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...
OOPS, this page contains content reserved for KMC University members. We’d love to welcome you to the KMC University family because there is an amazing amount of helpful content in the trainings and resources of the KMC University Library. Click here to learn more.

Patient Acknowledgment for Non-Covered Services & Products

Having Patients Understand What Services are Denied/Excluded From Coverage 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...
OOPS, this page contains content reserved for KMC University members. We’d love to welcome you to the KMC University family because there is an amazing amount of helpful content in the trainings and resources of the KMC University Library. Click here to learn more.

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, this page contains content reserved for KMC University members. We’d love to welcome you to the KMC University family because there is an amazing amount of helpful content in the trainings and resources of the KMC University Library. 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, this page contains content reserved for KMC University members. We’d love to welcome you to the KMC University family because there is an amazing amount of helpful content in the trainings and resources of the KMC University Library. Click here to learn more.