HIPAA Compliant Medical Billing Software

Written by Kevin MabryHealthcare, HIPAA


HIPAA stands for Health Insurance Portability and Accountability Act. It is a group of regulations and standards which require major changes to how healthcare organizations handle information management. HIPAA covers such aspects of medical billing as coding, security, patient record management, reimbursement and care management as well as stringent codes for uniform transfer of electronic data, including routine changes and billing.

Learning the twists and turns of HIPAA may take time and time is something that most medical billing specialist can ill-afford. For this reason, software developers have come up with a type of software program that incorporates HIPAA compliance into the system. The result is the new HIPAA compliant medical billing software.

HIPAA compliant medical billing software builds the codes and standards of HIPAA into the structure of the system. Using this type of software product saves you from the hassle of studying the HIPAA guidelines and evaluating if your software systems meet them. Now, you no longer need to spend all this time learning the works because your HIPAA compliant software will do all the work for you in adhering to HIPAA EDI compliance rules.

The Three Sets of Standards

HIPAA compliant medical billing software adhere to three sets of standards. These are:

* Transaction and code sets
* Privacy
* Security

In order to meet regulation compliance, HIPAA compliant medical billing software must also cover the following entities:

* Health plans
* Health care clearinghouses
* Health care providers

The Benefits of HIPAA compliant Medical Billing Software

The main purpose of HIPAA compliant medical billing software is to assist medical billers meet the federally mandted HIPAA requirements. However, HIPAA compliant medical billing software may also have several other benefits aside from mere compliance. For instance, HIPAA assessment tools allow the billing agency to manage HIPAA assessments for each of its clients. They help medical practices and billing services increase productivity, reduce account receivables, and increase cash flow.

Another benefit of HIPAA compliant medical billing software is that it can simplify complicated administrative and financial data transactions. It does this by defining new codes and unique identifiers and by standardizing transactions and EDI formats.

Hospitals, physician office, home health agencies, nursing homes, affiliated providers, payers, employers, data services, and regulatory agencies are all impacted by HIPAA. That is why having an HIPAA compliant medical billing software program helps greatly in improving efficiency in practice management.


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