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Limited health literacy costs the U.S. healthcare system billions

WebMedicaid enrollees with low literacy incur healthcare costs estimated at $10,688 vs. $2,891 annually for health literate enrollees. The total cost of limited health

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Q&A: New UnitedHealthcare guidelines Revenue Cycle Advisor

WebA: While UnitedHealthcare will provide organizations with criteria to make status decisions for patients, it will not provide hospitals with the complete set of …

Category:  Health Go Health

Q&A: RHC "incident to" services Revenue Cycle Advisor

WebA. In general, “incident to” refers to those covered services and supplies that are integral, though incidental, to an RHC practitioner’s services and are the following ( …

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Q&A: Calculating RHC payment Revenue Cycle Advisor

WebA: Each calendar year (CY), a single deductible is established for Medicare Part B services, including RHC services. The Part B deductible for CY 2021 is $203. …

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Q&A: Sharing health information across state lines

WebA: No. There may be state privacy laws in place that require you to obtain an authorization before sending the data across state lines. This could apply to PHI related …

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Q&A: Asking the patients the right questions to determine health

WebQ: What are some questions that a case manager should ask to really get a sense of a patient’s health literacy? A: Case managers must be proficient in …

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Kentucky healthcare breach exposes PHI of nearly 1,000 state …

WebThe state of Kentucky disclosed recently that a healthcare portal used by state employees was hacked and the protected health information of nearly 1,000 members of …

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Q&A: Patient request to change medical record

WebQ: I work in patient registration at a hospital. A patient asked if they could have something in their medical record changed. I know that patients can request to see …

Category:  Medical Go Health

Q&A: Birthdays and protected health information

WebQ: Does sending a generic “happy birthday” postcard to patients during their birthday month violate HIPAA rules? A: No, this is not a HIPAA violation, since you are …

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Q&A: State privacy laws and HIPAA Revenue Cycle Advisor

WebQ. My hospital recently purchased a clinic group that includes offices across the state line. My understanding has been that when state patient privacy laws are …

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This week in Medicare updates Revenue Cycle Advisor

WebRevisions to State Operations Manual (SOM), Appendix A–Survey protocol, regulations and interpretive guidelines for hospitals On September 26, CMS released a transmittal …

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This week in Medicare updates—6/7/2023 Revenue Cycle Advisor

WebAnnual Updates to the Annual Cap on Patient Engagement Tools and Supports Under 42 CFR §1001.952(hh). On May 31, the OIG updated its Safe Harbor …

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Q&A: HIPAA for public figures Revenue Cycle Advisor

WebA: The president and other national officials are protected by HIPAA the same as all residents in the United States. There are special provisions that require …

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Q&A: PHI for marketing Revenue Cycle Advisor

WebThe definition of marketing excludes communications made: To describe a health-related product or service provided by the CE. For treatment of the individual. For …

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New York Mental Health Research Records Breached

WebThe New York State Psychiatric Institute (NYSPI) is notifying more than 20,000 research participants that their protected health information (PHI) may have been breached in a …

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Breach impacts 63,551 patients of NY physician group

WebInformation for 63,551 patients for Middletown Medical, a multispecialty physician group in Middletown, New York, was exposed due to a misconfigured security …

Category:  Medical Go Health

Q&A: Photographing patients as part of the registration process

WebA: Many facilities take photographs of patients to aid in the management of patient safety (for ­instance, these can be used as one of the two required identifiers prior …

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Q&A: Photo ID requirements for patient appointments

WebFederal law does not require covered entities (CE) to scan and save a copy of your driver’s license or other valid forms of government identification. It may be the …

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Q&A: The role of HIM in edit management Revenue Cycle Advisor

WebA. The HIM department or coding unit may be responsible for directly overseeing a claim edits team or the HIM and coding edit work queues managed by the …

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Q&A: Are patient diagnoses alone considered to be PHI

WebA: No, a diagnosis or diagnosis code without patient identifiers is not considered PHI. Information is protected under HIPAA if it contains any of 18 specific …

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Walgreens reports data breach affecting 72,000 individuals

WebWalgreen Co., the second largest pharmacy chain in the United States, recently reported a breach that may have involved the protected health information (PHI) …

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Q&A: Storing patient photos for identification

WebA. You can’t require a patient to have a photo taken. You can require a patient to present ID that validates the patient’s identity. You can’t require the patient to …

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