Tag: Healthcare Regulations

Reproductive Healthcare Data Privacy

Understanding the HIPAA Reproductive Healthcare Data Privacy Final Rule

The final rule issued by the Biden administration aimed to bolster the privacy of reproductive healthcare data under HIPAA, a significant move following the Supreme Court’s overturning. Health and Human Services (HHS) officials hoped this rule would alleviate the “chilling effect” on individuals seeking or providing legal reproductive healthcare, stemming from both legal challenges and […]
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Medical Coding Audits for Physicians

Mastering Medical Coding Audits: A Physician’s Guide to Compliance & Revenue Protection

In the intricate ecosystem of healthcare, where patient well-being and financial viability intertwine, accurate medical coding stands as a cornerstone. Physicians, while primarily focused on patient care, bear the ultimate responsibility for the documentation that underpins the billing process. To ensure accuracy and compliance, Medical Coding Audits for Physicians are essential in identifying potential errors […]
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RCM Compliance Challenges

Top 10 Revenue Cycle Management Compliance Challenges

Revenue cycle management (RCM) is the financial backbone of any medical practice, ensuring timely reimbursement while maintaining compliance with ever-evolving regulations. However, many practices unknowingly face significant compliance risks that can lead to claim denials, audits, financial penalties, and even legal consequences. Common pitfalls include billing and coding errors, fraud and abuse violations, HIPAA breaches, […]
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healthcare compliance issue Logs

Healthcare Compliance Issue Logs & Risk Assessment

Troubleshooting and insurance: These are the dual purposes of maintaining a detailed Healthcare Compliance Issue Logs, according to a senior compliance executive. Speaking at AAPC’s HEALTHCON Regional, the senior compliance executive highlighted the Office of Inspector General’s (OIG) new voluntary compliance guidance, emphasizing its importance even for organizations already familiar with the seven elements of […]
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Impact of Healthcare Reform on RCM

Healthcare Reform Update: How New Regulations Affect RCM

Health care in the United States is constantly changing, with new regulations and policies being developed to improve patient outcomes, increase access to care, and reduce costs. Impact of Healthcare Reform on RCM, keeping up with these changes is essential for Revenue Cycle Management (RCM) professionals. New regulations can impact everything from billing and coding […]
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Future of medical billing services

The Future of Medical Billing Services: Preparing for the Next Wave of Challenges

Medical billing is experiencing significant changes as the healthcare industry rapidly evolves. Healthcare providers are facing new challenges managing their revenue cycles as the sector becomes more complex. The future of medical billing services is not without obstacles. However, medical billing services play a critical role in ensuring providers receive timely and accurate reimbursement for […]
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Price-transparency

Price Transparency and RCM: A New Era

The healthcare industry has traditionally been a black box when it comes to pricing. Patients, providers, and payers alike have often struggled to understand the complex web of costs associated with medical services. However, a seismic shift is underway. The advent of price transparency regulations and the evolving role of Revenue Cycle Management (RCM) are […]
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HCPCS Level II Code Updates for July 2024

HCPCS Level II Code Updates for July 2024

The HCPCS Level II quarterly update for July 2024 is now available on the Centers for Medicare & Medicaid Services (CMS) website. The update includes: 134 added codes 9 discontinued codes 32 codes with long description changes 3 codes with payment changes New HCPCS Level II Codes Effective July 1, 2024, there is one new […]
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HIPAA 2024: What You Need to Know for Secure Medical Billing Practices

HIPAA 2024: What You Need to Know for Secure Medical Billing Practices

Secure Medical Billing Practices: In the ever-evolving healthcare landscape, protecting patient privacy and safeguarding sensitive medical information remains paramount. The Health Insurance Portability and Accountability Act (HIPAA) serves as the cornerstone of these efforts, dictating robust data security standards for covered entities handling protected health information (PHI). As we navigate 2024, staying updated on HIPAA […]
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