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Basics of Medical Documentation: What Aspiring Medical Billers and Coders Need to Know

Northwest Career College

Accurate documentation is essential for medical billing and coding, but many beginners struggle to understand the technical terms and guidelines. Without accurate medical documentation, insurance claims can be delayed or denied, frustrating patients and physicians. Why is Medical Documentation Important?

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Medical Express Ambulance Service Data Breach Affects 118K Individuals

The HIPAA Journal

The data potentially obtained by the threat actor included names, demographic information, dates of birth, Social Security numbers, drivers license numbers, medical information, financial information, health insurance information, usernames and passwords, and for some individuals, passport numbers.

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Enhancing patient outcomes by strengthening allergy evaluation in primary care settings

Medical Economics

Patient history is essential in allergy diagnosis, as tests show sensitization, not clinical allergy, guiding appropriate management and treatment. Establishing medical necessity ensures justified diagnostic tests and treatments, aiding reimbursement and proactive allergy management. were hospitalized.

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Duties and Responsibilities for Entry-Level Medical Assistants

Prism Career Institute

It’s also crucial to maintain patient confidentiality and follow Health Insurance Portability and Accountability Act (HIPAA) regulations. Obtaining background information: Before a patient sees a physician, an assistant typically discusses their medical history and makes sure the facility has an accurate record on file.

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HIPAA: Understanding Patient Confidentiality and How It Relates to Medical Assistants

Prism Career Institute

The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that regulates how patient information is managed, protecting their privacy. Medical assistants are required to abide by HIPAA laws to ensure proper confidentiality when collaborating with patients.

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Lake Washington Vascular Ransomware Attack Affects 21,500 Patients

The HIPAA Journal

Lake Washington Vascular was unable to determine exactly what information was viewed or extracted from its systems and said the information likely compromised included names, dates of birth, addresses, diagnostic test results, medical histories, diagnosis and treatment information, payer identification numbers, and government-issued identifiers.

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EHR Interoperability: In-Depth Guide (2025 updated)

Arkenea

Electronic Health Records, or EHR, are digital libraries that house invaluable patient medical history data. From clinical observations to diagnoses, medications, and immunization schedules, it’s all there, at a healthcare provider’s fingertips. That’s where EHR interoperability comes in.