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GroupOne Health Source Blog

GroupOne Revenue Cycle Blog 

Insights to guide your practice.

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5 HIPAA Items that Practices Should Focus on in 2017

by Jim Johnson on February 15, 2017

With all the recent turbulence in healthcare surrounding Meaningful Use, ICD-10 and now the transition to the Merit-based Incentive Payment System, HIPAA has flown under the radar, in a sense, for some practices. However, in 2017 it's important that practices make HIPAA compliance a priority. Here are five things we covered in a recent webinar on what all practices should focus on in regards to HIPAA compliance in 2017.

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Topics: HIPAA

Should Your Medical Practice Hire a HIPAA Compliance Officer?

by Jim Johnson on December 14, 2016

Although healthcare facilities of all sizes and types are required to choose a HIPAA compliance officer to make sure that regulations are followed, some choose to blend the role with an existing one. For small to medium-sized practices, the thought of hiring a full-time HIPAA compliance officer may seem financially unfeasible.

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Topics: HIPAA

Top 10 Most Common HIPAA Violations

by Jim Johnson on December 3, 2016

With HIPAA violation fines reaching up to $50,000 per occurrence and a maximum annual penalty of $1.5 million per violation, it's important for medical practices to ensure they are HIPAA compliant at all times. And while all possible HIPAA violations should be considered potential threats to your medical practice, some are more common than others. 

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Topics: HIPAA

Preparing Your Practice for the 2nd Round of HIPAA Audits

by Jim Johnson on October 22, 2016

With the first round of HIPPA Audits behind us, the Office of Civil Rights (OCR) indicated back in March that it would finally launch the long-awaited round 2 of HIPAA audits in 2016. As we near the end of the year and start preparing for the Merit Based Incentive Payment System, physicians and practices must also be preparing for the next phase of HIPAA audits expected to take place in early 2017.

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Topics: HIPAA

New Database Lets Consumers Search for Provider HIPAA Violations

by Kaitlyn Houseman on December 31, 2015

ProPublica has created and launched a new database, called HIPAA Helper, which allows consumers to search for privacy violations by health care providers. An analysis of the database revealed hundreds of repeat HIPAA offenders between 2011 and 2014,ProPublica reports (Ornstein/Waldman [1], ProPublica, 12/29).

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Topics: HIPAA

Protect Your Practice: Advice on Preventing a Data Breach

by Kaitlyn Houseman on November 2, 2015

Data breaches are on the rise and healthcare is not immune, says Michelle Caswell, JD, Senior Director of Legal and Compliance for Clearwater Compliance LLCHealthcare organizations hear about the vulnerability of protected health information, but don't do much more than hope that they won't be the next target.

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Topics: EHR, Practice Management, HIPAA

New ONC Security Risk Assessment Tool Offers Help with HIPAA

by Kaitlyn Houseman on April 2, 2014

On Friday, the Office of the National Coordinator for Health IT released a new tool to help small- and medium-sized health care providers assess their information security risks, Modern Healthcare reports (Landen, Modern Healthcare, 3/28).

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Topics: Practice Management, HIPAA

Preparing for the HIPAA Omnibus

by Kaitlyn Houseman on September 13, 2013

Understanding the HIPAA Omnibus Rule is likely something you have been working on since the Federal Register published the 138 three-column pages on January 25, 2013.  The deadline for compliance is required with respect to most provisions no later than September 22, 2013. 

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Topics: Medical Business, Practice Management, HIPAA, Affordable Care Act

Medical Billing Changes Coming Soon

by Kaitlyn Houseman on June 9, 2012

Starting July 1, 2012, Medicare Fee For Service Will Reject 4010 Transactions: Are You Ready?

Effective July 1, 2012 only ASC X12 Version 5010 (Version 5010) or NCPDP Telecom D.0 (NCPDP D.0) formats will be accepted by Medicare Fee-For-Service (FFS). Providers that are still conducting one or more of the Version 4010 transactions electronically, such as submitting a claim or checking claim status, or rely on a software vendor, billing service or clearinghouse to do this on their behalf, are affected by this change. Now is the time to contact your software vendor, billing service or clearinghouse, when applicable, if you have not done so already to ensure you are ready. Transactions conducted by Medicare Administrative Contractor (MAC), fiscal intermediary (FI) or carrier telephone interactive voice response (IVR) systems, Direct Data Entry (DDE) and Internet Portals, for those contractors with Internet Portals, are not impacted.

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Topics: Revenue Cycle Management, Medical Business, HIPAA, CMS

HIPAA 5010 Transition Problems

by Kaitlyn Houseman on March 5, 2012

Many Physicians experience problems during 5010 Transition

On January 1, 2012, all electronically submitted HIPAA covered health insurance claims were supposed to be submitted using the 5010 platform.  Although CMS had previously announced it would not take any enforcement action against any plan or provider who was not 5010 ready until after March 1, 2012, the January 1 deadline for compliance remained in effect.

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Topics: HIPAA

HIPAA 5010 Enforcement Delay Pitfalls

by Kaitlyn Houseman on December 2, 2011

"It's not a good idea to get too comfortable with the extension," according to industry experts.

Even with the Centers for Medicare & Medicaid Services' (CMS) recently announced 90-day discretionary enforcement period (March 21 versus Jan. 1) for physicians to transition to HIPAA Version 5010 for claims transmission, physician practices must stay on task, making a "good faith effort" toward on-time compliance.

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Topics: EHR, HIPAA, ICD-10

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