Health Populi

AUGUST 21, 2023

.” HealthEdge’s latest research into health consumers’ perspectives finds peoples’ satisfaction with their health insurance plans lacking, with members seeking easier access their personal health information, high levels of service, and rewards for healthy behaviors.

Health Insurance 62

Health Insurance Medical Billing 62

Healthcare It News

OCTOBER 19, 2021

The companies say they will use automated processing, artificial intelligence and machine learning software on a cloud platform to digitize healthcare claims and improve the accuracy and timeliness of billing information. THE LARGER TREND. ON THE RECORD. Navigating the healthcare economy.

Medical Billing 349

Medical Billing Health Insurance 349

Health Populi

FEBRUARY 24, 2020

The key findings in the survey of 136 health care executives were that: Digital health tools are a priority for half of the health system leaders. The post Tools for Paying Medical Bills Don’t Help Health Consumers Manage Their Financial Health appeared first on HealthPopuli.com.

Medical Billing 96

Medical Billing Patient Satisfaction Hospitals Doctors 96

Medisys Compliance

APRIL 24, 2024

Introduction As a behavioral health provider, protecting your patients’ privacy must be your top priority. The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that safeguards the privacy of individuals’ health information, including mental health and substance abuse treatment records.

HIPAA 59

HIPAA Compliance Medical Billing Outsourcing Medical Billing 59

Kaiser Health News

APRIL 16, 2024

In turn, sales agents used the information to either enroll them in ACA plans or switch their existing policies without their consent. Armed with that information, sales agents then changed her ACA coverage and the agent listed on it five times in just a few weeks, dropping coverage of her son along with way, all without her consent.

ACA 131

ACA Health Insurance Governance Medical Billing 131

HIT Consultant

OCTOBER 5, 2023

T EXPECTATION: Patients have a thorough understanding of their own medical coverage. REALITY: Common health insurance terms such as “in-network,” “deductible,” and “copay” are used so frequently in medical practices that they are recognized and understood immediately by staff.

Medical Billing 111

Medical Billing Health Insurance 111

Medisys Compliance

JANUARY 30, 2023

The medical billing industry is a complex and ever-changing field, and it is crucial for healthcare providers and billing companies to stay compliant with government regulations. State Laws: In addition to federal laws, medical billing companies and healthcare providers must also comply with state laws and regulations.

Compliance 52

Compliance Medical Billing Medical Billing Outsourcing HIPAA 52

Medisys Compliance

JANUARY 21, 2024

Introduction The mental health omnibus bill, recently passed by Congress, marks a significant milestone in improving access to mental healthcare in the United States. Understanding the Bill and its Implications The mental health omnibus bill encompasses a multitude of provisions aimed at bolstering mental health resources and services.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Health Populi

JULY 24, 2023

Health Populi’s Hot Points: That’s a lot of “free” for $39.99 in any one’s definition of value-based health care — most especially, a consumer’s. ” A: “Nope — insurance isn’t needed or accepted.”

Health Insurance 118

Health Insurance Medical Billing Licensing HIPAA 118

HIT Consultant

JUNE 12, 2022

According to the Journal of the American Medical Association , one in five insured adults had a surprise medical bill from an out-of-network provider. Overall, two-thirds of adults are worried about their ability to afford unexpected medical bills. Surprise Billing Causes. Two-thirds of U.S.

Medical Billing 98

Medical Billing Medicare Medicare Health Insurance 98

Medisys Compliance

JULY 11, 2022

The Consolidated Appropriations Act of 2021 established several new requirements to protect consumers from surprise medical bills. These requirements generally apply to items and services provided to consumers enrolled in group health plans, group or individual health insurance coverage, and Federal Employees Health Benefits plans.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Health Insurance Medicaid 52

HIPAA Journal

FEBRUARY 8, 2023

Sharp HealthCare in San Diego has recently notified almost 63,000 patients that some of their personal and protected health information has potentially been stolen in a recent cyberattack on its web server. Credit monitoring services are not being offered due to the limited nature of the stolen information.

Medical Billing 87

Medical Billing HIPAA Health Insurance 87

Health Populi

OCTOBER 15, 2019

These study respondents had also visited a doctor or hospital and paid a medical bill in the past year. One-third of these patients had a health care bill go to collections in the past year, according to Cedar’s 2019 U.S. Just over one-half receive this information on a patient portal, and 34% via email.

Medical Billing 97

Medical Billing Doctors Medicare Medicare 97

Jane Sarashon

MAY 18, 2023

consumer credit rating companies — Equifax, Experian and TransUnion — planned to remove medical bill collections that were under $500 from consumers’ credit reports. And, over one-half of patients have also sought information about medical bills. On April 11, 2023, three of the largest U.S.

Medical Billing 52

Medical Billing Health Insurance Doctors Hospitals 52

Health Populi

AUGUST 2, 2021

This has raised the importance of price transparency, which is based on the hypothesis that if patients had access to personally-relevant price/cost information from doctors and hospitals for medical services, and pharmacies and PBMs for prescription drugs, the patient would behave as a consumer and shop around.

Doctors 133

Doctors COVID-19 Health Insurance ACA 133

HIPAA Journal

DECEMBER 29, 2022

Southwest Louisiana Health Care System, Inc. has confirmed that the protected health information of up to 269,752 patients of Lake Charles Memorial Health System has been compromised. The Palm Springs, FL-based federally qualified health center, FoundCare Inc., Some Social Security numbers were also compromised.

Ransomware 94

Ransomware Health Insurance Licensing Medical Billing 94

Jane Sarashon

FEBRUARY 4, 2024

Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. According to the online Merriam-Webster dictionary , the first use of the phrase “health insurance” occurred in 1901. and ChatGPT.

US Department of Health and Human Services 75

US Department of Health and Human Services Health Insurance Medicare Medicare 75

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.

ACA 118

ACA Prescription Drug Pricing Health Insurance Hospitals 118

Medisys Compliance

NOVEMBER 6, 2023

This checklist outlines the key steps to achieve and maintain compliance: Patient Information Accuracy Verify that the patient’s name, date of birth, address, insurance information, and other demographic data are accurate and complete. Accurate patient information is the foundation of proper billing.

Compliance 59

Compliance Medical Billing Outsourcing Medical Billing ACA 59

Health Populi

DECEMBER 1, 2023

consumers say they can’t afford to pay their medical bills on-time, based on the 2023 Consumer Survey from Access One, a financial services company focused on healthcare payments. Furthermore, one-third of consumers are not confident they could pay a medical bill of $500 or more. Two-thirds of U.S.

Medical Billing 71

Medical Billing Governance Hospitals Health Insurance 71

AIHC

JANUARY 5, 2022

Written by: Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS As a result of the 2021 Consolidated Appropriations Act, several No Surprises Billing Act regulations went into effect on January 1, 2022, for providers, facilities and air ambulance services.

Medical Billing 52

Medical Billing Health Insurance Hospitals Medicare 52

HIPAA Journal

JANUARY 25, 2023

Logan Health has agreed to settle a class action lawsuit related to a 2021 hacking incident that exposed the protected health information of 213,543 individuals. Under the terms of the settlement, Logan Health has agreed to create a fund of $4.3 million to cover claims from individuals affected by the breach.

Medical Billing 81

Medical Billing Fraud HIPAA Health Insurance 81

Medisys Compliance

JUNE 7, 2022

The MSP provisions have protected Medicare Trust Funds by ensuring that Medicare does not pay for items and services that certain health insurance or coverage is primarily responsible for paying. The MSP provisions apply to situations when Medicare is not the beneficiary’s primary health insurance coverage.

Medicare 59

Medicare Medicare Medical Billing Medical Billing Outsourcing 59

HIPAA Journal

JUNE 8, 2023

Peachtree Orthopedics said it cannot rule out unauthorized access to patient information. The group claims to have exfiltrated 194 gigabytes of data, including personal information and medical records and has threatened to publish the data if the ransom is not paid.

Ransomware 76

Ransomware Hospitals Medical Billing HIPAA 76

MedTrainer

MARCH 8, 2024

There are three key fundamentals of team member compliance training: It Helps Reduce Risk It Ensures Patient Safety It Fosters a Culture of Compliance Employee Compliance Training Topics Compliance training covers a wide range of topics, including patient privacy, medical billing and coding, workplace safety, and infection control, among others.

Compliance 52

Compliance Fraud Governance HIPAA 52

Health Populi

FEBRUARY 20, 2020

health care system. As such, American health consumers are wrestling with sticker shock from surgical procedures, surprise medical bills weeks after leaving the hospital, and the cost of prescription drugs — whether six-figure oncology therapies or essential medicines like insulin and EpiPens.

Telemedicine 172

Telemedicine Medical Billing Health Insurance Hospitals 172

Medisys Compliance

APRIL 27, 2022

The Health Insurance Portability and Accountability Act (HIPAA) was introduced in year 1996. As the name suggests, it was created to ensure that all ‘protected health information’ was appropriately secured and restricted access to be given only to authorized individuals. that are used to store and send information.

HIPAA 52

HIPAA Medical Billing Outsourcing Medical Billing Ransomware 52

Health Populi

MARCH 22, 2018

The data points come from one-half million people who were hospitalized in California between 2002 and 2011 and tracked in credit reports which included information on whether and when the patients filed for bankruptcy. health citizens of the economic hardship of high-cost health problems.

Hospitals 67

Hospitals Health Insurance Medical Billing 67

Health Populi

APRIL 28, 2021

Health care has increased its role in popular culture over the years. I look around and I see families devastated by medical bills and escalating prescription costs. No one should lose their livelihood, their home, their life because they can’t afford or understand the prices of their medical treatment.

Health Insurance 143

Health Insurance Medical Billing Health Care Access Public Health 143

Medisys Compliance

MAY 17, 2022

This article covers the basics of telehealth and useful information which would be useful for preparing your practice for telehealth services. Mobile health (mHealth). How you’ll access the information you need for each patient visit. Explain how their personal information will be protected. Basics of Telehealth.

COVID-19 52

COVID-19 Medical Billing Outsourcing Medical Billing Medicare 52

MedTrainer

JANUARY 26, 2024

Here are some common non-compliance activities: Failure to Maintain HIPAA Compliance: The Health Insurance Portability and Accountability Act (HIPAA) sets strict guidelines for safeguarding patient health information. This ensures that staff members are well-informed and equipped to avoid compliance pitfalls.

Compliance 52

Compliance Informed Consent HIPAA Medical Billing 52

Medisys Compliance

NOVEMBER 18, 2022

Before a certain treatment, service, gadget, or drug is given to the patient in order to qualify for coverage, doctors and other healthcare professionals must acquire in advance approval from a health insurance plan (known as a “prior authorization” or “PA”) process. Protect patient health information and PA:

Medical Billing Outsourcing 98

Medical Billing Outsourcing Medical Billing Doctors Patient Satisfaction 98

HIT Consultant

MARCH 22, 2023

Consumers have difficulty planning for medical expenses because many hospitals are still not clearly publishing their pricing information in an easy-to-understand format for most people. Unfortunately, facilities aren’t incentivized to publish this information, nor is there large-scale accountability for non-compliance.

Patient Satisfaction 97

Patient Satisfaction Compliance Hospitals COVID-19 97

HIT Consultant

OCTOBER 25, 2022

And patients want convenient, easy-to-understand access to their information – whether that information is in the form of test results, prescriptions or outstanding payment balances. As virtual care options continue to expand, more patients are expecting to pay in the same way that they do for other goods and services.

Health Insurance 98

Health Insurance Medical Billing Hospitals Doctors 98

Health Populi

FEBRUARY 26, 2020

This realization is informed by data in a new report from Deloitte, Where have the many hospital inpatient gone? This week, too, The Wall Street Journal analyzed the impact of insurer-owned retail clinics’ potential threat to hospitals. Indeed, outpatient and ambulatory care is the New Black for hospitals and health care.

Hospitals 127

Hospitals Health Insurance Medical Billing 127

Medisys Compliance

NOVEMBER 9, 2022

The procedure aids in lowering the possibility of medical errors brought on by unqualified professionals. Since it enables practices to accept patients with health insurance benefits, physician credentialing gives medical practices access to patient bases that were previously inaccessible to them. Expand your clientele.

Medical Billing Outsourcing 105

Medical Billing Outsourcing Doctors Medical Billing Malpractice 105

Health Law RX

DECEMBER 21, 2023

Department of Health and Human Services (HHS) Office for Civil Rights (OCR) is signaling that it is cracking down on healthcare organizations that fail to identify and address cybersecurity vulnerabilities as required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA Rules).

HIPAA 52

HIPAA Ransomware Compliance Medicaid 52