We have gone over our books and looked at our labor growth over the last 6-7 years. Here is a summary of our situation. All numbers are based on billed services only. Costs of goods sold are NOT included in any of the numbers. Our average growth per year over the last 6-7 years is 48.62%. If we take out our best and worst years for growth then our average is 31.62% each year. We are currently on pace to easily hit $126,703.79 in labor for 2016. Our labor increased by 34.84% from 2015 to 2016. We just added two managed service clients this month. Now we have 20 managed services clients that add up to $120,720.96 per year. As you know this is the most valuable part of our business.…
When it comes to HIPAA, ICD, CPT, and HCPCS on how they influence each of the ten steps of the medical billing process, HIPAA influences the billing process by maintaining HIPAA compliance, as far as confidentiality and the handling of the medical record. When it comes to ICD, CPT, and HCPCS they influence the billing process they are the reference source where the codes are contained that are used to find the diagnosis, procedure, and the supply codes. But the HIPAA, ICD, CPT, and HCPCS they are all some kind of way related to have something to do with the billing process, but the ten steps during the process are…
1. How does HIPPA serve to protect patient rights? A patient’s health information can be shared with doctors and hospitals for treatment and care. The information can also be shared with family members who the patient has given permission to access the patient’s records. HIPPA’s guidelines make clear exactly what information about patients is protected. Called PHI, this information includes anything that would identify a patient, from name, Social Security numbers and addresses to broader identifiers like race, age and home state. Information about the person’s health care needs or medical history is also considered PHI.…
What is HIPAA all about and why should you care about being HIPAA compliant? Medical marijuana, like any controlled substance, requires a strong system of identifying patients properly. Dispensaries use computerized systems to process and verify patient health information (PHI). This can pose certain risks, including security breaches. These systems are subject to the Health Insurance of Portability and Accountability Act of 1996 (also referred to as HIPAA). Under this Act, medical marijuana is treated the in a similar way as prescription drugs.…
In the article “ Hospitals fined $4.8M for HIPAA Violation” by Erin McCann reports that several health care organizations are in HIPAA violation due to human error. A hospital and a medical center were fined because patients information were available on line. The breach was due to a physician who developed an application for the hospital and a medical center. During the process of transferring patient information to one computer at home accidently made the information available on the Internet. A patient’s family member discovered it when they notice their family members private health information was on line.…
“The” central point” of medical services, and operations, is the “federal government’s” organization, the Centers for Medicare and Medicaid Services (CMS). This affiliation is a component of the Department of Health and Human Services (HHS). One of the priorities of CMS is to analyze efficiency, and productivity in assorted “health care management, treatment, and financing” functions. CMS guidelines are pivotal to success, and compliance in “health care” delivery, and billing. Carriers will usually alter their regulations to support that amended by Medicare. Another credit to CMS is the enforcement of “the most important recent…
The first thing that I noticed that was wrong in the video was when the two nurses in the elevator started talking about one of their patient's medical condition and the care of him. They mentioned him by name and even said his room number. This is a clear HIPAA violation of the privacy of personal health information. The next incident that I saw was when the two nurses accessed the medical record of a friend of theirs who is a patient. They abused their security privileges in order to log into and obtain private health information in the patient's medical record which is another HIPAA violation. I think this type of violation really concerns most people because it reveals how easily someone can gain unauthorized access to our private medical…
HIPAA allows patients’ health information to be disclosed under some circumstances, such as 1) to meet law requirements; 2) for reporting of abuse, neglect, and domestic violence; 3) for monitoring of healthcare operations; 4) to be presented as evidence in legal proceedings; 5) for assistance with police investigation; 6) for medical examinations and funerals; 7) for organ donation; 8) for research; 9) to avoid a significant threat to health or safety; 10) for workers’ compensation payments; 11) to execute government…
The Health Insurance Portability and Accountability Act (HIPAA), became law in 1996. It requires health care providers, insurance companies and others involved in health care transactions to provide security on any system containing personal health information, store and transmit that information according to standardized rules, and place an automatic audit on files to help keep track of who should have access to them and whether those access rules have been violated. HIPAA complaints and violations that aren't fixed quickly are subject to a fine of between $100 per incident or a maximum of $25,000 per year for violation of a specific rule.…
Over the years since the inception of HIPAA, it is hard not to notice the influence it brought on to the patients, the healthcare industry, the health information management and technology, and other entities in securing the confidentiality, security, and privacy of PHI. In addition, the HITECH Act and its HIPAA modification released in January 2013 greatly invigorated the HIPAA of 1996 (Solove, 2013). Definitely, the most important health care changes over the past couple of decades is the growing interest in health information privacy and security (Solove, 2013).…
HIPAA is the Health Insurance Portability and Accountability Act 1996, which was originally proposed to assure health insurance coverage after leaving a job. Congress felt the need to add a section to the bill in order to save money; therefore, the Administration Simplification section was included in the bill. The health care industry was in agreeance with the ideas of Congress because standard record formats, code sets, and identifiers in standardized electronic transactions were required. The official bill was passed August 21, 1996. There are two main focuses of HIPAA, which are the privacy and security of the patient’s health information and the covered entities. Being that Congress didn’t provide legislation defining the privacy and security…
Tennile, I like your point of you never know who is within earshot or in eyes view so it is important to always protect the privacy and security of patients' medical information. I think the video shows just how easily HIPAA violations can occur causing a patient's private information to be exposed. Personal health information can be either spoken, written, or in electronic form. Medical professionals need to always remember that it is a mandatory federal law that it is kept private and secure. I think that all healthcare professionals should be dedicated to securing its protection.…
HIPPA Violations need to be taken very seriously in the healthcare field. I am sure most employees are not aware of the penalties involved with a HIPPA violation. The American Recovery Act of 2009 created a tiered penalty for HIPPA violations. But it is the Office of Civil Rights that determines the amount of each penalty, and is dependent upon the nature and extent of harm that results from the breach (CMS, 2013).…
In helping to protecting the patients HIPAA laws keep their records confidential. There are several rules that must be followed. This means the physician or entity is not allowed to disclose any information pertaining to the patient as far as but not limited to what condition they have had in the past, what conditions they may be going through currently, what the family history is, and their demographics. When speaking of demographics this includes everything the persons’ name, date of birth, phone number, age, or even their address. An example of HIPAA being broken would be a patient receiving another patients’ envelope with test results.…
A HIPAA violation is extremely serious violation. The failure to comply with HIPAA can result in civil and criminal penalties. The Secretary of the Department of Health and Human Services (HHS) has a choice in determining the amount of the penalty based on the nature and extent of the violation and the nature and extent of the harm done from the violation. The HHS is still forbidden from imposing civil penalties, except in cases of willful neglect.…