Image Archives

Treatment, Payment, and Healthcare Operations (TPO)

Defining TPO The HIPAA Privacy Rule generally prohibits providers from using or disclosing Protected Health Information (PHI) unless authorized by the patient. This general rule has some exceptions that allow providers to function without having to report every disclosure or obtain authorization from the patient. The HIPAA Privacy Rule was not established to keep providers…

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.

Identifying Protected Health Information

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….

PHI, TPO, BAA – oh my!

HIPAA’s Language It has been said that HIPAA has its own language. Sometimes it can be a challenge to decipher the acronyms and their meaning. As you train your staff and develop HIPAA policies, you will often come across the following terms: Take the time to thoroughly understand the meaning of these terms and the…

What is HIPAA?

The History of HIPAA As healthcare systems evolved with technology advancements, the threat to patient privacy increased. Congress recognized a need to “improve the efficiency and effectiveness of the health care system” and therefore created the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The main focus was to standardize the electronic exchange of…

Do’s and Don’ts for Working with Medicare Charges and Fees

We could all use a visual wake-up call detailing the pitfalls surrounding charges and fees when working with Medicare patients. It is important to be aware of the four inconsistencies in billing that the OIG watches for, the three categories of Medicare fees, and how you can help patients manage their financial responsibilities while staying…

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.

Medicare Modifiers & ABN Implementation

Medicare Modifiers for ABNs Certain modifiers are required for reporting when a mandatory ABN has been signed. Be sure to review this image called KMC University’s Guide to Medicare Modifiers for an at-a-glance review of the most important modifiers used in chiropractic billing. This valuable resource explains the various modifiers used to help describe Medicare…