HIPAA Compliant Medical Billing Services ensure the protection of patients’ sensitive health information by adhering to the strict regulations set forth by the Health Insurance Portability and Accountability Act. Since its establishment by Congress in 1996, HIPAA has played a crucial role in safeguarding Protected Health Information (PHI), such as social security numbers, against unauthorized access and potential misuse. By implementing these stringent standards, HIPAA Compliant Medical Billing Services prevent data breaches, thereby protecting patients from financial, reputational, and emotional harm while maintaining the integrity of the healthcare industry.
HIPAA is obligatory FOR two types of individuals or organizations – Covered Entities and Business Associates.
Covered entities include –
The Business Associates include medical billing solutions or medical billing outsourcing companies, data hosting firms, etc. Any individual or a third-party organization which handles ePHI on behalf of the healthcare providers is a business associate.
P3Care is a HIPAA medical billing company as it falls in line with the primary and extended principles of HIPAA. As a business associate, it conducts the risk assessment within organizations and pays ultimate regard to the PHI and ePHI. Being part of a digital age, we are in touch with the electronic versions on a daily basis, and, therefore, place all the respective safeguards for protection.
By performing a risk assessment, we exhibit HIPAA compliance and ensure an administrative, physical and technical safe zone to receive, store and transmit patient health information.
HIPAA medical billing insists the medical codes follow certain standards. These codes, as we know, form the basis of electronic claims. The medical billers and coders are bound by law to create & submit claims using an approved format. We know this format as ASC X12 005010 or HIPAA 5010.
HIPAA streamlines the ICD, CPT, HCPCS codes for diagnosis and treatment reporting
HIPAA Compliant Medical Billing Services by P3Care are designed to help hospitals and medical practices avoid costly penalties by ensuring they meet all necessary compliance standards. Our HIPAA-compliant security risk analysis equips healthcare providers with the confidence to face OCR audits and builds trust among clients. For a medical billing outsourcing company like ours, maintaining a strong reputation depends on our adherence to these strict standards.
P3Care meticulously identifies key areas within healthcare organizations that may require additional security measures to prevent data breaches. By addressing these vulnerabilities, we help organizations become more secure and fully HIPAA compliant.
Reporting any security incidents where Protected Health Information (PHI) is accidentally exposed is also a critical component of HIPAA compliance. Additionally, our HIPAA billing services require the use of a specific Electronic Data Interchange (EDI) for billing tasks, ensuring that both medical billing and coding processes adhere to HIPAA guidelines.
By staying transparent about our compliance efforts, we strengthen our relationships with existing clients and increase our chances of earning new ones.
There are some severe consequences for not following the provisions of HIPAA in letter and spirit. A few types of violations include ‘willful neglect’ and ‘reasonable cause’ being the most prominent among them. As covered entities, if you are guilty of any of these violations, you can face penalties in the form of fines and even more severe punishments. The following chart describes them in detail.
P3Care executes a security risk assessment plan but it depends on the size of your practice. The bigger your organization is, the greater the time required to analyze it.
Expect the following things when you choose us –
All the covered entities and business associates must have a well-thought-out security plan. The HIPAA Security Rule has three basic components.
These security measures pinpoint the risks; By designating a security officer, executing a plan to prevent unauthorized access, training the hospital staff and supervising them, analyzing the security rules and regulations from time to time, we are well-set on a HIPAA acceptable journey.
These security standards mean restricting access to facilities, laptops, desktops, tablets and other mobile devices which contain ePHI. Passing the information through encryption mechanisms is the right way to handle sensitive information.
These measures identify the rules and regulations that must be in place to ensure data integrity. The electronic information, buildings, and the equipment need protection from natural and environmental disasters, unauthorized access and any other hazardous events that may jeopardize the patient health information.
For questions out of this service, or on instructions on how to get started call a medical billing service expert today at 1-844-557-3227 (1-844-55-P3CARE) or email at info@p3care.com.
