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Medical Billing Rules by Ricci Mathew What is the main purpose of medical billing? Well it is just to make sure that the service provider receives a fair payment for services provided and also that the payment is received in time. The medical billing procedures are governed by certain laws. What are the main laws that govern medical billing? They include the following 3 laws;Fair debt Collection Act The Health Insurance Portability

Accountability Act The Privacy RuleThe Fair debt collection Act is a federal law that dictates how and when a debt is to be collected. This act is for the protection of all the patients and other consumers from unlawful threats. The Health Insurance Portability and Accountability Act of 1996, better known as the HIPAA, was enacted by the U.S. Congress in 1996. It has two titles.Title I of HIPAA regulates the availability, breadth of group and individual health insurance plans. It amends both the Employee Retirement Income Security Act and the Public Health Service Act. This act also prohibits any group health plan from creating eligibility rules or deciding of insurance premiums for individuals in the plan based on health status, medical history, genetic information, or disability.

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Thus Title I also protects health insurance of workers and their families if they have to change jobs.The second title of HIPAA contains a portion that increases the efficiency of data exchange for healthcare financial transactions and protects the privacy of electronic data transmission and the confidentiality of patient records. All medical providers are asked to send their claims electronically in compliance with the act to receive their payment.Click here for the rest.

 
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