Hospital Management
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Wrong Person Receives Bill, OCR Secures $2.175 Million Fine
As new privacy laws and regulations are put forth on both the state and federal levels, every covered entity should work with competent counsel to develop policies and procedures for breach preparedness, avoidance, and response that is compliant with applicable laws and regulations.
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HIPAA Settlements Hold Lessons on Right of Access, Breach Reporting
It is worthwhile for risk managers and compliance officers to revisit the requirements on which recent fines were based, specifically regarding time frames and file formats.
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Expect More High-Tech Breaches, Attorney General Audits This Year
Most HIPAA breaches in the past were of a low-tech nature. But that is changing now, partly because the digital revolution has completely changed how healthcare organizations handle data.
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Peer-to-Peers Not Always Successful; Patient Access Can Increase the Odds
Patient access does its part by obtaining authorizations for scheduled cases. Thorough documentation in the medical record gives the payer no reason to ask for the peer-to-peer in the first place.
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A Little Coding Knowledge Goes a Long Way Toward Preventing Denials
Patient access staff need far more limited knowledge of coding to perform their jobs. However, it is vital that they learn some basic skills.
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Is Registrar Friendly? This Can Be More Important Than Other Tangible Metrics
Niceness cannot be measured in the same way as the number of calls taken per hour or the percentage of copays collected, but it still needs recognition.
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Study Groups and Quizlets: Earning CHAA Is a Team Sport
Patient access leaders may place great importance on earning certifications. Still, registrars want to know what is in it for them.
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Multiple Bills Cause Confusion, Many Complaints
Patients may receive multiple bills after their hospital stay, some of which they might consider settled business. How can revenue cycle leaders reduce wasteful duplication and resolve confusion?
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Expensive Deductibles Bringing Many Changes to Revenue Cycle
Patients with high deductibles often need an expert’s help. Registrars can pave the way for the eventual discussion with a financial counselor.
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Many People Put Off Medical Care Because They Cannot Pay High Deductibles
Patients often find out about a high deductible not from their insurer or employer, but from a registrar — and many of these high-dollar accounts go unpaid. Now, multiple recent studies show that people are avoiding care because they cannot pay their high deductibles.