RESOURCES

Local Healthcare Regulations

Corporate Compliance at MTBC

In all our business dealings, MTBC strives to be honest and fair. All activity by or on behalf of MTBC must be in compliance with applicable laws such as HIPAA, HITECH, False Claims Act, FDCPA etc. This document provides the basic details regarding MTBC’s HIPAA, HITECH compliance policy and how we implement it.

Publication Date: 02/2015

Copyright 2015.

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Medical Document Retention Requirements

Federal regulations impose certain document retention requirements upon healthcare providers relative to encounters with Medicare and Medicaid patients. This matrix provides the basic details regarding these requirements. Please remember that many states also have document retention laws that impose additional requirements relative to encounters with Medicare, Medicaid, commercial payer and uninsured patients.

Publication Date: 06/2011

Copyright 2011.

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Photocopying Fees for Patient Records

Most states set limits regarding the highest fees that providers may charge for releasing copies of patient records. This matrix provides the basic details regarding these laws and hyperlinks to the relevant state statutes. As you will note, state statutes vary not only with regard to the permissible fees, but also as to whether certain requestors (e.g., attorneys) can be charged higher fees, whether an additional search fee can be assessed, etc. In some situations, a provider’s violation of these statutes can result in fines and other penalties.

Publication Date: 06/2011

Copyright 2011.

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Insurance Prompt Payment Laws

Many healthcare providers suffer from health insurance reimbursement delays, which can have dramatic adverse effects upon their cash flow. Collective efforts of both federal and state legislatures have resulted in the enactment and enforcement of prompt payment laws that require payers to adjudicate claims and render appropriate reimbursement within certain timelines. Healthcare providers must be fully aware of the prompt payment laws of their respective states so that they may effectively enforce their statutory rights and demand appropriate remedies.

Publication Date: 06/2011

Copyright 2011.

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Notification of Actual or Likely Data Breach

Widespread security breaches and identity theft have prompted legislatures across the nation to enact data breach notification laws. These laws impose notification obligations that are triggered when a medical office or other entity discovers that its computerized records containing personal information have been accessed by an unauthorized third party. Many of these laws impose very serious penalties on non-compliant entities, so it is important that you understand the law(s) that apply to your practice.

Publication Date: 01/2008

Copyright 2008.

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Refund, Deduction and Recoupment of Overpayments

Insurance overpayment recoupment and overpayment refund disputes are now commonplace in modern medicine. The majority of states have enacted refund and recoupment laws that govern a payer’s ability to demand a refund or to recoup previous overpayments. Since payers are becoming more aggressive in demanding repayment, it is important that you understand your rights under state law.

Publication Date: 06/2011

Copyright 2011.

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Disclaimer: The information contained within the MTBC® Legal Corner is provided for general educational and informational purposes only and should not be construed as legal advice. The author of the Legal Corner does not represent the Web site user or the individual submitting a particular question. Please seek the advice of legal counsel to address any specific questions you may have regarding your particular facts or circumstances.