What to know about medical billing for dental proceduresChristine Taxin
What is medical billing? Medical billers use patient, provider, and health care organization information and treatment details to fill out two medical claim forms: the CMS-1500 and UB-04 (the uniform billing form for institutional providers). Billers then submit these forms to the relevant insuran...
How Much Does ERP Software Cost? Key Considerations During Software Selection Last Reviewed: January 6, 2025 2 comments Enterprise Resource Planning First-time ERP software buyers often share one common question: How much does an ERP cost? The answer depends on several factors, including the nu...
Upcoding is fraudulent medical billing in which a bill sent for a health service is more expensive than it should have been based on the service that was performed. A upcoded bill can be sent to any payer—whether a private health insurer,Medicaid,Medicare, or the patient.1 While it is ...
Text Analytics for health now allows extraction of Social Determinants of Health (SDOH) and ethnicity mentions in text. This capability may not cover all potential SDOH and does not derive inferences based on SDOH or ethnicity (for example, substance use information is surfaced, but substance...
What to Know about Medical Billing for Dental ProceduresGoff, Stan
1. Your internal definition 2. HIPAA's definition The HIPAA definition of a breach The HIPAA definition of a reportable breach The HIPAA test for whether a breach is reportable using the National Institute for Standards and Technology (NIST) test ...
Having a professional medical billing advocate in your corner can ease the mental and emotional strain of trying to make sure that you’re being charged correctly and fairly. An advocate can also negotiate with a health care provider on your behalf. The amount on your bill isn’t always the...
ePHI is regulated by the HIPAA Security Rule, which was an addendum to HIPAA regulation enacted to account for changes in medical technology. Who Needs to Be HIPAA compliant? HIPAA regulation identifies two types of organizations that must be HIPAA compliant. Covered Entities: A covered entity ...
While it is possible to assign medical and financial responsibilities in a single legal document, it's usually not a good idea. A medical power of attorney will have access to sensitive health information that a financial broker does not necessarily need to know. Likewise, a financia...