Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

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Laureen shows you her proprietary “Bubbling and Highlighting Technique”

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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

CMS Aligns Extreme and Uncontrollable Circumstances Policies with Medicare Shared Savings Program

2017 was a rough year. Hurricanes Harvey, Irma, and Maria battered parts of Florida and devastated Puerto Rico. Wildfires destroyed hundreds of thousands of acres in Northern California. And the Centers for Medicare & Medicaid Services (CMS) implemented a new payment system tied to improved health outcomes and reduced spending — two things that are impossible to control in […]
AAPC Knowledge Center

policies and procedures

Hello all fellow coders!

I was wondering how many clinics actually have policies and procedures for their billing practices.

Our facility is lacking in this area and I would like to be the one to update/implement such criteria.

Currently, I have someone who thinks its okay to bill a service with the residents note only and I completely disagree with this scenario. (also, they believe that taking "verbal" diagnoses from providers is okay and then bill the service…I DO NOT do this and refuse to do this! I may lose my job, but I know ethically and lawfully that this is NOT supposed to happen!)

Where can I go to print off some policies/procedures/regulations to show proper documentation and billing procedures?

I will be walking on egg shells when I go to administration with this information, as they aren’t behind me 100%.

I refuse to lose my certification. Any help would be more than greatly appreciated!

Thank you to all!!!!

Medical Billing and Coding Forum

Healthcare Legal Policies Infographic

Healthcare Legal Policies PHI

Healthcare Legal Policies and Ethics Overview Infographic

Are you in the know? This infographic I came across by the University of Cincinnati provides a few highlights on HIPAA, patient rights, medical malpractice and 5 tips to remain in compliance with the rules.

Many doctors who are busy in the day-to-day demands of providing quality care for their patients don’t realize how important legal policies can be to their medical practice. But not understanding legal matters in healthcare can get ugly.

The Importance of HIPAA

HIPAA was passed in 1996 to protect patient information. Patient information is in the hands of healthcare providers making them responsible to protect it and use it carefully. A basic right of a patient is the right to his own information, but HIPAA takes it a step further. HIPAA also allows a patient to know how his information is being used by others.

Patients can rest knowing that their information will be kept private from those not directly involved in their care. Most importantly, the law prevents the wrong people from getting a hold of any personal information. Ultimately, confidentiality protects both the patient and the provider.

So what information is protected under HIPAA? Some types of protected health information (PHI) include medical records and billing information.

Also included are photographs, fingerprints, and anything else that can be used to identify someone. Even conversations that your doctor has with other healthcare professionals about your care are protected under HIPAA!

The graphic offers 5 tips on how can medical professionals stay HIPAA compliant? Some ways include verifying caller identity, fax numbers, and email addresses. Do not release information without verifying that the requester has the right to view it. Additionally, don’t view any information that is not necessary to do your job.

Patients’ Rights

Another topic discussed in the infographic is patient rights. We know that under HIPAA, patients have the right to have their information kept private. But patients also have the right to access information about their healthcare coverage, including costs and payment decisions. They have a right to a range of options when it comes to their healthcare, including providers and treatment options. This allows them to make informed decisions about their healthcare journey.

 

Healthcare Legal Policies Infographic

Special thanks to University of Cincinnati Online Master of Health Administration for this infographic with us.

What are some of the things you do in your medical practice to comply with HIPAA? Comment below.

— This post Healthcare Legal Policies Infographic was written by Manny Oliverez and first appeared on Capture Billing. Capture Billing is a medical billing company helping medical practices get their insurance claims paid faster, easier and with less stress allowing doctors to focus on their patients.

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