How-Offshore-medical-coding-HIP-play-an-important-role-in-healthcare

The Crucial Role of HIM

Healthcare is highly dependent on Health Information Management (HIM) for the successful keeping of private, secure, and confidential documents and records. HIM professionals use their expert knowledge and experience on laws and regulations that overall impacts the appropriate management of healthcare data. While they ensure the protection of health information, this also allows the right information to be made available to the appropriate individuals who require access to it, which further helps them provide efficient and quality healthcare.

As ECLAT Health Solutions continues to celebrate the 30th Annual Health Information Professionals (HIP) week, our ICD-10 auditors and medical coding team continues to be diligent with their work to make sure your facility stays on top each day of the year. Here is the importance of HIM professionals and the crucial role they play in health care management:

Why Being Compliant is Important

The security and regulations of health information may become compromised with the ongoing rise of new threats and adjustments in legislation. Health information professionals and providers have the competence to ensure compliance with the many updates and changes in state and federal regulations. This way confidential patient information is able to remain safe and recorded effectively. When health organizations do not comply with the HIPAA & HITECH regulations, it may lead to serious problems such as increased security breaches and may even reduce the healthcare that’s being provided.

How Our Offshore Medical Coding Company Maintains Compliance

As a current ISO/IEC 27001:2013 and SOC 2 Type 2 compliant entity, ECLAT Health Solutions warrants the protection of sensitive health information including patient health information (PHI) as well as financial information through a strict framework of operational policies and procedures for legal, physical, and technical controls for risk management. Consequently, by offering offshore medical coding and medical billing solutions to a variety of healthcare professionals, we can confidently state that all procedures and information exchanges comply with HIPAA and HITECH regulations.

To elaborate, here are just a few of the ways we exercise the highest level of security to our clients:

  • Bi-annual meetings are held to stay up-to-date with our high standards of security and privacy
  • We establish the usage of firewalls, encryption codes, and have restricted Internet access on our computer devices
  • Patient information does not leave our offices
  • All external computer drives are effectively disabled
  • Coding facilities are monitored and guarded 24/7

Offshore Medical Coding Services of the Highest Quality  

Collectively, ECLAT Health Solutions is committed to maintaining healthcare security that’s accurate and works efficiently. We understand the gravity of maintaining HIPAA & HITECH compliance regulations as a business associate, which is why our medical coding team will be happy to address any of your concerns and provide the necessary information to propose a customized approach that will work best for your healthcare facility. Let us help your staff and facility function to the best of its abilities and provide healthcare that is of exceptional quality.
Get in touch with us today to learn more about our security and compliance through our offshore medical coding services! Fill out our form and we will get back to you shortly.

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ECLAT Celebrates Health Information Professionals Week

Dear Fellow HIPs,

Between March 24th and 30th, we are celebrating HIP Week, honoring our amazing HIP staff at ECLAT Health Solutions. Part of what makes ECLAT Health Solutions such a thriving domestic medical coding company is our devoted health Information staff, who use their incredible talent and skill each day to serve the medical and healthcare community in profound ways. We would like to take advantage of this occasion to thank our incredible team of experts who dedicate extra time out of their busy schedules to share their knowledge with HIM community members on a quarterly basis  via ECLAT’s Experience The Brilliance webinar series. Your tenacity and enthusiastic pride in spreading insight as thought leaders is truly inspirational! We would also like to acknowledge our dedicated ECLAT Account Managers – your hard work and untiring effort to keep our clients happy every single day is what keeps our service shining bright amidst our competition.

Below are some of the ways that Health Information Management (HIM) affects the performance of both the clinical and business sectors of the healthcare field.   

Health information management provides a myriad of services to the clinical administration of healthcare organizations, including:

  • Ensuring positive patient care and health results through collecting, maintaining and analyzing important EHR data.  
  • Developing a uniform set of clinical documentation tools that sustain accurate information and data collection from the documentation that is used for trending patient care, as well as building and supporting quality care standards.  
  • Eliminating redundancies within the MPI, keeping individual patients from being unnecessarily harmed through unrequired treatments or testing, which can also reduce their cost of services.  
  • Creating detailed coded data, which provides an in-depth understanding of patient symptoms and conditions, quality of care, pharmaceutical and clinical research, and health management and monitoring.

HIM practitioners are also integral in the continuance of healthcare organizations by affirming the strength of their business performance through:

  • Influencing sources of clinical, administrative, and financial data that are necessary for organizational implementation of effective strategies.
  • Managing the organization’s revenue cycle, securing that it remains operational in the future.
  • Supervising population health by handling the clinical and financial risk of determined groups.
  • Retaining knowledge of state and federal regulations, as well as accreditation standards concerning health information, which helps ensure the accreditation of their healthcare organization.

I am very proud to say that ECLAT Health Solutions is proud #HIMAdvocate. We celebrate HIP week with our incredible staff knowing that without their support, our operation as a leading domestic medical coding company would cease. Recognizing this truth we are confident in our mission to continue to provide the best possible health information management services to the numerous healthcare organizations and institutions that we proudly serve. Enjoy your HIP week!

Sincerely,

Karthik Polsani

Chief Executive Officer

ECLAT Health Solutions

Here’s Why The Global Medical Coding Market is Growing Exponentially

Medical coding is an essential medical language that is utilized by health organizations and hospitals around the world everyday. The global medical coding market is thriving in developed countries, but with all this growth, constant changes need to be made to improve efficiency and the effectiveness of healthcare experiences and procedures everywhere.

With the global medical coding market on the rise, medical coding and billing companies, such as ECLAT Health Solutions, must be quick to adjust to the constantly changing health industry. As one of the top medical medical coding companies in Northern Virginia, our team of certified specialists ensure every code is chosen with precision, which will overall help healthcare providers avoid hefty fines and insufficient patient care. Below are a few reasons why the global medical coding market is growing.

Decrease in Fraudulent Errors

As the global medical coding market expands, the more likely it is for insurance fraud and issues to occur. If medical documents are being misinterpreted more frequently and electronic health record (EHR) shortcuts are increasing errors, then there is a higher risk of inaccuracy and even malpractice. Maintaining a healthy and accurate coding system with professional medical coding assistance means patients will receive the proper care they need and providers are giving the highest quality of healthcare to patients.

Growing Demand of Coding Services

There is a rising demand for a universal language in medical documents. The need for quality healthcare services reflects how often medical coding procedures are being adopted between various providers. Without medical coding, it would be difficult to provide the current standard of health services to patients today.

Encourages More Coding Opportunities

With medical coding services growing exponentially, this also expands the job market for medical coders. As the need for coding services grows, medical coding employment opportunities will double. A need of more coders proves that health providers are working to find the best ways to improve accuracy and cultivate a healthy revenue by creating more coding careers.  

Constant Coding Updates

Since there’s a need for a universal medical coding system, we are taking advantage of technology to help healthcare entities record accurate medical documents in a world of constant ICD system changes. Medical technology such as computer-assisted coding (CAC), blockchain, and electronic health record (EHR) alignment are used to help reduce complex coding issues, improve accuracy in medical documents, and increase efficiency. These medical systems are furthering the global medical coding market by providing medical coding solutions and classification updates to better the healthcare industry.

ECLAT Health Solutions is Northern Virginia’s Top Medical Coding Company

Make sure your medical documents and codes are recorded and tracked accurately with a professional medical coding company. Trust ECLAT Health Solutions with your company’s medical billing and coding procedures to reduce any complex coding and billing errors and upcoding occurrences. Our team of medical coders are dedicated to helping providers increase their coding accuracy and provide solutions to improving areas of inefficiency. We strive to provide assistance tailored to our clients needs to enhance their overall coding system for a better healthcare experience. Contact us today to speak with one of our medical coding specialists today!

Coding Q & A with ECLAT Expert – Marie Thomas

Question:

J96.00 (Principal DX) – Acute respiratory failure, unspecified whether with hypoxia or hypercapnia
S06.6X6A (Admitting DX) – Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
00N.00ZZ (Principle Procedure Code- ICD-10-PCS) – Release Brain, Open Approach
What would be the appropriate APR DRG, is it 020-1, 020-2, 020-3 or 020-4 or something else?

Answer:

All Patient Refined Diagnosis Related Groups (APR-DRGs) are similar to Medicare Severity Diagnosis Related Groups (MS-DRGs) in that they are calculated from a preassigned numerical weight listing – multiplied by a fixed dollar amount based on each individual provider.  The base rate of APR-DRG is derived from how sick the patient is via codes assigned, considering the severity of illness and the risk of mortality.  APR-DRGs are unlike MS-DRG’s in that the base rate for MS-DRG is calculated from the codes assigned from a single complication or comorbidity.  Medicare groups claims using MS-DRG for reimbursement.  Some Medicaid, Workers compensation, no fault and commercial payers group to APR-DRG for reimbursement.  3M developed the APR-DRGs version (v#) and provide updates annually.  It is important to work with payers to understand the APR-DRG listing and weights.

Using the 3M APR-DRG grouper Version 18.3.1.0 (131), PDX J96.00 admitting DX S06.6X6A PCS 00N00ZZ, the APR DRG is 950 SOI = 1 ROM = 2 (a relatively low risk patient based on the coding)

If the documentation supports the PDX J96.00 admitting DX S06.6X6A and secondary diagnosis S06.6X6A with the PCS 00N00ZZ the APR DRG is 10 and the SOI = 3 and ROM = 4 (these codes reflect a much sicker patient with risk of dying).

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www.cms.gov

Webinar Roundup: Exploring Respiratory Failure from a Clinical Perspective

As revenue cycle management, medical coding, and clinical documentation improvement professionals, the topic of acute and chronic respiratory failure is something that comes across our clients’ screens regularly. It is a very unique health issue that many don’t fully understand, and that can be difficult to document. Because of its distinctive properties, and popular audience request, we felt it was a topic that needed some discussion. That is why we chose this quarter’s webinar topic from our “Experience the Brilliance” webinar series to explore respiratory failure from a clinical perspective. Joined by ECLAT’s Senior Director of Coding and HIM Operations, Marie Thomas, and clinical care physician, Krishna Thandra, MD, we discussed the basics of respiratory failure, how it is viewed from a clinical perspective, and how to identify and document it from a medical coding perspective.

2018-07-31 13.00 Exploring Respiratory Failure – A Clinical Perspective from Giovanna Govea on Vimeo.

Exploring Respiratory Failure – A Clinical Perspective from Giovanna Govea on Vimeo.

The Clinical Perspective

First, the MC of the webinar, Giovanna Govea of ECLAT Health Solutions, defined respiratory failure before introducing Dr. Krishna Thandra to offer a clinical perspective. According to the late Robert S. Gold, MD, “respiratory failure basically means that the lungs cannot meet the needs of the body to supply oxygen and remove carbon dioxide.” In clinical trials, signs of respiratory failure include increased respiratory rate, increased burden of oxygen, decreased oxygen levels, and increased carbon dioxide levels.

When someone experiences respiratory failure, there are some key physiological changes that occur:

  1. Impacts the heart because of the lower oxygen level
  2. Cor pulmonale may occur with right sided heart enlargement
  3. Liver may become enlarged/engorged, swelling of LE or UE, irregular rhythm
  4. Risk of blood clots

As Dr. Thandra discussed,

The Medical Coding Perspective

Identifying respiratory failure quickly and properly is imperative to a patient’s health. After respiratory failure is identified by a physician, the clinical documentation is the next important step in the process. The clinical perspective helps us to better distinguish clinical criteria for acute vs. chronic respiratory failure, and to identify the correct medical coding assignment for respiratory failure cases. There are 3 important sets of criteria for identifying acute respiratory failure, as outlined in the webinar by Marie Thomas, Senior Director of Coding and HIM Operations, all of which can be found on pages 7-9 of the webinar handout. It is important to look closely at these criteria, as some distinctions are vital to identify in order to document the condition properly.

What happens if a patient is admitted with respiratory failure and another acute condition? The principal diagnosis depends on the individual patient’s situation and what caused the admission of the patient to the hospital. This coding guideline applies regardless of whether the other acute condition is a respiratory or non-respiratory condition. If the documentation is unclear, the physician should clarify which of the two conditions was the reason for admission. In some cases, both conditions may be equally responsible for the admission, just make sure that the severity of illness and intensity of service are equivalent for both.

Case Study and Poll

After reviewing respiratory failure from clinical and coding perspectives, Marie walked the webinar attendees through a case study followed by a question. To view the case study and see if the audience answered correctly, be sure to watch the webinar replay and review the webinar handout. Feel free to let us know what you think the answer is by commenting below.

Join Us for Future Segments of “Experience the Brilliance” Free Webinar Series

Our “Experience the Brilliance” Webinar Series is meant to provide educational insight to medical coders, CDI professionals, and HIM professionals for FREE on a quarterly basis, so be sure to join us next time! Follow ECLAT on LinkedIn for updates on future webinars and industry-related news.

global medical coding company

What Does ICD-11 Mean for Global Medical Coding Companies?

Global medical coding companies must keep up with industry technological and regulatory changes, and the recent announcement of ICD-11 is another change that we must adapt our processes to meet. But before we get into what the ICD-11 changes mean for medical coding companies, let’s remind ourselves of the purpose of ICD, and how essential it is to global medical coding. ICD, or the International Classification of Diseases, is a tool for reporting and grouping conditions and factors that influence health. The purpose of ICD is to allow for a standardized and systematic recording, analysis, interpretation, and comparison of medical data collected. Most useful to medical coders, ICD is used to translate diagnoses into alphanumeric codes which permit storage, retrieval, and analysis. Whenever the ICD is revised and updated, it means that global medical coding companies like ECLAT Health Solutions must take necessary measures to comply with its new structural changes.

Training

According to World Health Organization’s (WHO) recent release, some major structural changes are set to be implemented under ICD-11. One of the key revisions is meant to simplify coding structure and electronic tooling, which is meant to allow health care professionals to more accurately record conditions. This means that for global medical coding companies, this new and simplified coding structure must be comprehensively understood by its professionals. Extensive training, research, and practice are all required for medical coding companies to ensure that coding quality and accuracy will not be lost amidst the ICD-11 transition. Also, the code structure itself is projected to be updated, so what many medical coders knew like the back of their hands will now need to be re-learned.

No need to panic

The preview of the ICD-11 transition, which is set to be released for adoption by member states of the WHO in May 2019, may seem like a daunting announcement to some. Medical coding companies and health care professionals as a whole have become so accustomed to ICD-10, that the thought of drastic system and structural changes involved in ICD-11 may cause stress and insecurity. However, NO NEED TO PANIC! ICD-11 is an exciting announcement, as it marks innovation and forward thinking in the world of disease classification. A lot has changed since ICD-10 was introduced, and the way we view certain diseases and disorders should evolve as well. Like with any new piece of technology or information, there is always a learning curve, however the light at the end of the tunnel is brighter than ever, the health information management world will continue to improve its practices to promote patient transparency and reduce unnecessary hospital costs.

ECLAT Health Solutions is Ready for ICD-11

ICD-11 goes into effect January 1, 2022. The World Health Organization offices are still working on a global implementation plan to do this, and our team will be standing by to respond and take action to update our medical coding processes as necessary when the plan and final release is announced. As a leading global medical coding company, ECLAT Health Solutions is looking forward to ICD-11 and the impressive impact it will have on health care and how we classify diseases, disorders, and other health issues. To learn about the ECLAT Advantage, and what sets our medical coding company apart from others, contact us today!

new meaningful use program

How the New Meaningful Use Program Affects Hospitals and Healthcare Providers

Meaningful Use is defined by the use of certified electronic health record (EHR) technology in a meaningful manner, ensuring that the certified EHR technology is connected in a manner that ultimately improved the quality of care. This concept of meaningful use was enacted with the American Reinvestment & Recovery Act (ARRA) in February of 2009; an effort led by the Centers for Medicare & Medicaid Services (CMS). There have been several updates to the rules surrounding meaningful use since it was made priority by CMS nearly 10 years ago, but the most recent announcement in April has a large effect on how hospitals and other providers process health information.

Starting in 2019, hospitals will be required to have a patient’s electronic health records available on the day they leave the hospital, as well as better access to price information. Further, some regulatory burdens on hospitals will also be lifted. The new rules are meant to promote better interoperability between providers and for patients. At ECLAT, we embrace the EMR technology and include meaningful use concepts in our ongoing Revenue Cycle training program. Ensuring the abstracting and coding information is accurate, timely and complete is essential to meeting meaningful use strategies. While this announcement is exciting for patients, allowing for more price and information transparency, the new rules beg the question: how does this affect hospitals and healthcare providers?

  1. Reduces Unnecessary Redundancies

Hospitals spend billions every year on administrative duties related to regulatory compliance, totally $39 billion according to the American Hospital Association. Fortunately, CMS eliminated 25 total measures that will save hospitals over 2 million hours of work. Additionally, quality measurement will be more streamlined as a significant number of criteria acute care hospitals are currently required to report on will be eliminated.  The lift on these regulations will better assist with the receipt and exchange of documents among systems, which inherently allows medical coding companies like ECLAT to close accounts faster and enhance clinical documentation for more accurate reimbursement. In short, it removes unnecessary and redundant measures from a number of programs, ultimately saving hospitals time and money.

  1. Challenging ‘One Size Fits All’ Pricing Approach

While hospitals are welcoming reduced regulation with open arms, many are concerned by the CMS rule requiring them to post their prices. The goal of this is to promote more effective price transparency for patients, however, what individuals pay varies greatly depending on their insurance coverage. Nevertheless, this price transparency is meant to ultimately offer the best value to patients, where they reap the benefits associated with more choices and thus better health outcomes.

  1. Emphasizes Need for Accurate RCM, Medical Coding and Billing

Hospitals also now must make their patients’ EHR data available upon the day of discharge, which means hospitals must incorporate up-to-date technologies and processes to make this happen. This involved using up-to-date EHR technology beginning in 2019 in order to quality for incentive payments and avoid Medicare payment reductions. On top of this, it’s essential for hospitals and providers to ensure their revenue cycle management, coding and billing processes evolve with these new rules to ensure continued accuracy.

These new rules announced by Centers for Medicare & Medicaid Services mark an interesting transition in healthcare information management, and while some of the rules require challenges for hospitals and other healthcare providers, these changes hope to ultimately improve efficiency, transparency, and accuracy. In these ever-changing times of healthcare regulation, it’s also important to have a revenue cycle management partner to help you keep up. Contact ECLAT Health Solutions today to learn more about our services, and how we can help hospitals save time and money with our 95% accuracy or greater guarantee.

A Medical Coding Company Can Help Providers Prevent Fraudulent Error(s)

The financial health of a practice relies heavily on accurate medical coding. Selecting the wrong code is not only much more likely to result in a claim denial but it can lead to the wrong treatment being given, as well as illegal consequences. This usually happens in three ways: the facility ends up choosing a code for a milder treatment than what is really needed (undercoding), chooses a code for a more expensive treatment (upcoding) or reports separate procedures that can usually be combined, therefore falsely increasing reimbursement (unbundling).

In some cases, upcoding is accidental. A coder may misread clinical documentation or misunderstand a diagnosis due to lack of physician documentation and may inadvertently choose the code for a more expensive treatment. However, some practices have exhibited intentional upcoding and unbundling.

Both intentional and non-intentional upcoding can have damaging effects on providers. To prevent this, providers looking to ensure they have accurate medical coding and true reimbursements should partner with an experienced medical coding company. ECLAT Health Solutions can guarantee a 95% coding accuracy or greater to ensure our clients prevent these inaccuracies. Below, we’ll cover the various consequences providers can avoid by choosing to work with our medical coding experts:

 

Potential Increased Financial Burden on Provider

When upcoding or unbundling is successful, of course, the facility enjoys falsely-acquired, increased revenue. However, the financial consequences of when this fraud is detected far outweigh the benefits. If the incorrect code is discovered by the insurance provider during claims processing, this will result in a claims denial, which can carry a hefty price tag.

This is nothing compared to the cost of being reported and found guilty of healthcare fraud. Last year, Carolinas Healthcare faced a $6.5 million fine for upcoding lab test results. They received $80 more per urine test they conducted than they should have, resulting in false revenue. This revenue did not surpass, however, the huge fine they ended up paying.

Providers should not take this financial burden lightly. Choosing coding specialists like ECLAT Health Solutions is the best way to ensure all codes are chosen accurately and the provider steers clear of fines.

 

Potential Increased Bills for Patients

Upcoding and unbundling is bound to result in a higher cost for a patient. There has been a large increase in financial responsibility falling to the patient in recent years, and upcoding and unbundling can only contribute to this. If a patient’s insurance does not fully cover the more expensive treatment reported with the coding, they will need to pay more out of pocket. This can in turn affect their decision to remain loyal to a provider or seek elsewhere for less expensive treatment, which ultimately affects revenue.

 

Coding Audits & Investigations

Providers who draw attention with their upcoding are likely susceptible to coding audits or criminal investigations. Because upcoding and similar fraud like unbundling costs the healthcare industry billions of dollars annually, the penalties for these offenses are severe. Not only does upcoding cost facilities a lot of money, as in the case of Carolinas Healthcare, but can damage their reputation and credibility with patients, insurance providers, and other practices alike. Even if a provider is not found guilty of upcoding, investigations send a negative impression to the public.

HHS has begun cracking down on healthcare fraud and developed a proactive approach to fraud protection that hopes to detect more fraud issues. Part of these measures include using predictive analytics to prevent false medical bills. It has become increasingly crucial that providers take every possible measure to prevent upcoding, whether intentional or unintentional. There are serious legal implications and consequences of fraud and abuse. Learn more about these implications here.

 

Choose ECLAT, Your Trusted Medical Coding Company

Trusting a medical coding company to handle your daily coding is the best way to ensure accurate codes and no upcoding. ECLAT Health Solutions not only helps providers increase their coding accuracy but identify potential inefficient practices or other areas of concern to prevent accidental, or intentional, upcoding. It is everyone’s responsibility to report accurate information based on patient documentation, reflecting the severity of our patients and the costs associated. We work closely as an extension of our clients to help them become proactive in their coding practices and earn a true ROI.

 

Benefits of Offshore Medical Coding for Your Domestic Staff

More and more healthcare providers are utilizing offshore medical coding and are enjoying a variety of benefits. One of the biggest appeals of offshore medical coding for many providers is the bottom line – hiring overseas coders is more cost-effective than searching for employees at home. This is a huge asset for providers, but it certainly is not the only one. Financial incentives aside, outsourced medical coding also has several benefits for a facility’s domestic staff. Below, we explore some of the ways that offshore coding can benefit your domestic employees.

 

Freedom to Focus on the Administrative Side

Outsourcing your medical coding practices leaves your domestic employees with more time and resources that they can put toward bolstering and reworking other areas of your facility that need help, such as your administrative tasks. Refining the administrative side can help improve your facility’s billing and collections practices, patient experience, and claims submissions process, all of which will help increase efficiency and foster a healthier revenue cycle. Any staff who may have been doubling as coders or assisting with coding processes will now be free to focus on their main roles and responsibilities.

 

No Need to Re-Train Domestic Employees

Healthcare providers that feel their domestic employees’ lack of training has affected their efficiency or revenue may dread the effort, money, and resources that they will need to put into retraining them. Offshore coders are joining the workforce with the same qualifications, skills, and training as new coders in the United States at a reduced cost, making them capable of providing accurate medical coding and maintaining security. When providers look overseas for their coding solutions, they eliminate the need to spend valuable funds on training programs for their domestic staff. Offshore coders will need to receive some training to become familiarized with your facility’s best practices and procedures, but this is minimal and spares your facility the cost of a complete training overhaul that your domestic employees may need. No re-training for domestic employees also saves them time and stress, and allows them to focus on other, more important tasks and processes.

 

Fewer Errors and Less Stress

Using skilled offshore coders for your medical coding needs can help drastically reduce medical coding errors. In some facilities—often small or understaffed ones—busy staff may be prone to making coding errors, especially if these domestic staff are new to the workforce or have been struggling with the switch to ICD-10. Highly trained outsourced coders will likely make fewer errors, which means the rest of your staff will not need to scramble to fix mistakes such as claims denials. Often, the stress involved with fixing errors can actually lead to more mistakes being made, which compromises the health of your revenue cycle.

To earn the benefits of offshore medical coding, both for your finances and your staff, partner with an expert international medical coding company!

 

Offshore Medical Coding – The ECLAT Difference

ECLAT Health Solution’s team of outsourced medical coding experts are highly trained in ICD-10 coding procedures and are trained to maintain HIPAA and HITECH compliance. Not only is our coding secure and accurate, but our 3-Tiered Quality Assurance Process ensures we deliver superior work every step of the way. During this process, we closely analyze and review any cases that our coding team have questions on and prevent or fix errors. We go above and beyond to help your practice enjoy a healthy revenue cycle and increased revenue with our 24-hour turnaround and holiday and weekend coverage at no additional cost.

Contact ECLAT today to learn more about our offshore medical coding services.

Why HIPAA & HITECH Compliance Is Increasingly Crucial in Today’s World

Healthcare fraud and security breaches have been making headlines recently. It seems that almost everywhere we turn, we hear about a new threat to banking or health information security. After the Equifax breach compromised 143 million Americans’ credit and financial information earlier this year, individuals and organizations are shifting their best practices and regulations to prevent this from happening again.

In the healthcare sector, protecting patients’ personal and financial information should always be the highest priority of any healthcare provider, insurance agency, or healthcare support companies. With the number of these breaches steadily increasing, it has become even more necessary to closely follow HIPAA guidelines and prevent security risks at your facility.

 

Why Compliance Matters

Regulations and security measures change as new threats arise and as legislation is proposed or adjusted. Healthcare providers must make sure they always maintain compliance, even as these regulations constantly change and evolve. The procedures, practices, and policies enforced by HIPAA and HITECH ensure that confidential patient information and records stays secure, whether stored on paper or online.

HIPAA compliance was not common when the act was first introduced, as many organizations, especially small businesses, found it difficult to maintain compliance. The improvement of technology and the increase of security breaches has made compliance much more widespread, however. In fact, non-compliance is now incredibly detrimental to healthcare and healthcare support providers.

Organizations and facilities who do not comply with these regulations not only face increased risk of a security breach but can also be hit with hefty fines or even jail time for violators. Some of these fines may reach up to $1.5 million per violation per calendar year. In addition, any healthcare provider or organization that does not practice compliance will have a hard time earning and keeping patients or customers.

 

How ECLAT Maintains HIPAA & HITECH Compliance to Protect Sensitive Information

ECLAT Health Solutions, offering offshore medical coding and medical billing services to hospitals, ambulatory surgery centers, Independent Practice Associations, physician offices, and more, proudly complies with all HIPAA and HITECH regulations. To ensure we are always protecting our clients’ sensitive personal and financial information, we take a variety of measures:

  • Hold bi-annual meetings in which we review our privacy and security standards with all employees
  • Use firewalls, encryption, and restricted Internet access on all of our computers
  • Prohibit patient information from being removed from our offices
  • Disabled all external drives on our computers
  • Monitor and guard our coding facilities 24/7

We always exercise these practices among many others to ensure all of our clients’ confidential information remains secure in our facilities. In addition, we are also SOC 2 Type 2 compliant and have earned ISO Certification. To receive SOC 2 Type 2 certification, an organization have accurate and compliant policies and procedures in place that protect all sensitive information. ISO certification verifies that an organization meets all the necessary requirements for security and quality assurance.

As an organization, we strive to uphold our accreditations and adapt to the changing healthcare security landscape. ECLAT’s medical coding services are always secure, efficient, and accurate. We work as an extension of each our clients’ organizations, and we treat their security concerns just like our own. This is why we are vigilant regarding compliance with regulatory and best practice standards, keeping our clients’ and their patients’ sensitive information as secure as possible.

Contact us today to learn more about how we maintain the highest security and compliance in our offshore medical coding and billing services!