Restriction of PHI Not a Work-Around for Medicare Enrollment

HITECH-HIPAA Omnibus Rule The HITECH-HIPAA Omnibus Rule, effective September 23, 2013, clarified requests for restrictions of Protected Health Information (PHI) more clearly than ever before. This new rule requires that “a covered entity must agree to the request of an individual to restrict disclosure of protected health information about the individual to a health plan…

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Election to Self-Pay – The HIPAA Way

Right to Request Restrictions Since its initial adoption, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule has granted individuals the right to request restrictions regarding the use and disclosure of their protected health information (PHI) for treatment, payment, and healthcare operations (TPO). The law also grants individuals the right to request…

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Patient Acknowledgment for Non-Covered Services

Obtaining Patient Acknowledgment  Some carriers (with whom the doctor may or may not participate) may not allow a particular service or product the patient needs, or their fee schedule assigned to the service or product may be far below the doctor’s costs. Depending on the doctor’s contract with the carrier, the patient may be able…

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Patient Acknowledgement to Self-Pay for Non-Covered Services

This quick tutorial provides an overview of the circumstances that may cause a patient to request a self-pay option. Knowing what they can ask and how the clinic can be in compliance is vital. We will address questions such as what if the doctor is out of network, and what about Medicare, and does it…

Oops, your level of membership doesn’t include access to these advanced materials. They are reserved for members working 1-on-1 with our specialists for analysis and training. Please reach out to the HelpDesk to learn more about accessing these materials. Click here to learn more.

Patient Acknowledgment for Non-Covered Services

Obtaining Patient Acknowledgment  Some carriers (with whom the doctor may or may not participate) may not allow a particular service or product the patient needs, or their fee schedule assigned to the service or product may be far below the doctor’s costs. Depending on the doctor’s contract with the carrier, the patient may be able…

Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources. Click here to learn more.