Bill of Health

OCTOBER 30, 2023

In health care, complexity is everywhere. Health insurance is confusing. Notes about our health can be difficult to understand. The use of emojis in healthcare documents would align with the idea of legal design. Paying for medical treatment brings unexpected costs.

Doctors 290

Doctors Hospitals Fraud Health Insurance 290

AIHC

APRIL 22, 2025

While the Health Insurance Portability and Accountability Act (HIPAA) is typically associated with patient privacy, it also contains important exceptions that protect whistleblowers. Such scenarios highlight the importance of thorough documentation and timely response by compliance departments.

Compliance 89

Compliance HIPAA Compliance Officers Fraud 89

Healthcare IT News - Telehealth

MARCH 24, 2021

Clinicians say that in the future, they're most likely to seek electronic health record integration, connectivity, price and flexible workflows from telemedicine platforms. They also say they'd love to see peripheral device integrations, translation services during visits, documentation and platform availability in multiple languages.

Telemedicine 203

Telemedicine Health Insurance Medicaid Medicaid 203

Healthcare IT Today

OCTOBER 19, 2024

Read more… Supporting the Complete Path of Incoming Healthcare Documents. Read more… Funding and M&A Activity: Health insurance verification vendor Nirvana raised $24.2 Operations software and services provider RLDatix acquired SocialClimb , which provides reputation management tools to health systems.

Health Insurance 90

Health Insurance Medicare Medicare Hospitals 90

HIPAA Journal

APRIL 16, 2025

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.

Ransomware 69

Ransomware Fraud Licensing HIPAA 69

Center for Health Insurance Reform

OCTOBER 23, 2023

Enrolling in health insurance can be a challenge, especially for the millions of Americans with limited English proficiency (LEP). The annual Marketplace Open Enrollment Period is just around the corner.

Federal Policy 104

Federal Policy Health Insurance 104

HIT Consultant

OCTOBER 23, 2024

Then, it uses machine learning and natural-language processing to summarize the conversation’s clinical content and produce a note documenting the visit. By leveraging the microphone on a secure device, the AI scribe transcribes—but doesn’t record—patient encounters.

Telemedicine 124

Telemedicine Doctors Electronic Medical Records COVID-19 124

Compliancy Group

JANUARY 24, 2025

A clear understanding of health information breaches is necessary to comply with regulations like the Health Insurance Portability and Accountability Act (HIPAA). Of all the incidents of non-compliance, a data breach distinguishes itself by involving a violation or compromise of patient privacy.

Compliance 94

Compliance Electronic Medical Records Ransomware HIPAA 94

Healthcare It News

JANUARY 30, 2024

Applications have also been varied, from documentation to clinical decision support and even in combination with robotics. Some are cultural, but many are due to the health systems. We already see AI impacting clinical trials, documentation, patient interactions, and more. A: Yes, there are major differences.

Doctors 318

Doctors Hospitals Governance Health Insurance 318

Healthcare Blog

DECEMBER 2, 2024

Critical documents that are readily available and updated make these activities possible. Leaving any aspect of health policy administration to chance could have severe implications, from the medical to the legal. This post explores the pitfalls of ineffective healthcare policy management.

Regulatory Compliance 52

Regulatory Compliance Compliance Compliance Officers Hospitals 52

Compliancy Group

DECEMBER 16, 2024

Some records going through health information exchange miss crucial information, making healthcare delivery more challenging and less efficient. The Health Insurance Portability and Accountability Act (HIPAA) addresses these challenges.

HIPAA 52

HIPAA Informed Consent Compliance Doctors 52

AIHC

NOVEMBER 12, 2024

Teaching hospitals need to establish guidelines addressing this matter, while medical schools should revise their curriculum to encourage a culture where healthcare providers and trainees consistently obtain and appropriately document informed consent from patients before conducting any sensitive examinations.

Informed Consent 98

Informed Consent HIPAA Compliance Hospitals 98

American Medical Compliance

OCTOBER 25, 2024

The healthcare industry is highly regulated, with various laws such as the Health Insurance Portability and Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health Act (HITECH), and the Medicare and Medicaid Services (CMS) regulations shaping operations.

Compliance 105

Compliance Fraud Compliance Framework HIPAA 105

Compliancy Group

NOVEMBER 27, 2024

Bringing about positive health outcomes depends significantly on sharing protected health information (PHI) with other doctors, facilities, and insurers. Understanding the HIPAA rules and the security steps to take can help protect patient information and maintain EMR compliance.

Compliance 52

Compliance HIPAA Electronic Medical Records Informed Consent 52

Healthcare IT Today

APRIL 22, 2025

The software enables healthcare providers to capture and securely exchange medical data, documents, and images in real-time alongside high-quality video conferencing. AGNES Connect seamlessly integrates into healthcare facilities electronic health record (EHR) systems, simplifying clinical workflows and documentation.

Telemedicine 64

Telemedicine Health Insurance HIPAA Compliance 64

Compliancy Group

NOVEMBER 29, 2024

When understanding what practices are permissible under the Health Insurance Portability and Accountability Act (HIPAA), it makes sense to plan for various contingencies. For example, if a patient cannot provide written consent for releasing their protected health information (PHI), is verbal consent permitted for HIPAA?

HIPAA 52

HIPAA Informed Consent Compliance Health Insurance 52

Medisys Compliance

MARCH 19, 2025

Accurate and thorough documentation is crucial for both CPT and ICD-10 coding. Inadequate or ambiguous documentation can lead to coding errors and subsequent claim denials. Accurate medical necessity documentation plays a crucial role in both obtaining prior authorizations and supporting claims.

Medicare 59

Medicare Medicare Medical Billing Outsourcing Medical Billing 59

HIPAA Journal

APRIL 18, 2025

The document review was completed on January 30, 2025, when it was confirmed that the exposed information included first and last names, clinical/treatment information, medical provider names, medical record numbers, and patient account numbers.

Ransomware 57

Ransomware Hospitals HIPAA Health Insurance 57

HIPAA Journal

MAY 25, 2022

Social Action Community Health System (SAC Health) has recently notified 149,940 patients that documents containing their protected health information were stolen in a break-in at an off-site storage location where patient records were stored. Notification letters were sent to those individuals on May 3, 2022.

Ransomware 137

Ransomware Fraud HIPAA Licensing 137

HIPAA Journal

JULY 4, 2024

The types of data involved varied from individual to individual and may have included names, addresses, dates of birth, Social Security numbers, health insurance information, and/or health information. Pinnacle said it is implementing enhanced security measures to prevent similar incidents in the future.

Electronic Medical Records 120

Electronic Medical Records Health Insurance Ransomware Fraud 120

Medisys Compliance

MARCH 31, 2025

Understanding Medicare for Physicians Medicare, the federal health insurance program for individuals aged 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease, is divided into several parts. Finally, Medicare Part B covers a range of preventive services (e.g.,

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 59

Healthcare It News

FEBRUARY 21, 2023

Doximity's members can fax their AI-created authorizations and communications directly to health insurers by logging in from DocsGPT. "From there, you can review and edit the contents of your fax, add your patient’s details and send directly to the appropriate insurer," the website says.

Doctors 300

Doctors HIPAA Health Insurance 300

Compliance Now

FEBRUARY 14, 2022

The federal IDR process is a document-based review. Both parties will submit all required information and supporting documents to their IDR entity, and the arbitrator will make their determination based on those materials alone. The administrative fee paid by the parties will not be refunded.

Health Insurance 189

Health Insurance Governance 189

HIPAA Journal

DECEMBER 12, 2022

Email accounts containing the protected health information of patients were accessed by unauthorized individuals after employees responded to phishing emails. The review of the email accounts revealed they contained patient names, addresses, Social Security numbers, medical information, and health insurance information.

Health Insurance 119

Health Insurance HIPAA 119

Physician Credentialing Company

MARCH 19, 2025

These topics of the guide will include an examination of the CPT code 99283, similarities with 99284, documentation of CPT 99283, and mistakes to avoid in determining the code. For CPT 99283, Documentation Should Include: Chief complaint with regards to a comprehensive history and also the medical history of the patient.

Medical Billing 52

Medical Billing Electronic Medical Records Hospitals Fraud 52

HIT Consultant

MARCH 8, 2023

What You Should Know: – Y Combinator startup Opkit emerges from stealth with an automated health insurance verification platform that is purpose-built for the new telehealth companies and virtual medical clinics that are providing care for a wide range of patients across the United States.

Health Insurance 96

Health Insurance 96

Healthcare IT Today

DECEMBER 7, 2023

“We are thrilled to integrate Semantic Health’s advanced technology and skilled AI team into AAPC,” said Bevan Erickson , CEO at AAPC. ” Based in Toronto , Semantic Health has made significant strides in streamlining manual auditing processes, reducing denials, and improving documentation quality for auditing teams.

Compliance Officers 119

Compliance Officers Health Insurance Hospitals Compliance 119

Jane Sarashon

FEBRUARY 27, 2024

NABIP, whose members represent professionals in the health insurance benefits industry, drafted and adopted a new American Healthcare Consumer Bill of Rights launched at the meeting. The post A Health Consumer Bill of Rights: Assuring Affordability, Access, Autonomy, and Equity appeared first on HealthPopuli.com.

ACA 118

ACA Prescription Drug Pricing Health Insurance Hospitals 118

Total HIPAA

OCTOBER 24, 2022

Whether you’re an insurance agent or do business with one, you might wonder, “Do insurance agents need to be HIPAA compliant?” Health insurance agents are responsible for a considerable amount of client data. The first group they serve is health insurance carriers. Today, we’re hoping to clear things up.

HIPAA 98

HIPAA Health Insurance Compliance Medicare 98

HIT Consultant

JANUARY 24, 2025

Director of Product Policy and Solutions at EnableComp Healthcare providers navigating Veterans Administration (VA) claims face complex eligibility requirements, multiple payer systems, and stringent documentation demands. Veterans’ healthcare isn’t simply showing VA health insurance and receiving treatment.

Governance 52

Governance Hospitals Health Insurance Medicaid 52

HIPAA Journal

APRIL 25, 2023

On February 13, 2023, NationsBenefits confirmed that the data compromised in the attack included protected health information such as name, address, phone number, gender, date of birth, health insurance number, medical ID number, Social Security number, date(s) of service, medical device or product purchased, and provider/caregiver name.

Health Insurance 106

Health Insurance Public Health Ransomware Fraud 106

Healthcare IT News - Telehealth

SEPTEMBER 16, 2020

" "When we talk about independent primary care practices who do not have a lot of wriggle room or resources," Gupta added, it may not be realistic to "expect them to read through all these documents and know the details of every insurer." " If the U.S.

COVID-19 209

COVID-19 Public Health Telemedicine Malpractice 209

MRO Compliance

SEPTEMBER 17, 2024

Efficient Retrieval CDXP’s FHIR APIs enable medical record requesters to retrieve documents in binary form, which makes the requested records easily accessible and ready for integration into their own systems. By providing a straightforward endpoint for document retrieval, FHIR ensures that the process is both simple and reliable.

Regulatory Compliance 162

Regulatory Compliance Compliance Health Insurance HIPAA 162

HIPAA Journal

MAY 2, 2023

The information exposed in the attack included one or more of the following: full name, address, Social Security number, driver’s license number, passport number, date of birth, and/or health insurance plan information. Notifications were issued on or around April 28, 2023.

Ransomware 121

Ransomware Licensing Health Insurance HIPAA 121

HIPAA Journal

MARCH 31, 2023

The distinction between the two categories is that there are no HIPAA medical records retention requirements, but requirements exist for other documentation. What HIPAA Retention Requirements Exist for Other Documentation? These HIPAA data retention requirements preempt state laws if they require shorter periods of document retention.

HIPAA 128

HIPAA Medicare Medicare Compliance 128

HIPAA Journal

SEPTEMBER 7, 2022

Before file encryption, the attackers potentially accessed or acquired documents from its systems that contained names, addresses, dates of birth, Social Security numbers, health insurance information, and medical treatment information.

HIPAA 131

HIPAA Ransomware Fraud Health Insurance 131

HIPAA Journal

OCTOBER 5, 2022

Recently, NIST issued a draft update (SP 800-66r2) to its 2008 publication: An Introductory Resource Guide for Implementing the Health Insurance Portability and Accountability Act (HIPAA) Security Rule, and sought feedback from industry stakeholders ahead of the publication of the final version of the guidance. Background.

HIPAA 117

HIPAA COVID-19 Compliance Health Insurance 117