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HIPAA @ MF

HIPAA @ MF

HIPAA @ MF

The Health Insurance Portability and Accountability Act (HIPAA) sets the standard for sensitive patient data protection. Companies that deal with protected health information (PHI) must have physical, network, and process security measures in place and follow them to ensure HIPAA Compliance. A federal law known as the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the development of national standards to prevent the disclosure of sensitive patient health information without the patient's knowledge or consent.

The Health Insurance Portability and Accountability Act (HIPAA) Security Rule is required of thousands of US enterprises. A significant component of HIPAA, a piece of federal legislation that was signed into law in August 1996, is the Security Rule. The act's main goals are to improve insurance access, lessen fraud and abuse, and bring down the overall cost of healthcare in the United States. The adoption of the Health Insurance Portability and Accountability Act (HIPAA) has presented difficulties for the medical billing sector in recent years. To ensure that there is no breach of confidentiality when retaining patient records, hospitals, doctors, healthcare providers, and health plans are required to abide by the HIPAA rules and regulations. Medical providers have been asked to submit their claims electronically since 2005 in order to be paid in accordance with HIPAA.

The following types of individuals and organizations are subject to the Privacy Rule and considered covered entities:

Healthcare providers: Every healthcare provider, regardless of size of practice, who electronically transmits health information in connection with certain transactions. These transactions include:

  • Claims
  • Benefit eligibility inquiries
  • Referral authorization requests
  • Other transactions for which HHS has established standards under the HIPAA Transactions Rule.

Healthcare business organizations: Any individual or group (apart from a worker for a covered entity) who uses or discloses personally identifiable health data to carry out or provide tasks, activities, or services for a covered entity. These jobs, duties, or services consist of:

  • Claims processing
  • Data analysis
  • Utilization review
  • Billing

Since its inception in the BPO service sector, MF has offered a medical billing solution that is 100 percent HIPAA compliant. We have taken steps to ensure that we remain aware of HIPAA and PHI compliance, thanks to the efforts of management and the MF HIPAA committee.

  • Expedites and improves claim payment.
  • reduces billing errors
  • lessens the likelihood of an audit
  • We have created channels of contact that are open.
  • Presence of all billing and collections employee in HIPAA discussion during the meeting
  • Bulletin on the notice board to inform staff about compliance, implementation, and medical billing standards
  • Forming a compliance team to keep an eye on compliance and enforcement

Educating and mobilizing compliance at MF

  • Patient PHI is not disclosed to unapproved workers
  • No PHI information taken outside the business by any means
  • The HIPAA compliance process is strictly followed by the MF medical transcribing and coding department.
  • Train members of the workforce on the policies and procedures relevant to their roles and on general HIPAA compliance
  • All medical coding is completed fully based on office notes and accompanying medical records rather than on the code's reimbursement value.
  • We follow stringent criteria for both our medical diagnostic and medical procedural coding.
  • There are no hardcopy paper printouts made.
  • Integrity levels of logins limit access to data, making NOT possible for easy data deletion or alteration
  • All login passwords are routinely reset and changed
  • Operational reporting structures are organized hierarchically.

Added security measures observed at MF

The security rule safeguards the confidentiality, integrity, and availability of electronic protected health information (ePHI) when it is stored, maintained, or transmitted. In accordance with the security Rule, policies, procedures, and practices must contain safeguards to prevent unauthorized access to ePHI that is being sent over an electronic communications network, such as the internet. The main factor that led to the development of HIPAA and OIG compliance is data security. We make sure that in an outsourcing arrangement, data security and confidentiality are given equal weight to the project itself. Confidentiality agreements, secure systems, compliance training, and all other important HIPAA regulations-related topics are all covered by us.

  • All data movements are constrained.
  • Access to blogs, social media, forums, and personal email is constrained
  • Only sites required to for medical billing process such as insurance carriers and clearing house web porta are permitted.
  • Through a site-to-site VPN tunnel, we connect to your billing system for safe data transfer.
  • We offer secure FTP across high-speed servers to transfer all electronic data and medical records.
  • Every operator CD drives and USB ports on the PC terminal are disabled, limiting data transfer.
  • Continuous data backup after receiving the client's approval, any super bills, EOBs, and medical papers will be permanently erased from the server and backups.
  • We always have a security guard on duty checking movement of staffs and belongings
  • No electronic devices, including cell phones, are permitted inside.
  • After receiving permission from the managers, outsiders are allowed in the office to interact with the staff.
  • In order to enter the shop floor, all employees must display their ID cards while in the office.
  • Systems security and security policy are put into place for protected health information (PHI).
  • We thoroughly investigate each applicant's background before hiring them.
  • the employee's prior employment history with the organization
  • Resignation letters from previous employers helped to validate the candidate's experience.
  • Age and residential proof

HIPAA was created to guarantee the confidentiality of patient PHI, and its safeguards are meant to assist healthcare companies in taking the appropriate steps to protect patient data. Although achieving HIPAA compliance may seem like a difficult endeavor, using a step-by-step strategy and a compliance checklist enabling us to accomplish it thoroughly.

Are you look for a right outsource partner for your Insurance Verification, Patient Answering, Medical Transcription, Medical Coding, Demographic Entry, Claims Entry, Submission of Claim, Payment Posting, Denial Management, Accounts Receivables service and Revenue Cycle Management.

MF provides best of the virtual assistance solution for any organizational requirement. If you are interested to outsource your front desk VA service to MF please send us an inquiry and we’ll get back to you with apt solution.