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Medical Billing Rules
by Ricci Mathew What is the main purpose of medical billing?
Well it is just to make sure that the service provider receives
a fair payment for services provided and also that the payment
is received in time. The medical billing procedures are governed
by certain laws.
What are the main laws that govern medical billing? They include
the following 3 laws;Fair debt Collection Act The Health Insurance
Portability and Accountability Act The Privacy Rule The Fair
debt collection Act is a federal law that dictates how and when
a debt is to be collected. This act is for the protection of
all the patients and other consumers from unlawful threats.
The Health Insurance Portability and Accountability Act of 1996,
better known as the HIPAA, was enacted by the U.S. Congress
in 1996.
It has two titles.Title I of HIPAA regulates the availability,
breadth of group and individual health insurance plans. It amends
both the Employee Retirement Income Security Act and the Public
Health Service Act. This act also prohibits any group health
plan from creating eligibility rules or deciding of insurance
premiums for individuals in the plan based on health status,
medical history, genetic information, or disability. Thus Title
I also protects health insurance of workers and their families
if they have to change jobs.The second title of HIPAA contains
a portion that increases the efficiency of data exchange for
healthcare financial transactions and protects the privacy of
electronic data transmission and the confidentiality of patient
records. All medical providers are asked to send their claims
electronically in compliance with the act to receive their payment.Click
here for the rest. |
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