How Embracing HIPAA Compliant Orthopedic Billing Can Help in Boosting Your Reimbursement

With the recent incidence of cybersecurity attack on Change Healthcare, providers and healthcare practices are worried. The U.S. Department of Health and Human Services (HHS) and Centers for Medicare & Medicaid Services (CMS) have introduced a financial assistance program to aid healthcare providers affected by the cyber attack on UnitedHealth’s subsidiary. Today, seamless and secure management of medical billing is quite a struggle.

Orthopedic practice is one such specialty along with DME that has faced significant challenges when it comes to securing adequate reimbursements. With factors like Medicare cuts, diminishing fee schedules, and the rise of technology in medical billing, navigating the reimbursement landscape has become increasingly difficult. In today’s multi-payer environment, scrutiny over reimbursement claims has increased, adding another layer of complexity.

However, amidst these formidable obstacles, there is still hope for orthopedic practices to maintain their reimbursement levels above average. By prioritizing HIPAA-compliant clinical and operational management, practices can explore avenues to mitigate these challenges and optimize their reimbursement processes.

So if you are looking for a seamless orthotics billing transaction with complete security, you have a crucial role to play. Here are a few strategies to initiate that will further help you achieve secure orthotics billing transactions.

  1. Look beyond compliance: While compliance with regulations like HIPAA or PCI is vital, it’s not synonymous with robust cyber security. Merely meeting compliance standards doesn’t guarantee protection against cyber threats or prevent potential fines. Focus on implementing comprehensive cyber security measures, tailored to your specific risks and environment.
  2. Address physical security: Outsourcing medical billing and coding services may alleviate direct on-site security responsibilities, but physical risks remain a cyber security concern. Evaluate how files are stored and how credit card transactions are handled on-site. Adopt a holistic approach to cyber security that considers both digital and physical threats.
  3. Embrace holistic security: Cybersecurity isn’t just about technology; it encompasses processes and people too. Provide training to your staff on recognizing and responding to cyber security threats, such as email phishing attempts. A well-rounded approach to security involving technology, processes, and people is essential for effective protection.

Remember, your patients’ information is highly valuable and attractive to cybercriminals with malicious motives. Even seemingly innocuous data handled by medical coding solutions can pose a significant risk if compromised. Patients expect healthcare providers to prioritize their data security and go beyond regulatory compliance to deliver the best possible healthcare experience.

Considering the complexity of cyber security challenges, opting to outsource your orthotics billing operation can make your billing task easy. RCM organizations like Sunknowledge are known for ensuring a 100% accuracy rate with complete HIPPA compliance. Slashing 80% of the overhead cost, Sunknowledge has helped many leading orthotics billing transform into a profitable business.

If you’re interested in exploring this option further, visit us to learn more about how outsourcing your orthotics billing can alleviate cybersecurity concerns and enhance your revenue cycle operations.