Medical billing services in the USA have a defined goal of a healthy and improved health care system in the USA. The quality payment program has made them focus on value-based services instead of volume-based services. Today, healthcare services providers are working hard for providing better medical facilities to patients. Also, medical billers and coders are aiming for rightful reimbursements for those healthcare providers. P3Care is one of the leading medical billing agencies that have a reputation for efficient and professional billing services. We are working in this sector for several years and experienced enough of resolving every issue in the medical billing industry.
We have a list of satisfied clients who trust us for their reimbursements. Our top-class services are improving billing methods through which patients are getting quality services, and healthcare providers are getting reimbursed.
Now, the medical billing process is not just about creating and submitting medical claims to insurance companies. It is governed by HIPAA – Health Insurance Portability and Accountability Act of 1996 guidelines. These guidelines state how the medical billing process should be secure via secure information storing and transferring methods.
P3Care delivers a secure environment for medical billing services. Given below is the overview of HIPAA- compliant medical billing services and how P3Care has provided them to healthcare units.
Table of Contents
- What is HIPAA – Compliance in Medical Billing?
- What Disadvantages Medical Billing Agencies Face Without HIPAA?
- But What are the HIPAA Rules that Governs this Industry?
- What is the Need for HIPAA- Compliance Medical Billing Services?
- Our medical billing services work under three significant components:
- Requirements of HIPAA Security Plan
- HIPAA- Compliance Risk Analysis
What is HIPAA – Compliance in Medical Billing?
HIPAA – compliance medical billing services are to prevent banking or payment frauds in medical billing and coding system. US- healthcare system is strictly abided by its rules to ensure healthcare service providers are appropriately reimbursed for their services to patients. Moreover, patients feel secure while securing themselves from insurance companies.
What Disadvantages Medical Billing Agencies Face Without HIPAA?
- Frauds can occur via payment checks issued by the insurance companies.
- Or, even a patient’s information can be misleading to get more benefits from the original coverage plan.
- Sometimes, a patient’s privacy is distorted, and his personal information is misused for irrelevant purposes.
Hence, all of the medical billing processes should be made secure via HIPAA guidelines. P3Care understands the importance of HIPAA- compliance. Our professional services conduct all processes whether medical bill or code according to the specified standards of MACRA and MIPS. Our efficient medical billing software securely collects and stores all of the necessary information. It also transfers information securely to insurance companies or healthcare service providers to prevent hacking.
But What are the HIPAA Rules that Governs this Industry?
HIPAA – compliance applies to the following types of entities of the healthcare industry to ensure security and privacy:
- Healthcare insurance coverage plans
- Healthcare clearinghouse
- Healthcare service providers who electronically manage information via electronic healthcare records (EHRs)
HIPAA – compliance rules are also applicable to medical billing outsourcing companies like P3Care or data hosting firms. All of the companies which handle healthcare service providers’ information system digitally work within the scope of HIPAA-defined rules. We secure our information and billing system to provide a safe and efficient way of medical claim creation to healthcare units.
What is the Need for HIPAA- Compliance Medical Billing Services?
HIPAA – compliance medical billing activities determine all risk factors that need improvements in the medical billing process. Hence, the Department of Health and Human Services (DHHS) has made every health care service providers follow HIPAA security rules.
It enables healthcare organizations to put security barriers for the secure information system. With our HIPAA – compliant medical billing and coding services, we prevent healthcare units from penalties.
You don’t have to worry about OCR audits and fines from irresponsible and unsafe medical billing services. P3Care helps healthcare units in this respect
Our medical billing services work under three significant components:
- Privacy rules
- Security rules
- Breach notification rules
All of these work for protecting patients’ information to provide a secure environment for healthcare services to get improved reimbursements for the rendered services.
Requirements of HIPAA Security Plan
HIPAA security guidelines allow medical billing services to follow certain standards. It forms the basis of electronic medical claims. The approved format of the medical claim by the HIPAA – compliant billing services helps healthcare units to improve their services and get more payment incentives.
We at P3Care make sure that medical claims are created and submitted securely to insurance companies to reduce the number of denied medical claims.
HIPAA- Compliance Risk Analysis
P3Care along with providing the best medical billing services also conducts HIPAA – compliance risk analysis services. We ensure that health care service providers are never fined for inaccurate medical billing methods.
It builds patients’ trust over the billing company and the services of healthcare service providers. With improved billing services, healthcare units can get more patients and ultimately they will increase their profit.
P3Care is a successful and professional medical billing and coding service provider company. We apply HIPAA –security instructions in creating and submitting accurate medical claims. So, healthcare service providers get speedy reimbursements and provide improved and secure healthcare services to their patients.