million Data Breach Settlement appeared first on The HIPAA Journal. All claims must be submitted by or be postmarked by June 30, 2025. The post Azura Vascular Care Agrees to $3.15
From patient scheduling and registration through denial management and appeals, we examine each component in detail, highlighting best practices, implementation strategies, and optimization opportunities that can drive significant improvements in financial performance and operational efficiency.
The ransomware group obtained names, dates of birth, Social Security numbers, state ID/driver’s license information, health and insurance information, banking information, and biometric data. The settlement has received preliminary approval from the court, and the final fairness hearing has been scheduled for August 15, 2025.
An interviewer will want to evaluate a candidate’s knowledge of the Health Insurance Portability and Accountability Act (HIPAA). A candidate should discuss any training sessions or programs they completed related to HIPAA compliance, as well as any other patient information privacy regulations.
The unnamed vendor notified Concord Orthopaedics about the security incident on November 21, 2024, after it was determined there had been unauthorized access to the patient registration and appointment scheduling software.
It’s also crucial to maintain patient confidentiality and follow Health Insurance Portability and Accountability Act (HIPAA) regulations. They also may work with a patient to schedule any follow-up appointments. While these responsibilities tend to take place in the background, they serve an important purpose.
With telehealth, scheduling follow-up appointments is more flexible, making it easier for patients to stay connected with their doctors and adhere to treatment plans. Healthcare providers are required to comply with regulations like the Health Insurance Portability and Accountability Act (HIPAA) in the U.S.,
Lab supervisors may also have an assistant perform billing work or talk with insurance providers, processing claims and ensuring a patient receives correct statements. They must follow patient confidentiality standards within the Health Insurance Portability and Accountability Act (HIPAA) and any other federal or local regulations.
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.
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.
Here’s a breakdown of essential features of practice management systems : Patient Scheduling : Streamline efficient appointment booking while minimizing no-shows through automated reminders. Billing and Claims Management : Ensure smooth processes for medical billing , insurance claims, and payment collection.
Flexibility and Autonomy Many mobile phlebotomy roles offer flexible schedules, allowing you to choose shifts that fit your lifestyle. Plan your routes: Use mapping apps to optimize your travel schedule and reduce downtime. Secure a driver’s license and transportation: Ensure your vehicle is reliable and insured.
In addition to a patients clinical data, other important information such as scheduled appointments, requested tests, room changes, and scheduled surgeries must be exchanged effectively. However, such platforms must be HIPAA compliant. The HIPAA Security Rule requires that patient data be encrypted whenever possible.
The review of the account confirmed it contained names, addresses, birth dates, Social Security numbers, drivers license and other ID numbers, financial information, and limited health and health insurance information related to treatment and prescriptions. The breach was reported to the Maine Attorney General as affecting 5,971 individuals.
With a platform that collects and connects data across billing, scheduling, clinical care, and patient communication, CollaborateMD allows your staff to focus on delivering better outcomes while we handle the behind-the-scenes complexities. CollaborateMD was built with integration in mind.
Additionally, it allows patients to: Access their medical records Schedule appointments Receive important updates This seamless communication fosters patient engagement , leading to increased satisfaction and loyalty. Improve patient collections Implementing a patient portal can be a game-changer for patient collections.
In addition, it’s important to be able to obtain prior authorization from insurance and track prescription statuses. Telehealth Capabilities HIPAA-compliant telehealth capabilities allow you to treat patients remotely in individual or group therapy sessions. Communication with patients is a key part of this.
During the COVID-19 pandemic, WellCheck pivoted to utilize its cloud-based, HIPAA-compliant platform for wellness screenings. Real-Time Data Access and Storage: Digital collection, upload, and storage of insurance cards and medical history accessible on any device.
Unauthorized access can lead to severe consequences, including identity theft, insurance fraud, and violations of patient privacy. Additionally, it can damage the medical practice’s reputation and result in legal and financial penalties under regulations like the Health Insurance Portability and Accountability Act (HIPAA).
Source: Pixabay The Rise of Digital Healthcare Platforms With the widespread adoption of smartphones and internet access, patients are increasingly using digital tools to seek information, schedule appointments, and consult healthcare providers.
HI 1011: Medical Office Procedures and Administration: This six-week course teaches you about medical office essentials, such as HIPAA regulations, coding and health insurance basics, professionalism, ethics, appointment scheduling and other critical tasks. Why Should You Become a Medication Care Coordinator?
You’ll also need to manage, or at least oversee the management of, daily administrative tasks like scheduling, billing , and staff supervision. You’ll also be responsible for ensuring that your practice is HIPAA compliant. Look for EHR and other tech solutions that allow you to maintain strong HIPAA compliance and protections for PHI.
patients were offered online access to their health records by providers or insurers, and one-half of them accessed the EHR at least once in the last year. The message: “Your prescription on your schedule!” That is, “your” prescription on “your” schedule, and “human kindness.”
There are a number of factors to consider, such as service fees, patient volume, and reimbursement rates from insurance providers. Examples of overhead costs include rent, utilities, insurance premiums, administrative salaries, and software subscriptions. An operating budget has fixed, variable, and isolated costs.
The solution was used by Imagine360 to securely transfer files with self-insured health plans. The investigation confirmed that sensitive data had been stolen, including names, medical information, health insurance information, and Social Security numbers. The class was represented by Jeff Ostrow of Kopelowitz Ostrow P.A.,
However, any protected health information (PHI) that your app collects or stores needs to be safeguarded against malicious forces to remain compliant under HIPAA regulations. Appointment scheduling feature Appointment scheduling is one of the basic features and functionalities in a healthcare app that patients expect.
need a new-and-improved HIPAA or more over-arching new national privacy law like a USGDPR? Patients most-trust their clinicians, physicians and nurses, as safe places in which to have an honest SDoH discussion, compared with a health insurance representative. What options do people have to opt out of sharing their personal/social data?
Medicare beneficiaries may receive telehealth services listed in the 2023 Medicare Physician Fee Schedule while located in their homes. Commercial Coverage for telehealth will continue to vary by private insurance plan after the end of the PHE. Billing requirements vary state by state.
Over one half have scheduled appointments via the portal, 42% have done an online refill for a prescription drug, and 4 in 10 received advice about a health issue via the portal. One in four were very concerned that information could be used against them as a barrier to accessing health care or landing a job.
Instead of hiring temps who may need to be trained in HIPAA compliance or having your staff play Holiday-Time-Off Bingo, it may be time for your practice to hire a virtual medical assistant from MedVA. Schedule Assistance: Virtual medical assistants excel in managing appointment schedules, ensuring that patients are accommodated efficiently.
The final fairness hearing has been scheduled for July 28, 2025. Million to Settle Data Breach Litigation appeared first on The HIPAA Journal. Class members may submit a claim for reimbursement of documented monetary losses reasonably traceable to the data breach up to a maximum of $10,000 per class member.
Handle Large Volume of Patient Scheduling Managing patient appointments is one of the most significant challenges for a medical administrative assistant. Scheduling is complex and hard when numerous patients and doctors are present, along with multiple medical procedures. Dealing with last-minute cancellations or emergencies.
Compliance with the Health Insurance Portability and Accountability Act ( HIPAA ) and other laws/regulations is mandatory. In addition, complying with HIPAA protects your patients, your practice, and helps you avoid fines and penalties. Your EHR software can help with HIPAA compliance.
Faster TimetoMarket In a health insurance policy management system project, a client achieved a fourmonth launch timeline by outsourcing development and QA to a dedicated vendor. This rapid turnaround was possible due to the vendors agile processes, continuous integration pipelines, and prebuilt compliance frameworks for HIPAA and GDPR.
They’re used for billing and insurance reasons. Think of it as a simplified language for a patient’s medical history, because every doctor and insurance company in the U.S Checking patient insurance coverage and eligibility before billing. Adhering to HIPAA regulations, ensuring patient confidentiality at all times.
At MedVA, our highly trained virtual medical assistant can help efficiently organize patient appointments, send reminders, and handle rescheduling requests and missed appointment notifications, letting your team focus on providing quality care rather than managing complex schedules.
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