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Clarifying the HITECH Act and Answers to Frequent Questions
WebNo. The HITECH Act is a federal law, and federal law preempts state law. The HITECH Act states that you can charge a flat fee of $6.50. Alternatively, a provider can charge a “reasonable, cost-based fee” for producing electronic records when it is requested directly from the patient. That means the labor cost to you of producing records
Actived: 2 days ago
URL: https://www.adlergiersch.com/provider-blog/clarifying-hitech-act-answers-frequent-questions/
Holding Treatment Bills vs. Billing Health Insurance
WebThe purpose of this chapter is to establish uniform regulatory standards for health carriers and to create minimum standards for health plans that ensure consumer access to the health care services promised in these health plans. WAC 284-43-100. The achieve this end, providers are prohibited from collecting covered charges from patients.
Pre-existing Conditions and the New Health Insurance Law
WebAugust 16, 2013. A pre-existing condition in the realm of health insurance is a medical condition that existed before someone applies for or enrolls in a new health insurance plan. It can be something as prevalent and serious as heart disease or cancer. Or it may be less life-threatening such as hay fever or asthma.
Overview of the Washington Health Care Information Act
WebRichard H. Adler. •. April 13, 1992. The Uniform Health Care Information Act adopted by the Washington State Legislature went into effect on July 28, 1991. The Act provides direction for health care providers, health care facilities, patients and other persons on access to medical records, and what can be charged for copies of records.
Do Health Insurers Use Personal Information to Set Rates
WebAn ongoing investigation by NPR and ProPublica has raised troubling questions about some of the tactics used by health insurance companies to maximize profits. Over the past several years, the health insurance industry, wholly funded by consumers through taxes and insurance premiums, have begun partnering with data …
Must Know Updates to the Healthcare Provider Lien Law
WebMay 5, 2016. All licensed health care providers in Washington have special legal protections for their treatment bills to enforce payment from an insurer, attorney and/or patient for outstanding services in an underlying personal injury, once that case concludes. These legal protections are known as “liens” and are governed by the Revised
Interest Charges on Health Care Bills
WebAccording to RCW 19.52.020, a health care provider can charge twelve percent per annum. Interest rates may be higher than twelve percent, as long as it is calculated as four percentage points above the equivalent coupon issue yield of the twenty-six week treasury bills. For example, if the twenty-six week treasury bill yielded ten …
Washington State Expands Health Care Coverage to …
WebThis month, Washington Health Benefit Exchange announced significant upcoming changes that will make coverage more inclusive. According to Washington State statistics, 25% of its population that does not have health care insurance is made up of residents that are undocumented. Recent changes have expanded Washington’s health …
The Negative Impact of the Independent Medical Exam
WebAdler Giersch Staff. •. October 26, 2017. As providers, you have probably already experienced firsthand the headache that comes from dealing with a Personal Injury Protection (PIP) auto insurer and its hired gun, the Independent Medical Exam (IME). Over here, we pointedly call it the “ Insurance Medical Exam,” because it most certainly is
Prior Authorization from Health Insurers
WebUnder Washington law, health insurance companies are allowed to require that healthcare providers obtain authorization prior to treatment bills getting paid. The new law affects a large number of treatment types and loosens the arbitrary guidelines that health insurers, such as Regence and Premera, and their third-party contractors such as
How to Handle the Patient’s Attorney and Subpoenas
WebThe health care provider should know his/her rights with regard to participation in these proceedings and be prepared to enforce them. An attorney handling a personal injury case is given legal authority to issue subpoenas in the name of the court to compel a health care provider’s attendance, testimony, or production of documents at …
Neuro-Chemical Changes in the Brain Connected to PTSD
WebThe attorneys at Adler Giersch PS can assist patients seeking guidance while recovering from traumatic injury and while dealing with PTSD and respond to insurers that get in the way of healthcare recovery. Please visit our website at https://www.adlergiersch.com, or contact us at 206-682-0300 for more information.
Medical Liens and Health Care Providers Billing Practice
WebAdler Giersch Staff. •. April 1, 2007. All licensed health care providers in Washington are permitted to use medical liens to protect their bill from an insurer, attorney or patient that may be unwilling o pay for outstanding services once a personal injury claim is concluded. These type of liens are governed by Washington statute and can be
Update to IFCA Helps Get Health Care Bills Paid Under PIP
WebThis law also protects individuals who have been denied access to health care by their auto insurer’s unreasonable denial of PIP benefits. IFCA is codified at RCW 48.30.010(7) and RCW 48.30.015. IFCA applies only to claims that an individual policyholder has against his or her own automobile or homeowner’s insurance company, …
Change of Job, Change of Coverage: What About Pre-existing …
WebSelf-funded employers (ERISA) can exclude pre-existing conditions for 12 months. State regulated plans with 50 or more eligible employees can exclude pre-existing conditions for 3 months. State regulated plans for small groups (2 to 50 employees) may require a 9-month exclusion period. If you have coverage at one job then change to the …
Deposition Testimony For Healthcare Providers
WebA deposition is the taking of testimony under oath. It is conducted out of court and generally in the healthcare provider’s office. In most cases, the deposition of the provider is requested by the insurance company’s attorney and not the patient’s attorney. The patient’s attorney does not need to take the health care provider’s
PIP Guide for Providers
WebAdler Giersch Staff. •. June 28, 2017. If your patient is treating from a car collision, Personal Injury Protection Insurance (also known as PIP) is one way that your services are paid for. We advise providers and patients alike to double check—and then triple check—that PIP is listed on the declaration page of their auto insurance policy.
Medical Records Copy Fees in Washington State Increases
Weba. No more than one dollar and twenty-four cents ($1.24) per page for the first thirty pages; b. No more than ninety-four ($.94) cents per page for all other pages. (2) Additional charges: a. The provider can charge a twenty-eight ($28.00) dollar clerical fee for searching and handling records; b. If the provider personally edits confidential
Apportioning a Preexisting Condition with a New Trauma
WebNovember 13, 2017. The phrase “preexisting condition” often causes some confusion for health care providers when they are asked to apportion a percentage of a patient’s condition between a preexisting condition and a new trauma. The purpose of this article is to provide guidelines on when a provider needs to apportion injuries and how to
Chad’s Legacy Project Advancing Mental Health Education
WebEnabling access to health care and pursuing justice is at the core of what we do. When I had the opportunity to join the Board of Directors for Chad’s Legacy Project, a non-profit organization dedicated to creating a more effective pathway in the treatment of mental health, I jumped at the chance.. Chad’s Legacy Project was created by Todd and …
Understanding PIP Coverage For Today’s Health Care Provider
WebThe health care provider is required to demonstrate through their chart notes and documentation that the treatment provided is “reasonable, necessary, and related” to the motor vehicle accident. The $10,000 in medical coverage applies to each person in the car. For example, if there are two people in the same car and both are your patients
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