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What Is A Clearing House & Do You Need One?

Nurse Practitioners in Business

A clearinghouse or, in healthcare, a medical billing clearinghouse, acts as a middleman between your practice and health insurance companies. The clearinghouse reviews, formats, and securely transmits your electronic claims to payers (insurance companies) after youve submitted them through your EHR or billing system.

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How to Conduct Effective Compliance Audits 

American Medical Compliance

For instance, an individual who unknowingly violates HIPAA will pay a $100 fine per violation with an annual maximum of $25,000 for those who repeat violation, according to the National Institutes of Health. When conducted effectively, these audits can help healthcare providers avoid costly penalties.

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Protecting Patient Privacy in Texas HB 300 Training

American Medical Compliance

This form is intended for use in complying with the requirements of the Health Insurance Portability and Accountability Act and Privacy Standards (HIPAA) and the Texas Medical Privacy Act (Texas Health & Safety Code, Chapter 181). Following these regulations protects privacy, ensures compliance, and reduces penalties.

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Managing Healthcare Staff with Compliance in Mind

Celayix

Here are some reasons why compliance is essential: Patient Safety: Following rules like the Health Insurance Portability and Accountability Act (HIPAA) or standard precautions protects patients from infections and data breaches. Legal Protection: Non-compliance can lead to fines, lawsuits, or even loss of accreditation.

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HIPAA: What You Can and Can’t Disclose

Nurse Practitioners in Business

HIPAA, the Health Insurance Portability and Accountability Act, has been around since 1996. One of its primary directives is to protect the privacy and security of patients’ health information. Of course, that doesn’t mean PHI (Personal Health Information) is always safe and protected; violations do occur.

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Healthcare Policy: What Is It and Why Is It Important?

University of St. Augustine for Health Sciences

Subcategories of health policy include public health, global health, healthcare services, health insurance, mental health and pharmaceuticals. How Does Health Policy Impact Patients? Failure to comply with HIPAA can result in fines of $50,000 or higher per violation.

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HIPAA Violations and Small Practices

Nurse Practitioners in Business

Small practices are at risk for HIPAA violations. HIPAA, aka the Healthcare Insurance Portability and Accountability Act, requires providers and healthcare organizations to protect patient health information. Your Turn What is your experience with HIPAA violations? Are you prepared?