Medical Billing Regulations

What is the main purpose of medical billing? Well, it's just to make sure that the service provider receives a fair payment for services rendered, and ensure that the payment was received on time. The procedures for medical billing are governed by certain laws. What are the main laws that govern medical billing? These include the following three laws;

Fair Debt Collection Act

The Health Insurance Portability and Accountability> Law

The Privacy Rule

Fair Debt Collection is a federal law that determines how and when to collect a debt.
This act is to protect all patients and other consumers of illegal threats.

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

Title I of HIPAA regulates theavailability, scope and plans group individual health insurance. It amends both the Employee Retirement Income Security Act and the Public Health Service Act This law also prohibits any group health plan for creating eligibility rules or deciding of insurance premiums for people in the plan based on health status, "the story of medical information, genetic or disability. So the title insurance protects the health of workers and their families ifchange jobs.

The second title of HIPAA contains a part that increases the efficiency of sharing health data for financial transactions and protects the privacy of electronic data and confidentiality of patient data. All providers of health care are invited to submit claims electronically in accordance with the act of receiving payment. This includes the electronic transmission of major financial and administrative operations, including electronic invoicingprocessing of claims and advice. various offenses related to health care and criminal penalties are defined. Besides the creation of several programs to control fraud and abuse in the health system that imposes sanctions when rules are violated.

The Privacy Rule regulates the use and disclosure of protected health information (PHI). PHI is information about the state of health, the provision of health care or payment for health care may be related to an individual. Anyperson who believes that privacy policy is not accepted, may file a complaint with the Department of Health and Human Services Office of Civil Rights.