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.…
With so many health organizations turning to electronic transfer and receiving of individual health information, certain rules must be in place to ensure health information is kept confidential. In the article “Summary of the HIPAA Security Rule” defines the different roles that the rule covers. Here are some examples of what the HIPAA security rule covers: administrative safeguards, physical and technical safeguards, policies and procedure requirements and much more.…
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.…
This research is being submitted on November 18, 2012 for Lashonda Crockett H340/HSA3422 Section 03 Regulation and Compliance in Health Care.…
The receptionist or other clerical worker will either call, or receive a call from a “patient” or other authorized individual. During this communication, the associate must be careful to observe HIPAA rules related to “protected health information.” when “schedule, canceling, or rescheduling” encounters. When gathering benefit “information,” the representative must be diligent to accurately enter data into the “patient’s” file. Discerning insurance cards, policies, and all applicable guidelines of each plan are applicable to the “front and back” office. Abiding by the payer’s regulations, and the coordination of benefits,” associates will input this data into the patient management program (PMP). During these procedures, insurance specialists will be cautious to correlate the correct information with the correct patient. The “front or back office” will then confirm coverage with designated plans, along with all essentials, such as if a “referral or preauthorization” is a requisite. Prior to consulting with the physician, patients will need to be alerted about their rights, in coordination with HIPAA privacy standards, as well as those of the provider. During that time, if the patient owes any monies for coinsurance, or copayments, this will be submitted to the “front office.” While checking out patients, insurance specialists will transfer the descriptions of “diagnoses and procedures” from the “physician’s report” into appropriate “codes” for ‘claim” generation. This facet is most crucial, because of the HIPAA specifications regarding the transfer of PHI “by covered entities” (Valerius et al., p.…
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…
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.…
The breach of confidentiality is that the patient information was given out to someone that wasn't allowed to have it. The patient signed a documents that their information was given out unless they signed something. The penalty to violating HIPAA is jail time and or probation. You never know what could actually happen but I know it is federal offense. The person who released it without consent could be fined as well.…
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).…
The Heath Insurance portability Act (HIPPA) of 1996 is a law designed to protect a patients personal and health information from being disclosed, it allows patients great access and control to his or her information, enhances health care, and creates a national framework for health privacy protection. Everyone in the health care business should be aware of the HIPAA law to protect the privacy and confidentiality of anyone who may be cared for in the facility. The patient must also sign and acknowledge the HIPPA privacy statement that is usually received during visits and prescription pickups. HIPAA protects the patient’s medical and personal information from being released to other staff members in a social manner, the patients workplace unless under workman’s comp, and not released to anyone who is not involved in the patients visit. HIPAA is a very important rule when it comes to HIV and AIDS this disease must be handled in a more sensitive manner than other diseases and HIPAA should protect the patient’s information from entering in the wrong hands. HIV and AIDS do have a large amount of stigma, misconception, and discrimination it can cause many problems for patients diagnosed and there information has been leaked. HIV and AIDS is a very touchy subject amongst many people. This disease is one that a person will most likely not recover from as well as a disease that is deadly if not treated. The HIPAA confidentiality is important for the patients who do not want others to know they have the disease. HIV and AIDS is often a lifestyle disease which some people may look at differently than others or may look down on them. Because HIV and AIDS are usually transmitted through sexual intercourse, semen, vaginal discharge, blood, and drug use some people may think this is bad behavior on that person’s part. HIPAA protects the patient’s personal information and protects his or her medical information such as diagnosis, treatments,…
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.…
retrieve your records by filling out a form, and you are allowed access to your…
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.…