Tagged with HIPAA
Five Best Practices to Ensure HIPAA Compliance with your Business Associates
As a medical provider, you must ensure that your business associates are HIPAA compliant. After all, your practice must protect the privacy and security of your patient’s protected health information (PHI). Business associates perform functions that involve using or disclosing Protected Health Information (PHI). If they do not comply with HIPAA, eventually, it can…
Four Steps to Protect your Practice from a Data Breach
A data breach is when an unauthorized party breaks into a company, individual, or organization’s system to disrupt, control, steal, or manipulate private, protected, or sensitive information. Therefore, these breaches happen when someone is looking to exploit your software or personnel internally to gain access to private data. However, it can also occur unintentionally when someone…
2022 Healthcare Cybersecurity Predictions and 3 Steps to Take Now
2022 Healthcare Cybersecurity Predictions look a lot like 2021, but with more risk on all fronts. 3 actions to take now can reduce your risk.
Anthem Ohio Clinical Laboratory Improvements Amendments
Beginning May 1, claims that are submitted to Anthem Blue Cross and Blue Shield (Anthem) of Ohio for laboratory services subject to the Clinical Laboratory Improvement Amendments (CLIA) 1988 federal statute and regulations will require additional information to be considered for payment.
CMS Claim Status Category and Claim Status Codes Update
CMS has released updates to the claim status and claim status category codes used for the Accredited Standards Committee, Health Care Claim Status Request and Response and ASC Health Care Claim Acknowledgment transactions.
HHS to Cap HIPAA Fines Based on ‘Culpability’
The Department of Health and Human Services (HHS) has published it’s Notice of Enforcement Discretion Regarding HIPAA Civil Monetary Penalties, updating the maximum amount it will penalize providers, health plans and business associates for HIPAA violations.
Ohio Proposed Rule to Require Providers to Accept Standard Form for PHI
The Ohio Department of Medicaid (ODM) has proposed the adoption of a proposed rule which would require two standard authorization forms for the use and disclosure of protected health information (PHI).
New Jersey Medicaid Issues Telehealth Coverage and Reimbursement Guidance
October 2018 ~ The New Jersey Department of Human Services, Division of Medical Assistance and Health Services (DMAHS) issued a newsletter to NJ FamilyCare (NJFC) providers to clarify the requirements for the provision and billing of NJFC services via telehealth and telemedicine. The guidance comes as a follow-up to the New Jersey Telemedicine and Telehealth…
CMS Issues Clarification around Texting Patient Orders
CMS, on December 28th, issued a Survey and Certification Memorandum (S&C Memo) to state survey agencies to clarify and reinforce its position that it prohibits physicians and health care providers from texting orders.
Health New England Updates Anesthesia Guidelines
Healthcare New England (HNE) has issued updated anesthesia guidelines surrounding the use CPT codes and claim submissions.
Anthem EDI Edit for 837 Professional Independent Lab Claims
Effective December 8, Anthem EDI began implementation of a new edit related to independent laboratory claims which reduces the processing time and manual intervention for lab claims.
New Fact Sheet on Administrative Simplification Basics
CMS’ newly released fact sheet explains how Administrative Simplification standards streamline day-to-day tasks such as billing, verifying patient eligibility, sending and receiving payment.
DE – DOI Investigating Highmark BlueCross BlueShield Data Breach
The Delaware Department of Insurance is investigating a security breach involving subcontractors of Highmark BlueCross BlueShield of Delaware: Summit Reinsurance Services Inc. and BCS Financial Corp.
