can anyone tell me about HIPAA in medical billing?
79504
HIPAA really doesn't have a whole lot to do with the billing aspect. As long as the patient signs a consent form allowing you to bill on their behalf, you can. It allows you to release any information needed to the insurance company to get the claim payed.
681120
Its actually HIPAA health insurance portability and Accountability Act...go to http://fepblue.org/privacyhipaa/hipaawhat_mov.html\nto learn about the HIPAA Hippo
182605
Because health information is so senstive and so many regulations must be followed the largest of which is the Healthcare Information Portability & Accountability Act (HIPAA).  An IT consultant would not all that needs to be known specific to healthcare of how data is managed, stored, retrieved, protected or shared.
455646
You need to hire an experienced contract negotiator/provider relations coordinator for your facility. You'll also need someone proficient and certified in ICD-9 and CPT coding, as well as experienced medical claims billers and a billing coordinator.\n\nWhere are you located? What state...each state has some different laws in regard to insurence billing for medical claims. I personally have eight years experience in this field.
469610
You question really doesnt make any sense. Are you trying to determine where and how a medical record was accessed? This is called requesting an Accounting of Disclosures from the provider. Otherwise, please update your question.
1096746
Yeah, but you need to be HIPAA compliant. Make sure your business partner has restricted access to your clients' files and their personal information.\n\nAs an auditor of mental health, I cannot copy and must disclose limited information so as not to identify any client. Same goes for your business partner as well.
444194
The big question with medical billing /practice management software is what is your budget? How big is your practice? What are your MUST HAVE pieces of functionality? (pracitce management, claims submission adjudication & processing, scheduling, provider&#92;prescriber management, billing, referral mgmt etc)\n\nDo you need a web based solution or a windows based program? Do you need just a small database or a large solution for a hospital? \n\nI've been writing healthcare & pharma systems for about 10 years now. I can tell you there are tons and tons of pre-built systems out there ranging from a few hundred dollars to a few hundred thousand dollars.\n\nIf you have a large practice with very complex needs you might want to check out Eclipsys http://www.eclipsys.com or Shared Medical Systems http://www.smed.com\n\nA good place to comapre vendors is http://knowledgestorm.com Do a search on Medical Practice Management Software\n\nAnd don't forget! If you want a custom built solution or can't find anything in your price range you can always contact me :)\n\nbest of luck to you
766907
There are laws that govern your privacy. The law is called HIPPA. Unless you have signed a legal document giving your mother or some other person access to your health care information, your doctor would be breaking the law by discussing your health issues with your mom.
1092984
HIPAA is stupid, our rights are no better protected now then they were before!  All of our personal records and information are out there on stupid computers to be accessed by anyone with any know how...stupid HIPAA!
1062809
Go here to check whether the person is licensed.\n\nhttp://verify.llronline.com/LicLookup/Nurse/Nurse.aspx?div=17\n\nAs for HIPAA violations -- you lack standing to make a HIPAA claim.  Also, the fact that she gave your husband an injection, even if done without a license, is non-actionable because your husband was not injured.\n\nThe ONLY thing you can do is get people in trouble.  If you're looking to make money off of this, you're completely out of luck.
892980
Here is a good website that provides information on MEDICAL BILLING/CLAIMS EXAMINING/PATIENT ACCOUNTING :\n\nhttp://healthcarejobs.org/updts.htm\n\nThe article on the website covers:\nIntroduction \nOccupation List \nNature of Work \nWorking Condition \nJob Outlook & Employment \nTraining & Other Qualifications \nEarnings \nResources \n\nEARNINGS\nThese fields have a wage range between $8-$10 an hour to start and up to $30-$40 an hour for years of experience and responsibility.\n_____________-\n\nI had a friend who was interested in Medical billing and coding. The schooling was several thousand dollars US and the jobs in the area were paying only $8 per hour.  She went into another career field that paid more.\nI have heard it is one of the hot jobs, or in demand jobs.\n\nI hope you get many replys to your question.
443927
What state?\n\nedited info:\nhttp://www.nahu.org/consumer/healthcare/state.cfm\n\nthere is some good info there. National association of Health Underwriters.
338180
You can send them a PDF-based form; if they have PDF software, they should be able to save the form, then fill it out, then mail it back to you.\n\nHowever, for the vast majority of users, that's way too complicated.\n\nA better choice would be to create the form you want them to use on a Web site. They go to the site by clicking on a link in their form, and then fill out the Web-based form. The Web-based form would recognize the patient via information contained in the URL's query string.\n\nOnce the person finishes filling out the form, they click a submit button and the info from that form is sent to you.\n\nWith all that said, you may want to check out the HIPAA act. It has very strict rules about securing personally identifiable information about patients; sending e-mails containing any identifiable information about the person, even just appointments, might be in violation:\n\nhttp://www.hhs.gov/ocr/hipaa/\n\nI have written many patient-communication applications for health care, and I can tell you that extraordinary care needs to be put in place in terms of securing those communications.\n\nContact me if you have any additional questions.
1186564
Most states have laws that state you have legal rights to your own medical records but almost all of them also say that the institution can charge you for the copies,etc. Sorry your just SOL
421656
If you have already signed a consent to release medical records then to resend it you must make this request in writing.  Insurance companies, I believe, can deny to pay a claim if not furnished with all requested information from the healthcare provider.  If you do decide to resend the consent, be specific, date, and sign the form.  Some facilities already have a form and all you need to do is request it, complete it and return it to them for processing.  To obtain health coverage insurance companies underwrite the policy and want full disclosure of medical/mental health conditions.  Same goes for most life insurance applications.  Patients with current insurance are in a situation where they either use their insurance coverage and file on their insurance automatically updating the insurance company on health changes or obtaining medical/mental health treatment without disclosing they have insurance and paying the bill(s) out of pocket.  Some health issues are severe enough medical facilities and physicians are required by law to report them at least I think to the Health Department.  Hepatitis and HIV are just two I believe this applies to.  Once you are treated for a condition it becomes a pre-existing condition for any future insurance.  True Group Insurance is not the same as a person who obtains and individual insurance policy.  Contact your Human Resource department if you have True Group Insurance and they might be able to offer helpful information or talk with people who you are employed with that also have the True Group Insurance and you know they have health problems they have been treated for to see how they chose to handle this issue and why.  Hope this helps in some way.  The Spellcheck is having problems....I apologize for any mis-spellings.....
1105057
HIPAA requires your insurer to give you a notice of your privacy rights and tell you that your records might become subject to disclosure through a court order, etc.  your state's general laws would determine when your records could be subpoenaed or otherwise disclosed.  the state insurance department, for example, generally can ask your insurer for any records it has on you and the insurer must respond.  \n\ndon't forget the federal anti-terrorism laws.  if the gov't thinks you are an "evil doer", it can send your insurer a letter demanding your records, without a court order, and your insurer must give them and can't tell you the gov't asked for them.\n\ngood luck!
905578
yes. it's one of your patient's rights to have a copy of your medical record.  they may charge you a fee.