All posts by SpeedySoft

Why HIPAA Compliance Matters for Medical Experts Who Work Remotely

By Chelsea Lamb of businesspop.net

In this day and age, more and more people are transitioning to working from home, either by necessity or by choice. While in most industries, it’s a shift that can be made with ease and without concerns, the same can’t be said in the field of medicine. This is because medical professionals are not only stewards of health, but also of protected health information (PHI), making the transition to telecommuting something that should be properly controlled and adequately regulated.

HIPAA (Health Insurance Portability and Accountability Act), by and large, sets the standard for the protection of ultra-sensitive patient data, and lately, the need for HIPAA compliance for work-from-home medical professionals is already being systematically addressed. Here’s what you need to know.

Understand the need for security, above all.

The need for security when working remotely, especially apropos to the handling of PHI, is a well-documented fact. Cases of security breaches are not at all uncommon, putting people’s medical privacy at risk—with costly repercussions at that—and serving as bone-chilling cautionary tales. It goes without saying, therefore, that companies and organizations are not the only ones who need to safeguard PHI. In fact, the same rule applies to medical professionals working remotely too.

Indeed, working from home is widely regarded as a threat to HIPAA compliance. This, in turn, creates the real need to understand the risks and possible issues, as well as solid guidelines and measures firmly implemented, long before a medical professional could and should start working remotely. This invariably takes us to the next point . . .

Make sure you meet the requirements.

HIPAA compliance for remote workers is a many-pronged approach. There is a real need for businesses to enforce base requirements for the equipment, hardware, and software remote workers will use. At the most fundamental level, this will include the strict use of VPN, encryption measures on wireless routers and other devices (including personal ones that may be used for access), the use of firewalls and anti-virus software, and even limiting the use and access of the network to specific brands and versions of devices.

Of course, in such a highly regulated industry, there are bound to be regulations for remote home offices, as well. There is, in fact, a need for a HIPAA-compliant home office as the risk of a security breach increases when medical professionals take work home. So apart from the equipment, software, and network precautions as mentioned above, it’s important to underscore the need to observe safe practices, such as keeping the work computer locked when unattended, ensuring the safe storage and/or shredding of printouts and faxes, and the like.

All these measures are designed to honor and comply with the official HIPAA regulations. It’s only prudent, therefore, to have the latest HIPAA compliance checklist on hand to ensure that your business is covering all the bases.

Establish your compliance and credibility.

Finally, know that it’s one thing to be compliant, but it’s also another for potential clients, vendors and other companies you want to work with to know a business is compliant. It’s more than wise, therefore, to consider increasing the degree of assurance with a HITRUST CSF self-assessment. Best of all, using a platform like myCSF not only helps to maintain regulatory compliance to HIPAA, but also to other standards, including ISO, PCI, and NIST.

Of course, beyond industry compliance, how employees work matters, as well. The fact is, as more and more medical professionals work remotely (and are compliant in doing so), the competition gets fiercer. This makes it necessary to make use of compliant tools and even templates that save time and, by extension, money and efficiency.

Suffice it to say, your organization may have to jump through some very important hoops for your medical professionals to work from home, but there’s really no question of the necessity. Ultimately, HIPAA compliance will not only save your company from the risks of working without it—it could even save lives, too.

Filling in the CMS 1500 Insurance Claim Form

Creating a claim in Speedy Claims is really as easy as filling in the blanks!

cms 1500 form button

Let’s start by clicking on the Claims button in the lower left of the Speedy Claims window and then clicking on the CMS 1500 Form icon.

This will open a blank CMS 1500 form on your screen. There is a small green and blue tool/info bar at the top of the form. These bars:

  • show you which form is active
  • let you choose which template to use
  • status of the claim
  • let you set the size of the form on your screen

form top

All of the fields you filled in the template will have your prefilled data in them already. You simply fill in the other fields and then click  print and you are done.

All of the data you filled in will be saved in the database for recall or reuse. The entire claim will be saved in the Claims List.

claims list

And also saved in various tables such as Patient, Provider, Insurance Company etc.

tables

This will be a real time saver for you as you can now quickly and easily reuse this data in a new claim. For instance, open a new claim form on your screen and double click inside Field 2 (Patient Name) and the Patient Table shows up. Double click on the appropriate patient and all their information is automatically filled in for you!

This shortcut can be used for ANY of the tables in  the software including:

  • Insurance Carrier
  • Patient – Field 2
  • Facility – Field 32
  • Billing Provider – Field 33
  • Referring Provider – Field 17
  • Rendering  Provider – Field 24 J
  • Diagnosis Codes – Field 21
  • Procedure Codes including Fees – Fields 24D  and 24F

Stay tuned!  Our next tutorial will include more shortcuts and time saving tips!

Getting Started with Speedy Claims CMS 1500

desktop-iconOnce you install the program you will find an icon on your desktop that looks like this. The black background will be different depending on what your desktop looks like but the icon will be the same.
Double click this icon to open the Speedy Claims program to begin setting up and using the Speedy Claims.

Continue reading Getting Started with Speedy Claims CMS 1500

What is the CMS 1500 claim form?

History of the CMS 1500 Claim Form –

Billing insurance companies for patient services in the 1960s could be a nightmare. Every third-party payer or insurance company could and did require proprietary forms and/or codes to be used There was no universally accepted form for providers to use. It was a real mess and a wonder providers ever got paid for their services.

Continue reading What is the CMS 1500 claim form?

Welcome to our new CMS 1500 Blog!

We have gotten so many questions about insurance  billing and especially about the new CMS 1500 form. From “what does CMS 1500 stand for” to “how do I fill out a CMS 1500 form” and everything in between.

So we decided to start a blog to answer these and other questions for you.  In addition, we will summarize relevant events in the medical insurance billing and coding industry for you

So subscribe now to read the latest posts as they happen!

The “How to Fill Out the CMS 1500” series starts next!

Best regards,

Dan Perrine, CEO
SpeedySoft USA, Inc.