How to Conduct a Risk Assessment for a Healthcare Organization to Protect Sensitive Information Conducting a risk assessment is a foundational step in protecting sensitive patient information and ensuring HIPAA compliance for any healthcare organization. A well-executed risk assessment helps identify vulnerabilities in systems, processes, and workflows that could expose Protected Health Information (PHI) to … Read More →
How to Fix 820 Remittance Mismatches in Finance Reconciliation You know the feeling. The money hit the bank, the 820 landed in the queue, and the two refuse to agree. Someone in Accounts Receivable is now staring at a spreadsheet at 4:45 on a Friday. Here’s the thing: most 820 mismatches aren’t mysterious. They fall into … Read More →
EDI Testing in Healthcare: Why Certification Is Not Enough In healthcare EDI, certification matters. But it is not the finish line. Many teams treat payer certification or initial transaction approval as proof that an interface is fully complete. In reality, certification only shows that a transaction passed under specific conditions at a specific moment in time. … Read More →
837 Claim Rejections: The Edge Cases Your Clearinghouse Won’t Catch Your clearinghouse said the file was clean. The 999 came back accepted. Then the claims bounced anyway. If that sounds familiar, you’ve already learned the awkward part: a clean acknowledgment doesn’t mean a clean claim. And it’s not a bug. It’s just how the layers work. … Read More →