Medical Billing Blog with Medical Billing & Coding Info & Articles

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Welcome to the medical billing blog containing news and articles relating to medical billing, medical coding ICD-10, HIPAA and all practice management functions.

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Currently contains over 1,235 healthcare and medical related entries.

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Self-service data preparation and analytics

Improving claim collection rates is one way to boost revenue cycle performance, and hospitals can achieve this through various means. Frank Moreno, vice president of product marketing at Datawatch, shared the following tip with Becker’s Hospital Review:”Effective revenue cycle management is only attainable when healthcare organizations have a full view of their patient and operational data. Finance departments cannot wait for IT to provide detailed reports, or spend countless hours manually pulling data from EMRs, 835 and 837 remittance and other files.Yet that’s what is happening at organizations across the country every day. Instead, by using self-service data preparation and analytics solutions, finance teams can easily unlock hidden data to

Published By: Melissa Clark, CCS-P | No Comments

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

Published By: Melissa Clark, CCS-P | No Comments

Making Health IT Safer and Easier to Use

Every day, clinicians work tirelessly to provide the best possible care for their patients. Clinicians and other health care providers like hospitals are increasingly using health information technology (health IT) such as electronic health records (EHRs), and a growing body of evidence shows health IT can help them make care safer. However, new technology can pose challenges and risks. At the Office of the National Coordinator for Health Information Technology (ONC), patient safety is a top priority, and that’s why we maintain the SAFER Guides to help with the implementation decisions clinicians make to reduce EHR associated patient harm. (SAFER is the acronym for Safety Assurance Factors for Electronic Health

Published By: Melissa Clark, CCS-P | No Comments

Managing HIPAA Risk with Outside Consultants

The rising complexity of healthcare, particularly as it relates to providers’ growing technical needs, is increasingly prompting healthcare organizations to seek the help of outside consultants. In engagements with healthcare entities, thought IT consultants try to minimize interaction with patient data, they often have access to protected health information (PHI). When working with HIPAA Covered Entities, consultants are treated as “business associates” and are required to comply with Privacy Rules designed to protect PHI. Managing HIPAA compliance when engaging outside consultants requires that consultants enter into a Business Associate Agreement (BAA). The BAA must: Describe the permitted and required uses of PHI by the business associate in the context of

Published By: Melissa Clark, CCS-P | No Comments

Seven Steps to Correctly Code Surgeries

It’s all in how you dissect the operative report. Many coders struggle with coding operative reports because there are so many guidelines and policies that affect code selection. The process is easier when you break it into seven steps: Review the header of the report. Review the CPT® codebook (start in the Index). Review the report/documentation. Make a preliminary code selection. Review the guidelines (for the preliminary codes). Review policies and eliminate the extras. Add any needed modifiers. These seven steps will ensure all the factors that may affect code selection are accounted. Let’s look at an example, and walk through the steps together. Step 1 Review the Header of the

Published By: Melissa Clark, CCS-P | No Comments

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