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Thursday, November 19, 2009

Medical Billing Rules

What is the aim of medical billing? Now it is only to ensure that the service rendered a fair payment for services and also to ensure that the payment shall be made in good time. The medical billing procedures will be according to certain laws. What are the main laws govern, medical billing? These include the following 3 laws;

Fair Debt Collection Act
The Health Insurance Portability and Accountability Act
The privacy Article

The FairDebt Collection Act is a federal law that determines how and when to bring a claim.
This Act is the protection of patients and other consumers from the illegal threats.

The Health Insurance Portability and Accountability Act of 1996, better known as HIPAA, was approved by the U.S. Congress in 1996 enacted. It has two titles.

Title I of HIPAA regulates the availability, scope of the group and individual health insurance. It also amends the Employee RetirementIncome Security Act and the Public Health Service Act. This law also prohibits any group health plan from creating eligibility rules to a decision for the insurance of persons in the plan on health status, medical history, genetic information or disability. Thus, Title I also protects the health of workers and their families when they have to change jobs.

The second title of HIPAA contains a portion that increases the efficiency of data exchange for health careFinancial transactions and protects the privacy of electronic data transmission and the confidentiality of patient data. All medical providers are requested to send their applications electronically in compliance with the law in order to receive their payment. This includes the electronic transmission of the main financial and administrative operations, including billing, electronic payment and reimbursement consulting. Various crimes associated with established health care and the imposition of criminal sanctions.In addition to controlling the creation of several programs to prevent fraud and abuse in health care imposed on penalties when rules are violated.

The privacy rule regulates the use and disclosure of Protected Health Information (PHI). PHI is any information on the health status, health care, or payment for health care, which may be associated with a person. Any person who believes that privacy is item can not be maintained in a complaint with the Department of Health and Human fileServices Office for Civil Rights.

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