This tutorial provides a brief overview of the history of HIPAA and the intent of the rules. We cover what the HIPAA Privacy Rule and Security Rule includes and what responsibility a clinic has in following the rules outlined in the regulations. Knowing how long HIPAA has been in place is important since most penalty…
Identifying Protected Health Information (PHI)
Tracking PHI in the Clinic PHI is at the very core of the Health Insurance Portability and Accountability Act (HIPAA). The underlying purpose of HIPAA is to keep personally identifiable information in a patient’s health record or any information about his/her health private and protected. This includes all health information, whether physical, electronic, or verbal….
Advance Notice of Non-Coverage Reference Documents
Download Reference Documents When it comes to advance notice for non-covered services, please keep in mind a payer may require the provider to use the payer’s form. Be sure to consult network payers individually and review the provider online resources. Identify any payers that require the provider to use the payer’s form during the advance…
Balance Billing Support Tools
Download Support Tools During this training, we refer to several options to assist in making your intake process compliant. KMC University offers a range of resources on Fee System Set Up, Financial Report of Findings, and compliant financial agreements. Be sure to ask one of our team members for additional information on this topic. The tools…
Balance Billing Protection & Chiropractic Care
The Rule The Departments of Health and Human Services, Labor, and the Treasury have implemented several provisions that impact both payers and providers within the Transparency in Coverage (TIC) Rule and the Consolidated Appropriations Act (CAA). The one that has received the most attention is the No Surprises Act which contains a provision that addresses…
Patient Acknowledgement for Non-Covered Services
Download Support Tool This form allows a clinic to keep within the spirit of the law as it applies to consumer empowerment. Throughout this training we have addressed the future and what may soon apply to all providers when it comes to rendering non-covered services. Some payers have their own built-in process for advance notification…