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Searching: insurance denials
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Message Board
Views: 818 | Replies: 30
What limits on HIPAA insurance would be wise to have for the most common and worst case scenario breaches? My malpractice insurance comes with $25,000, but they offer separate policies up to a million. We used to work with a company that offered $100,000, but are planning to up that to $500,000
July 02, 2018
HIPAA
Message Board
Views: 354 | Replies: 9
I received an email from my insurance agent recommending yet another insurance package-- data breach busines insurance? Anyone have any thoughts on if this would be worth it? We're starting to include around $150,000 insurance for our clients who get risk analysis with us, it adds a minimal amount
November 21, 2015
HIPAA
Message Board
Views: 247 | Replies: 4
I have a patient that sent us a complaint about insurance not covering a couple fillings done. He stated that if the issue is not resolved he is going to post negative reviews on all forms of social media. I am not too concerned about this but it irritates me that I cannot present my side
January 19, 2015
HIPAA
Message Board
Views: 170 | Replies: 10
sorry you felt pain during your extraction. We did our best to keep you comfortable.' (Confirms procedure and specific complaint.) Unsafe Example 5: 'Your insurance didn't cover the whitening treatment you mentioned, but we offered the discount as a courtesy.' (Confirms treatment, insurance status
September 10, 2025
HIPAA
Message Board
Views: 2550 | Replies: 121
unless you have that data encrypted prior to transmission 3. Have your server and computers up to date for security needs. If your answer to any of the above is yes, then you are a covered entity: 1. Have you ever received an email from an insurance company regarding patient benefits? 2. Do you use
July 22, 2014
HIPAA
Message Board
Views: 661 | Replies: 30
21, 1996, when the Healthcare Insurance Portability and Accountability Act (HIPAA) was signed into law, but why was the HIPAA act created? HIPAA was created to improve the portability and accountability of health insurance coverage for employees between jobs. Other objectives of the Act were
April 15, 2022
HIPAA
Message Board
Views: 202 | Replies: 8
pt always ask, why do you ask for my driver's license and make copy ? who knows>? is this by law? or required by ADA ?... One reason is to match names on insurance policy. They are who they say they are.The ADA doesn't require anything, they are not a regulatory body. It is a good idea
February 21, 2014
HIPAA
Message Board
Views: 183 | Replies: 3
the medical deductible (some as high as $6,000) is met.My local B/C B/S just sent me a form to fill out with two options on it for my under 19 child. I could sign up for some crap closed panel insurance or tell them the name of his dental insurance. After speaking to the CS rep she told me to add my own
January 21, 2015
HIPAA
Message Board
Views: 141 | Replies: 1
, it probably wouldn't be a good fit for you. Our service not only provides all policies and procedures, we also offer $100,000 of Breach insurance and $150,000 of PCI insurance. Hope this helps.
May 21, 2014
HIPAA
Message Board
Views: 136 | Replies: 5
tell) a HIPAA Management plan. 3. I couldn't see that they offer any Breach or Cyber Liability insurance. Even with your best efforts, you can't 100% prevent a breach from occurring, a good insurance policy is something I would recommend for any practice. Think of the Risk Assessment
October 14, 2016
HIPAA
Message Board
Views: 450 | Replies: 10
davidellinger77, Dentists who submit insurance claims and other specified transactions electronically are covered entities under HIPAA. Covered entities must comply with both the HIPAA Privacy and Security rules. I recommend the American Dental Association (ADA) “The ADA Complete HIPAA Compliance Kit
January 03, 2014
HIPAA
Message Board
Views: 92 | Replies: 2
to secure them, such as a locked briefcase, a locked cabinet at home, etc. Hope this helps.You must be HIPAA compliant if you process insurance claims electronically. If you take insurance you need to be HIPAA compliant. If you are ffs and not processing claims you are not a covered entity and do
May 08, 2014
HIPAA
Message Board
Views: 302 | Replies: 10
patients will tell you no, I just want the cleaning that insurance pays and in their mind that deep cleaning is just a way of you trying to get more money. Treatment and fees was explained to him prior to him scheduling his treatment. I dont know where he got the idea of free cleaning. The point is: there was never a free cleaning offered! If he has insurance he considers his two insurance covered cleanings free cleanings .
September 22, 2022
HIPAA
Message Board
Views: 312 | Replies: 9
encrypted, doesn't this pretty much let the air out of HIPAA? And it is about high time SS # were scrubbed from all healthcare databases. Every patient should just have a medical insurance ID # that has nothing to do with your SS. Is this really that hard?Just read the story about this on CNN. So should
August 22, 2014
HIPAA
Message Board
Views: 846 | Replies: 12
which they have a standard for and if you engage in these transactions, or any of your agents, software or third parties on your behalf, you're a covered entity. It's almost exclusively insurance/billing related stuff. The language is very specific and very well defined when it comes to these sorts
September 22, 2016
HIPAA
Message Board
Views: 141 | Replies: 0
laptops, tablets and other portable electronic devices. In nearly one-third of cases, the breaches happened when health insurance companies contracted their data management to outside firms. The personal information of patients in the United States is not safe, and it needs to be, wrote Dr
April 20, 2015
HIPAA
Message Board
Views: 435 | Replies: 13
fear of mine. Hell be at the Insurance Extravaganza in March,see my signature. Its good to have connections and Duane has connections here in Texas. so its good to know connected insiders like Duane.
October 23, 2024
HIPAA
Message Board
Views: 34 | Replies: 0
Why did HIPAA not require the doing away with SS as an identifier for dental benefits? Insurance companies could easily issue unique account numbers to each insured. PMS venders could issue a utility which would erase the SS field in PMS. Why such an obvious oversight?
February 21, 2014
HIPAA
Message Board
Views: 426 | Replies: 21
personal info.Well thought out response Dan. One question: When HIPPA created the mandate for increased security, why did they not make requirement 1 an immediate cessation to use of social security number as an insurance identifier? While I am no computer expert, I am willing to bet that creating
August 21, 2015
HIPAA
Message Board
Views: 44 | Replies: 0
There have been a lot of topics and talk about HIPAA compliant programs to send emails/radiographs, etc. There hasn't been any mention about sending e-claims to insurance companies with attachments. Does this have to be encrypted? These are being sent electronically with patient information, including name, date of birth, sometimes Social Security number, or other form of identifying number. If it makes a difference, I use Dentrix for my...
April 25, 2014
HIPAA
Message Board
Views: 157 | Replies: 7
in the future.I'd have to agree with Dandmi, it's all about having standards of privacy and forcing those who collect info to keep it safe by using those security standards which are enforced by a governing body. Medical insurance fraud and medical identity theft is a huge HUGE problem in the USA... hundreds
September 03, 2014
HIPAA
Message Board
Views: 43 | Replies: 1
In order to file claims electronically, must we be encrypted? What about going on insurance websites and getting benefit information? We have to give patient DOB ad SSN to receive any information. I would think that almost every e-claims software would encrypt their data during transmission, but I
December 08, 2017
HIPAA
Message Board
Views: 194 | Replies: 4
is correct. The covered entity issue isn't my understanding of why they are exempt, but rather, anyone or any business that is part of the continuum of care is not considered a business associate. That's why you don't need BAAs for other dentists, labs, insurance companies, etc. Hope this helps.
August 28, 2019
HIPAA
Message Board
Views: 128 | Replies: 3
I'm considering letting one of my staff to work from home a couple times a wk. she primarily deals with insurance claims , entering payments, calling ins comp etc. I use LogMeIn myself from home . Would there be any hippa issues or violation if she was to log in daily and do her work from home? Plz
March 21, 2018
HIPAA
Message Board
Views: 75 | Replies: 4
with the insurance and the one that wants to pay the bill for her husband on her plan? We have a section on our consent form for the patient to check off the family members who we are allowed to talk to about their care. Solves the problem completely.Cool idea. Does that mean you are sure this is 100% necessary
December 06, 2017
HIPAA
Message Board
Views: 350 | Replies: 7
medical insurance plans...I was informed of the potential that they got ALL of our information, including financial. Specialrific...This post was under the HIPAA section. That makes sense because there's really not a topic for identity theft or credit card fraud. That said the credit card industry
October 02, 2015
HIPAA
Message Board
Views: 73 | Replies: 5
to following systems: Backup and disaster recovery Patch management Firewalls Antivirus software Antiransomware software Breach Insurance Risk Assessment HIPAA Management Plan Staff Training Policies and Procedure manual Encryption etc. We do this for offices every day, please feel free to reach out if you'd like to discuss your options. Hope this helps.
June 06, 2020
HIPAA
Message Board
Views: 352 | Replies: 6
they discover. Kind of like the insurance agent giving you free financial advice. They'll give you financial advice at the same time sell you an insurance plan. I think any reliable audit needs to be independent of the solution provider. Since this is a government regulation only a government
March 05, 2014
HIPAA
Message Board
Views: 121 | Replies: 1
$140.40 to see the patient with an interpreter. We will only be reimbursed $188 from insurance. I still have to pay my hygienist and staff for the time used. Anyone else run into a similar issue???
September 15, 2016
HIPAA
Message Board
Views: 157 | Replies: 12
yesterday on the phone with MMG, my liability insurance company and my IT company. Still putting a few pieces together but today I start work on crafting a letter to send to patients and to the local media, as well as HHS.This should be fun.I also spoke to a patient who called to let us know his credit
April 08, 2021
HIPAA
Message Board
Views: 416 | Replies: 6
, etc. Hope this helps. Lorne, so for example does your company do HIPAA compliance? Or just the IT aspect? Yes, we do formal Risk Assessments and develop HIPAA Management Plans. We also bundle a Policies and Procedures Manual, as well as provide $500k of cyberliability insurance (since you can't
April 03, 2019
HIPAA
Message Board
Views: 55 | Replies: 1
faxing insurance claim forms? 3) We do not email other offices so does our email need to be encrypted? We have an email for patients to contact us--does this need to be encrypted? 4) What about paper patient files? Do these need to be under lock and key? Any help would be appreciated. 1. Completely
March 07, 2014
HIPAA
Message Board
Views: 287 | Replies: 8
arise in regards to HIPAA? help me understand please any...do you use... yes If patient does not sign your HIPPA form, you will need to get permission from the patient each and every time you discuss that individuals case with insurance companies or other health care providers. correct
January 18, 2015
HIPAA
Message Board
Views: 369 | Replies: 17
seminar where these 2 attorneys talked specifically about BAAs and they said that CEs should now put in the BAA the vendor's requirement to carry cyber insurance and name the CE as an additional insured. Yes, a lot of vendors will refuse or request to modify. These attorneys said that any vendor
August 31, 2014
HIPAA
Message Board
Views: 783 | Replies: 33
to insurance, share their records with other providers for treatment, etc.Your Notice of privacy practices isnt asking for permission. Its telling them what you can do legally, without their consent.Mark your acknowledgment as refused to sign and treat the patient. On a side note, make sure they do
June 26, 2019
HIPAA
Message Board
Views: 1665 | Replies: 99
is a bit over the top. Constantly changing computer passwords, now that is gonna be a real joy to deal with. I can barely remember what I had for breakfast most days. The biggest failure of HIPAA, bigger than 3 dead elephants in a room, was the failure to outlaw the use of SSN as an insurance
May 20, 2014
HIPAA
Message Board
Views: 167 | Replies: 2
from my previous dentist.They put a crown in for me and it fell off once before and of course they took care of it.Well it fell off again but since we changed insurance that they do not accept I called to see if they could reinstall it again and they want to charge me $85.00 to put a little glue
May 15, 2020
HIPAA
Message Board
Views: 320 | Replies: 14
with HIPAA, Weintraub said to CRN. So how is it that health insurance is the central and sole focus of the Affordable Care Act website, healthcare.gov, and yet it is not required to be compliant with HIPAA. It's absolute B.S. Weintraub said he's worried that by not forcing the healthcare.gov site to comply
January 17, 2015
HIPAA
Message Board
Views: 609 | Replies: 21
to lean towards common sense. Don't take it as gospel.Repeat after me HIPAA, HIPAA, HIPAA, HIPAA, HIPAA, HIPAA, Not HIPPA Health Insurance Portability and Accountability Act Lori . . . you hafta EMPHASIZE it . . . HIPAA HIPAA HIPAA HIPAA HIPPA HIPPAThe only problem with a radiograph
February 21, 2014
HIPAA
Message Board
Views: 110 | Replies: 2
attacks and media have reported a number of ransomware attacks on hospitals. To help health care entities better understand and respond to the threat of ransomware, the HHS Office for Civil Rights has released new Health Insurance Portability and Accountability Act (HIPAA) guidance on ransomware
June 29, 2017
HIPAA
Message Board
Views: 760 | Replies: 53
cannot be sent by email unless it is...No internet, no fax, no electronic transmission of any data, insurance forms sent by mail, HIPPA can suck it. I'm not covered under the...how can you encrypt a GMAIL account? Not aware of HIPAA??I was surprised that this regulation has crept up on us
February 26, 2013
HIPAA
Message Board
Views: 4338 | Replies: 242
a patent attorney will tell you or a trademark attorney tells you, until you have been sued and win you don't have it. 1. When dealing with the same insurance carrier it is perfectly fine to use the same password every time, that is your interaction with 1 other business that you have an agreement
June 17, 2014
HIPAA
Message Board
Views: 2550 | Replies: 121
, backups, laptops, etc) 2. Encryption of data in motion (email) 3. Annual risk assessment. 4. Having all policies and procedures documented. Our HIPAACheck service, which addresses number 3 and 4 above, provides $100,000 of Breach Insurance and $150,000 of PCI insurance; that's about the best
June 18, 2014
HIPAA
Message Board
Views: 391 | Replies: 16
are available. I set up everything I could before they came to the office. Oneproblem Ihave is the only entity to inspect and calibrate are oftenthe same entity that sells new units - your supply house. Then they'll pull your records, or find from insurance companies if any D0330s were
January 15, 2015
HIPAA
Message Board
Views: 255 | Replies: 11
Insurance Portability and Accountability Act (HIPAA) Privacy and Security Rules. These major enforcement actions underscore the significant risk to the security of patient information posed by unencrypted laptop computers and other mobile devices. OCR opened a compliance review of Concentra Health Services
April 22, 2014
HIPAA
Message Board
Views: 455 | Replies: 11
( American Dental Association ) refers to the Americans with Disability Act as AwDA to avoid confusion. So what are these things we now need to do if we connect to the internet and send e-claims? Shall I hire someone now to hand carry them to the insurance companies? These updates are ridiculous
March 09, 2015
HIPAA
Message Board
Views: 261 | Replies: 23
in the gift shop or cafeteria. Written forms or information sheets may provide effective communication in situations where there is little call for interactive communication, such as providing billing and insurance information or filling out admission forms and medical history inquiries. For more
February 09, 2016
HIPAA
Message Board
Views: 1657 | Replies: 119
patients. Lorne, may I ask you one more question? I have electronic claims through Patterson ( E claims) and I also pay for real time insurance Eligibility. Is that insurance Eligibility also considered to be in the HIPPA sensitive or only claims sent electronically fall in this category? Thanks so much
February 23, 2019
HIPAA
Message Board
Views: 1480 | Replies: 34
not, and so did...the easiest thing to do is to go back to paper... You obviously haven't seen my handwriting. It isn't all about charts though. HIPPA only applies to you if you submit insurance claims electronically. Doesn't matter if your charts are paper, digital or hieroglyphics. Of course having paper
March 14, 2017
HIPAA
Message Board
Views: 100 | Replies: 0
. These days, it should be just like having auto insurance, Sands said. He recommended that businesses hire security consultants to search for weak spots in data protection. Then, he said, they should plan exactly how they will notify and help protect anyone whose data are stolen. Having that notification plan, Sands said, is probably just as important for a business as having a disaster recovery plan for earthquake or fire.
July 05, 2014
HIPAA
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