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* Call Us: +1 833 990 1500 (Toll Free) (Mon - Fri, 7am - 3pm EST) * Email Us : info@medical-webinars.com $0.00 Cart * Home * About Us * Webinars * Auditing Webinars * Billing Webinars * Clinical Documentation Improvement Webinars * Compliance Webinars * Medical Coding Webinars * Practice Management Webinars * Revenue Cycle Management Webinars * Human Resources Webinars * Software Training * Speakers * Contact * My account * Magazines Menu * Home * About Us * Webinars * Auditing Webinars * Billing Webinars * Clinical Documentation Improvement Webinars * Compliance Webinars * Medical Coding Webinars * Practice Management Webinars * Revenue Cycle Management Webinars * Human Resources Webinars * Software Training * Speakers * Contact * My account * Magazines Search HIPAA BUSINESS ASSOCIATE COMPLIANCE AND DANGERS Recorded Webinar 🔍 This webinar is for HIPAA Covered Entities (CEs) and Business Associates (BAs). Criminals increasingly focus cyber-attacks on BAs because one hit can give them access to PHI of all the BA’s customers. Growth of serious BA PHI breaches affecting tens of millions of patients put the spotlight on BA HIPAA compliance, attracting HHS Office for Civil Rights investigations and aggressive private class action lawsuits filed within days of a breach targeting BAs and their CE customers. CEs that did nothing wrong can still be held liable to pay the same civil money penalty as their BA for the BA’s HIPAA violation under the Federal Common Law of Agency which is included in the HIPAA Enforcement Rule. Simple steps, often overlooked but easy to follow, enable CEs and BAs to protect against costs and damage to their reputations caused by violations of HIPAA Rules that apply to BAs. The chain of HIPAA compliance starts with a CE. It extends to a BA that provides a CE with services involving PHI. And the chain of compliance continues on down to any subcontractors of a BA that perform services involving PHI. BA subcontractors are defined by HIPAA as BAs and are fully liable for compliance. * CEs must obtain “satisfactory assurances” from each BA, documented in writing, that the BA complies with HIPAA before disclosing PHI to the BA or allowing the BA to create, receive, maintain or transmit PHI on their behalf. * BAs must obtain “satisfactory assurances” from each Subcontractor BA, documented in writing, that the Subcontractor BA complies with HIPAA before permitting the Subcontractor BA to perform services involving PHI. This webinar explains the interconnected HIPAA compliance responsibilities and liabilities of CEs and BAs. HIPAA Rules that apply to both are easy to follow, step-by-step, when you know the steps. HIPAA Rules that apply to CEs in dealing with BAs and that BAs must follow are discussed and explained including: * Serious Business Associate HIPAA Violations Brief review of current OCR BA Enforcement and Class Action lawsuits based on BA HIPAA violations * Explanation of how HIPAA Rules apply to BAs * Security, Privacy and Breach Notification Rules * Business Associate Agreements and the key Agency Issue – Don’t make your BA or Subcontractor BA your legal agent by mistake like many do * CE Due Diligence for BAs and BA Due Diligence for Subcontractor BAs * Who’s in Charge? – Responsibility & Authority – Responsibility of Senior Management and Owners – Delegation of Authority for development and implementation of a BA HIPAA compliance program WHY YOU SHOULD ATTEND THIS WEBINAR CEs can find themselves fully liable for HIPAA violations committed by BAs and BAs for violations committed by Subcontractors under the little known Federal Common Law of Agency. However, risks associated with BA HIPAA compliance can be managed calmly and confidently by following the HIPAA Rules that are easy to follow, step-by-step. CEs should attend to see what to look for in Due Diligence, how to obtain HIPAA required satisfactory assurances that a BA is complying with HIPAA and avoid liability by inadvertently making a BA their agent. BAs should attend this webinar to see exactly what they must do to comply with HIPAA Rules – Security, Privacy and Breach Notification Rules. And what to look for in Due Diligence and how to obtain HIPAA required satisfactory assurances that a Subcontractor BA is complying with HIPAA while avoiding liability by inadvertently making a Subcontractor BA their agent WHO SHOULD ATTEND THIS WEBINAR Covered Entities of all types who disclose PHI to BAs and allow BAs to create, receive, maintain and transmit PHI on their behalf Business Associates of all types including for example: * Billing and Coding companies * Practice Management Companies * IT Vendors * Data Storage firms (electronic and paper) * Secure and unsecure providers of PHI email and text message services * Vendors of patient satisfaction surveys * PHI record retrieval and release of information vendors * Law and Accounting Firms * Health Plan Third Party Administrators * CE Owner – CEO – COO Compliance Manager * Board of Directors – for profit and non-profit CEs * Healthcare Practice Manager * Administrator, Long Term Care Facility * BA Owner – CEO – COO * Security and Privacy Officers * Compliance, Information Security and Risk Management Directors * Business Manager * Attorney – General Counsel, Associate General Counsel, Inside Compliance Attorney, Outside Health Law Attorney Venue: Recorded Webinar ENROLLMENT OPTION * * Recorded Webinar + Presentation $129.00 HIPAA Business Associate Compliance and Dangers quantity Enroll/Buy Now SPEAKER Paul R. Hales Paul R. Hales, J.D. is widely recognized for his ability to explain HIPAA Rules clearly in plain language. He is an attorney licensed to practice before the Supreme Court of the United States, a graduate of Columbia University Law School and Senior Counselor of the Missouri Bar with an international practice in HIPAA privacy and… Show More RELATED EVENTS Compliance Webinars Live Webinar REVENUE TRIFECTA: CODING, BILLING, DOCUMENTATION Many providers have seen a significant increase in claims delays and outright denials. The reasons may be many, but focused attention to three major elements can improve your results. Documentation, Coding & Billing work together to support adequate reimbursement. Weaknesses in any of these areas will affect the ability to capture optimal revenue. Documentation is the Foundation of Every Patient Encounter. Record pertinent facts, findings, observations about past & present illnesses, examinations, tests, treatments and outcomes Documents the care of the patient Facilitates planning immediate treatment Monitor patient’s healthcare over time Tells the patient’s story Strong Documentation drives the coder’s ability to capture all conditions that are relevant to the current encounter. The primary reason for the encounter must be clear. Secondary conditions that require management or affect the current encounter should be addressed by the provider. Problem lists can be misleading. Is the condition current or a historical occurrence no longer requiring treatment? Documentation and coding will support accurate claims billing serving to decrease the liklihood of payer delay or denial. These 3 functions are strongly intertwined. It is imperative that providers and staff collaborate to protect revenue, reduce reworking of the claim, and maintain a strong cash flow. Patient satisfaction is heavily influenced by the provider’s proficiency in obtaining correct and timely payment. Target Audience Chargemaster Maintenance Staff Physicians Practice managers Medical assistants Nurses Compliance staff Billers Coders Revenue Cycle Risk Management Charge entry staff 04/19/2024 Enroll/Buy Now Compliance Webinars Live Webinar REVENUE CODES VS CPT/HCPCS EDITS: DOES YOUR CHARGEMASTER REFLECT BEST MATCHES? A hospital chargemaster is a comprehensive list of a hospital's products, procedures, and services. Everything from prescription drugs to supplies for diagnostic tests has a unique price listing in the chargemaster. Major components include revenue codes that reflect the site of service and applicable CPT/HCPCS codes that indicate the service provided/charged. Poor matches between these code sets may lead to distorted cost centers, lost revenue, charges bundled that should be separately reported and incomplete departmental charging. Webinar’s Goals Understand chargemaster code functions Understand revenue leakage resulting from poor chargemaster structure Understand why correct departmental charging is vital to revenue integrity Appropriate training for charge entry staff Billing attention to posted charges Who Should Attend Chargemaster Maintenance Staff Compliance staff Billers Coders Revenue Cycle Managers & Staff Risk Management Charge entry staff 04/23/2024 Enroll/Buy Now Compliance Webinars Live Webinar CONDUCTING A CHARGE AUDIT TO INCREASE REVENUE Areas Covered A major component of successful revenue management is accurate charging for services provided. Charges must be identified, posted timely and completely. Hospital charge capture is typically handled by the department that provided the service. Professional charges may be posted by the provider. In either case, the function may be a low administrative priority with little to limited training for charging activities. Coordination between departments may not be established. Accountability for correct charging may be minimal. There may be no formal policies or baseline controls for correct charge capture. Different systems may be used for charging and reconciliation An effective charge audit can identify lost revenue opportunities Webinar’s Goals Understand the importance of accurate charge capture Tips for charge review Departmental charge capture errors & omissions Revenue leakage resulting from charging errors Reduce non-compliance exposure Improvement of operational efficiency Enhance patient satisfaction Key Points Why Errors Occur Multiple departments entering charges Charge master may be incorrect or incomplete Error in number of units selected Error in item selection Inactive charge New service not added Incorrect revenue code/cost center System conversions Overreliance on claims scrubber Target Audience Physicians Practice managers Medical assistants Nurses Compliance staff Billers Coders Revenue Cycle Risk Management 04/25/2024 Enroll/Buy Now Compliance Webinars Live Webinar SEVEN CRITERIA FOR HIGH QUALITY CLINICAL DOCUMENTATION Clinical documentation is the cornerstone for all patient medical records. This information should be of the highest quality to allow for optimal patient outcomes as well as supporting research, medical coding and other uses of the medical record. Its purpose is to adequately relate the patient’s current and historical conditions and treatments with primary focus placed on situations that affect the current medical encounter. It also supports the provider’s defense should the case become a legal issue. Webinar’s Goals Review of 7 criteria that all entries in the medical record should include Impact of documentation on coding & claims Establishing a CDI team Significance of abnormal lab results: querying the provider. Measurement of lesions, when taken and inclusion of margins. Why it matters & how reimbursement may be affected. Start & stop times & methodology for infusions & discrepancies in billing. Complete reporting for administration and substance. Diagnostic testing and medications should be supported in a diagnosis. Unsupported documentation may cost you money. Depth of wounds and cause should be clear. Clarity needed for both depth and origin of wound. Severity of illness. Hospitals and payers are increasingly scrutinizing patient severity. Lack of detail costs money. Diagnosis present on admission? Certain conditions do not generate additional revenue if occurrence after admission. Areas Covered The ICD-10 code set requires explicit documentation of conditions & treatments in order to support the severity of patients under treatment as well as allow for the significant specificity required by this code set. Ambiguous documentation and generic coding will no longer guarantee reimbursement and may generate a claims denial for lack of medical necessity. In this session, we will review the theory of high-quality clinical documentation which has the support of healthcare regulatory guidelines and peer-review research. Additional consideration involves medical outcomes that may result in legal action. When clinical documentation is vague, missing key elements and conflicting statements, the provider may find that he/she is handicapped in supporting medical decisions and patient results, particularly when the result is a negative outcome for the patient. In today’s healthcare environment, many patients have become educated consumers of medical services. They are more inclined to request their own medical record, carefully review explanation of benefits from payers, and request a review of any information they deem to be incomplete or questionable. Target Audience Coding Billing Revenue Cycle Physicians Mid-level providers Nurses Claims follow-up Compliance Auditors 05/02/2024 Enroll/Buy Now * About Us * Contact * Privacy Policy * Refunds & Cancellations * Order Processing & Shipping Guidelines * Frequently Asked Questions * Terms & Conditions Menu * About Us * Contact * Privacy Policy * Refunds & Cancellations * Order Processing & Shipping Guidelines * Frequently Asked Questions * Terms & Conditions © 2024 Medical Webinar. All rights reserved