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One of the many challenges facing providers under HIPAA, particularly in the context of oncology, cardiac surgery, and OB/GYN services, involves health care services provided to a family member.
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The Department of Health and Human Services (HHS) has said for months that HIPAA would continue to be a work in progress. The agency proved that again last month when it added a new section to the guidance on public health disclosures and another on workers compensation disclosures.
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In December 2002, the Department of Health and Human Services (HHS) Office of Civil Rights (OCR) released an extensive guidance outlining various aspects of the privacy portion of the Health Insurance Portability and Accountability Act (HIPAA). That follows a recent decision by HHS to place OCR in charge of enforcing HIPAAs privacy mandates.
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In October 2002, HCA in Nashville, TN, won an $8.8 million arbitration decision against Humana Medical Plan Inc. of Florida for the late payment or nonpayment of 3,300 patient accounts at 16 hospitals in Florida. HCA alleged that Humana paid hospital bills for patients in its HMO, preferred provider, Medicaid, and Medicare health plans as much as one year late, and that its hospitals sometimes had to rebill the insurer three or four times to receive reimbursement.
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One of the concepts Joe Denney, CHAM, has become familiar with in his position as director of revenue management at The Ohio State University Health System (OSUHS) in Columbus is something called pricing sensitivity, he says.
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When Donna Madlener agreed to lead the Revenue Enhancement Committee for the James Cancer Hospital, which is part of The Ohio State University Health System (OSUHS) in Columbus, she signed on for a unique experience that went to the heart of such issues as financial responsibility and internal customer service.
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Whether your hospital has embraced the methodology associated with the term revenue cycle management, chances are youve heard the words bandied about. Certainly the crucial importance of accurate and efficient front-end operations to a health care providers bottom line is emphasized whenever there is a gathering of health care industry leaders.
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Scientists knowledgeable about the process of cloning animals say they doubt the Canadian-based group Clonaid actually has produced a cloned human baby, as the sect announced Dec. 27. But, some experts say, the publicity generated by the claim may push lawmakers to restrict scientific research into both reproductive and therapeutic cloning
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Academic medical centers frequently engage in industry-sponsored research that does not adhere to basic standards needed to protect the independence and objectivity of the investigators and the interests of patients who consent to be subjects, a study by researchers at Duke University in Durham, NC, has found.