Medical Billing Blog: Section - Medical Data

Archive of all Articles in the Medical Data Section

This is the archive containing links to all articles written in the Medical Data section of our blog.

Click any of the article links below to read the entire article or browse another section to the right to read articles on another subject.

Who’s Accessing Your Health Data?

Despite the fact that ransomware and hacking attacks draw the biggest headlines, it is actually improper insider access that causes the highest number of data breaches. Such are the results from the most recent Protenus “Breach Barometer,” which analyzes reported and sometimes not so publicly reported breaches in healthcare each month. For those who follow privacy and security in healthcare, the Protenus findings are not that surprising. Reports of inappropriate access by insiders are frequent and show a disturbing trend. Many of the reports allege that information was not used in any detrimental manner. Only that snooping occurred. However, there are two problems with that view. First, even small insider

By: Melissa Clark, CCS-P, RT - CEO
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Many EHR Vendors and Providers Block Information Exchange

Half of electronic health record (EHR) vendors and a quarter of hospitals and health systems routinely engage in information blocking that restricts data flow between providers with different EHRs, according to officials of public health information exchanges (HIEs) surveyed by researchers at the University of Michigan. The top motivation for EHR developers was revenue maximization, whereas the hospital systems were mainly motivated by a desire to maintain or enhance their competitive position, the authors state. The study was published online March 7 in the Milbank Quarterly. In a report issued 2 years ago, the Office of the National Coordinator for Health IT (ONC) said there was anecdotal evidence showing that

By: Melissa Clark, CCS-P, RT - CEO
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Demonstrating the Complexity of Care

SCENARIO: So, you are working at a multi-specialty practice that recently employed a urologist. As the Lead Medical Auditor and a member of the Corporate Compliance Team, you begin to worry about the chart audits as you have no members on your team that have worked within this specialty before. Take a deep breath – and remember that the largest volume of claims that the urologist will bill are E&M services. Regardless of the specialty of any medical practice, each will utilize Evaluation and Management (E&M) services in greater volumes than surgical services. Specialty-specific trained medical auditors are well versed in trudging through records to note the disease processes and

Guest Article By: Shannon DeConda
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EHR Meaningful Use and Stage 2 Guidelines

January has brought upon the EHR (electronic health records) Stage 2 incentive programs start for physician and medical practices. However, there is a great deal of concern that those doctors who can meet Stage 1 requirements will not be able to meet the Stage 2, because their EHRs are not up to standard and neither are the vendors that they deal with. There are 2200 products and almost 1400 EHR certifications for Stage 1, but only 75 products and 21 EHR certifications for stage 2. Around 90 percent of the vendors are expected to not be ready for stage 2. Stage 2 is the second step of meaningful use for

By: Melissa Clark, CCS-P, RT - CEO
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Deadlines: Regulations on HIPAA Compliance for Physicians

The deadline of September 23, 2013 has come and gone on the calendar. It was on this day the federal government enacted changes to the Health Insurance Portability and Accountability Act, better known as HIPAA. Medical physicians must be compliant with privacy and security and changes will include things like how to properly secure a patient’s health information or what you must tell a patient about their privacy rights. Medical physicians have 6 months to comply, and for many this is a difficult task to stay on so that the deadline is met. Compliance of the act includes the following updates to the regulations. Physicians must conduct a risk analysis

By: Melissa Clark, CCS-P, RT - CEO
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ICD-10: Know ICD-9 And ICD-10 Differences Beforehand!

ICD-10 deadline is looming. The fear of October 2014 has sent the healthcare industry in a tizzy with many fearing for its accurate compliance. The haphazard preparation of the diagnostic codes is a disaster waiting to happen. Before chalking out the ICD-10 action plan for your practice and to ensure a smooth transition from ICD-9 to ICD-10, it would be wise for you to know the most crucial differences between ICD-9 and ICD-10. Lack of Specifics ICD-9 has been marred by a glaring lack of specification, for instance, the same injuries on opposite limbs comprise the same code. This leads to complexity and gives room for confusion on different levels.

Guest Article By: Steve Gray Stevenson
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Windows XP Will Not Be HIPAA Compliant in April 2014

If you are still using Windows XP machines, you need to be getting rid of them soon. As Mike points out over at Hitech Answers, April 8th is when Microsoft ends all security updates, which puts you in direct violation with HIPAA. “Time’s up. On April 8, 2014, Microsoft is ending security updates and patches for Windows XP and Office 2003. Just having a Windows XP computer on your network will be an automatic HIPAA violation, which makes you non-compliant with Meaningful Use and will be a time bomb that could easily cause a reportable and expensive breach of protected patient information. HIPAA fines and loss of Meaningful Use money

By: Corporate - Public and Client Relations
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