Blog

Home / Blog

WHAT IS HIPAA COMPLIANCE? WHO MUST BE HIPAA COMPLIANT?

The Health Insurance Portability and Accountability Act of 1996, known as HIPAA, is a series of rules and regulations that govern the use and disclosure of protected health information (PHI). HIPAA compliance is monitored by the Department of Health and Human Services (HHS) and enforced by the Office for Civil Rights (OCR).

It is essential that a HIPAA Covered Entity or a Business Associate with access to Protected Health Information understands the rules and how to become HIPAA compliant. Ignorance of rules is no defense against enforcement action.

(more…)

Read More...

METICULOUS ELIGIBILITY VERIFICATION SERVICE CAN CURB DENIALS

Insurance Eligibility Verification Service is an essential front-office process whereby a patient’s insurance eligibility/ insurance coverage is verified to know the extent of benefits a patient is eligible for under their insurance plan. The verification has to be done thoroughly and accurate details obtained. The amount of co-pay that the patient has to bear can be determined through proper insurance verification. Hence it is best to carry out this verification before the patient visits the physician.

At Bristol Healthcare Services, our team of billers will verify the patient’s health insurance and note all the information necessary that will enable us to prepare clean claims. Next, we check with the payor regarding the insurance coverage, the current status of the policy and then follow-up with the patient. (more…)

Read More...

MEDICAL CODING SERVICES

What is Medical Coding?

The AAPC defines medical coding as “the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes.” The codes for recording diagnoses and procedures are decided based on medical records, such as transcription of physician’s notes, laboratory and radiologic results, etc. Medical coding services are carried out by professional coders who are certified.

Why is coding needed?

Even for a simple visit to the doctor, symptoms are recorded, procedures are performed and prescriptions for medicines are made out. All of this information is coded by professional coders. As illnesses get more complicated, the amount of data to be conveyed to payors is much more. Medical coding enables the efficient transmission of vast amounts of data. Moreover, it allows for uniform documentation of illnesses and treatments between medical facilities. Federal agencies use coding to track the prevalence of diseases. (more…)

Read More...