Archive for The Day of August 10th, 2005

Archive for the Day of August 10th, 2005

Welcome to the medical billing blog archive for the day of August 10th, 2005.

Here you will find links to every article added to the Outsource Management Group web site during August 10th, 2005.

You can browse this day's archives by clicking the "More" button from any of the excerpts below.

HIPAA Compliance and Outsourcing Your Medical Billing

HIPAA Compliance and Outsourcing Your Medical Billing The Health Insurance Portability and Accountability Act of 1996 (HIPAA) has had a major impact on health care providers who do business electronically as well as many of their health care business partners. Many changes involve complex computer system modifications. HIPAA compliance requirements have been standardized into 4 main aspects. 1) Electronic transactions and code sets2) Security;3) Unique identifiers; and4) Privacy HIPAA does not require a health care provider to conduct all transactions and medical billing electronically. Rather, if you are going to conduct any one of these business transactions electronically they will need to be done in thestandard secure format outlined under

Clearinghouse vs. Direct to Carrier Medical Billing Submissions

Clearinghouse vs. Direct to Carrier Medical Billing Submissions When considering which to submit to, there is some pause for thought. Most practices submit paper claims direct to the Carrier as they always have. This is not a very cost effective way to handle claims unless you only submit one claim to one carrier,which isn’t likely. You have a thriving practice with a lot of patients and therefore have a lot of claims with many different carriers. With a clearinghouse, you need only contact one location and submit all your claims for routing and processing. Most medical billing firms use the clearing house method.Furthermore, more carriers don’t allow editing of claims

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