Apr 10th, 2019
Beginning this month, nine HIPAA-covered entities — a mix of health plans and clearinghouses — will be randomly selected by the Centers for Medicare & Medicaid Services (CMS) for compliance reviews. Any health plan or clearinghouse — not just those that work with Medicare or Medicaid — may be selected. The CMS Division of National ...
Dec 12th, 2017
The “Administrative Simplification: Certification of Compliance for Health Plans” proposed rule has been withdrawn. Although health plans still must comply with HIPAA electronic transaction regulations, they do not have to certify their compliance or else be fined. HHS Backs Down on Certification The U.S. Department of Health and Human Services (HHS) published the proposed rule Jan. 2, ...
Tips for collecting what is due to your office. By Christy Richards, CPC, CPMA, AAPC Fellow Your practice’s financial well-being depends on reviewing all the parts of your revenue cycle and streamlining the payment process to ensure every opportunity to collect is used. To get you started, here are a few areas that often require ...
In Billing
Apr 14th, 2014
Government officials are enthusiastic about what they see as early success of the HIPAA electronic funds transfer (EFT) standard. January 2014 was the first month health plans were required to comply with the new standards and rules aimed at making EFT transactions easier and faster. Similar to financial transactions such a payroll direct deposits, EFT ...
In Billing
Aug 30th, 2013
By Delly Parham, CPC “Take backs” have replaced “pay backs,” thanks to the adoption of paperless business practices. This demands a new approach to overpayment issues. What is a take back, and what does this mean to your practice? A payer automatically deducts dollars for an alleged overpaid claim from a future claim payment. This ...