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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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Is the COVID-19 Pandemic Unraveling HIPAA Rules?

Art Gross poses a great question over at Health IT Answers… Is COVID-19 unraveling HIPPA?   “The Health Insurance Portability & Accountability Act (HIPAA) was created in 1996 to protect patients and their privacy, and if you are in healthcare, you already know this and are familiar with what it means. With a goal to ensure that people could maintain health insurance between jobs, thus the “Portability” part of the name; along with a second, and critical goal, to address the “Accountability” of insurance to protect the confidentiality part of patient information and data. This meant mandating standards of privacy for electrotonic protected health information (PHI) and data that was

Published By: Melissa's Mentions | No Comments

Poor Payer Reimbursements are Effecting Practices During COVID-19

HealthIT Answers posted an interesting article on how the pandemic is effecting providers. “Most physicians who have been practicing for a few decades remember the days when private payer reimbursements dwarfed Medicare reimbursements. That dynamic has long since flipped, starting with the 2008 recession. Reimbursements have been flat or have lost value from inflation, while practice costs have seen double-digit increases. Meanwhile, hospitals and insurance-owned health networks have seen reimbursements increase to 300% or more of Medicare in some cases, whereas it’s not uncommon for private practices to receive rates far below Medicare standards. Many practices have seen their volumes decrease from 30% to up to 90%, and a significant

Published By: Melissa's Mentions | No Comments

EHR and Interoperability Must Evolve to Integrate Genomic Data

“As genomic data becomes more prevalent and complex, EHRs must adapt and evolve to provide better patient care, according to a statement released by the American College of Medical Genetics and Genomics (ACMG). Genetic and genomic testing has become an important tool to enhance clinical decision-making and ultimately precision medicine. However, health IT, especially the EHR, are not able to integrate and interpret this data, ACMG said. In order to integrate genomic information into EHRs, amplifying patient autonomy, access, genetic literacy, privacy and protection, transferability of data, and assigning a data set must occur. “The electronic health record serves as a powerful interactive tool in improving the healthcare of patients

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

6 Tips to Keep Your Finances Afloat During the COVID-19 Pandemic

Medscape offers 6 Tips to Keep Your Finances Afloat During the COVID-19 Pandemic…   1. Cut back on expenses Some household spending has naturally tapered off for many families, as social distancing restrictions reduce spending on eating out, travel, and other leisure activities. But this is also an opportunity to look for other ways to reduce spending. Look through your credit card bills to see whether there are recurring payments you can cut, such as a payment to a gym that’s temporarily closed or a monthly subscription box that you don’t need… 2. Take advantage of regulatory changes Although many physicians won’t qualify for direct payments via the Coronavirus Aid

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

Better Data Collection is Key to Addressing EHR and Claims Data Discordance

“There is a moderate agreement between EHR data and Medicare Part D (MPD) claims data for the receipt of oral anticancer agents, which are a popular treatment option for cancer patients, according to a study published in JAMA Network Open. The study, conducted by the Texas Cancer Registry and The University of Texas MD Anderson Cancer Center (MDACC), found that 73.8 percent of the EHR data and MPD claims data overlapped, with 176 data sets shown in both and 123 sets not shown for either. Oral anticancer agents are becoming more popular and equally as expensive, leaving policymakers to uncover data about how patients use them, which then allows for

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

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