AC Billing & Credentialing Specialists

05/25/2026

05/23/2026

Heading into the weekend is the easiest time for standard security habits to slip. When you are wrapping up a week of remote work, closing out your Friday requires a specific rhythm to ensure Protected Health Information (PHI) stays entirely locked down until Monday morning.

The essential HIPAA checklist to run through before shutting down the home office focuses on physical and technical security measures.

1. Technical Lockdown (The Virtual Clean-Up)
Sever the Remote Connection: Do not just close your laptop lid or leave your cloud portals open. Log completely out of your EHR/EMR systems, billing platforms, and clearinghouses, and disconnect from your VPN or ZTNA network. Leaving an active session running over the weekend expands the cyberattack surface.

Enforce Auto-Lock and Power Down:Ensure your device is configured to automatically lock after a short period of idle time. Better yet, do a full shut down for the weekend to trigger full-disk encryption protocols at rest.

Clear Local Downloads:
If you had to temporarily export or view any Excel sheets, PDF billing reports, or credentialing files locally, ensure they are securely deleted or moved back into monitored, encrypted cloud repositories. Check your computer’s "Downloads" folder before logging off.

2. Physical & Environment Security (The Home Boundaries)

The "Clean Desk" Rule:
Walk away from a blank workspace. Any paper documentation, sticky notes with quick references, or printed patient claims must be locked away in a secure, lockable file cabinet or safe. Never leave physical PHI out on a kitchen table or desk where visitors, partners, or children could glance at it over the weekend.

Enforce Device Boundaries:Make it clear to anyone in your household that your work laptop and mobile devices are strictly off-limits. Family members or kids looking to stream a video or play a game should never touch a device used for business operations.

Mute the Smart Assistants: If you have smart speakers or voice-activated home assistants (like an Amazon Echo or Google Home) in your dedicated workspace, ensure they are muted or unplugged if you are finishing up any late Friday calls discussing patient details.

3. Dissemination & Communication Discipline

Strict Email Boundaries: Never email billing data, provider paperwork, or PHI to a personal email address to "look at over the weekend." All transmissions must remain within corporate, encrypted email channels.

Verify the Recipient: Friday afternoons are notorious for rush-job mistakes. Double-check all fax numbers, email addresses, and patient portals before hitting "Send" on final end-of-week communications.

The Golden Rule of Compliance Documentation: If a security exception or a potential data spill occurs on a Friday afternoon, do not wait until Monday morning to report it. Immediate reporting to your designated Privacy Officer minimizes corporate liability and ensures breach notification windows are maintained.

05/19/2026

We are offering a special for the month of July only for our credentialing courses.
PM us or text/call 740-586-0881 to schedule.

We are booked up for June.
Video on how we use asana tracking in comments.

05/04/2026

Florida providers, we’re ready to support your growth! Schedule your consults now at acbilling.squarespace.com.

Enjoy commitment‑free billing and credentialing guidance through June 2026 or 10% off our services while you focus on your patients.

We’re thrilled to be expanding into Florida and partnering with you to strengthen your business and serve more patients.

05/01/2026

From caresource Ohio Medicaid

Dear Provider,

CareSource is suspending all previously announced recoupments on overpayments to non-CBHC Medicaid and MyCare behavioral health providers.

At CareSource, we believe everyone deserves access to compassionate, high‑quality behavioral health care, and we value the providers in our network who make that care possible for our members.

Earlier this month we notified some behavioral health providers in our network that CareSource had inadvertently overpaid them and would be implementing the correct rates consistent with their contract and applicable Ohio Administrative Code (OAC) Rule 5160-8-05, both retrospectively and for future claims. Please note, this action did not represent a rate reduction.

After direct conversations with providers, CareSource has decided to suspend the recoupment of these overpayments. The providers we spoke to shared that the recoupment would create significant financial strain and could impact access to care for members. That feedback directly informed our decision.

Future claims will be paid at the correct rate based on the terms of our provider agreements, which apply rates in specific circumstances based on service, provider type and clinical setting. Per the Ohio Administrative Code (OAC), Rule 5160-8-05, services rendered by a licensed or supervised practitioner are reimbursed at 85% of the established Medicaid fee schedule in most cases.

As behavioral health costs continue to rise, CareSource is committed to working with Ohio’s healthcare community to advance a high-quality and sustainable behavioral health care system. We look forward to collaborating with the state, providers and other health care partners to ensure access to critical services for Ohioans.

If you have questions regarding this update, please contact Provider Services at: 1-800-488-0134 (Monday through Friday, 8 a.m. to 6 p.m.) or email us at: CareSource_oh_bh@caresource.com.

04/30/2026

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04/30/2026

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04/27/2026

Humana Military would like to remind all mental health providers that they must meet the "Requirements for Documentation of Treatment in Medical Records" policy as outlined in the TRICARE Policy Manual (TPM). Compliance with this policy is essential for all TRICARE network providers.

Providers are required to demonstrate completion of required, specific mental health outcome measure assessment(s) for each patient.

Please review the article on our website for helpful information, including the tools and assessments that need to be used for post traumatic stress disorder (PTSD), and anxiety and depressive disorders.

Ensuring that the appropriate outcome measure assessments are completed, and that the results are documented in the medical record, supports compliance with TRICARE standards and helps to optimize patient care.

If you have questions, please email us at Healthcarequality@HumanaMilitary.com.

Thank you for your attention and cooperation.

Humana Military

04/27/2026

CGS has identified all E/M claims that were denied in error due to the system issues which began March 27, 2026. This also includes QPP adjustments that were denied in error. Claims are actively being adjusted to ensure all affected claims are reprocessed appropriately. In addition, any improper overpayment demands that resulted from incorrect denials will be fully addressed as part of the correction process, with no provider action required. CGS will continue to provide updates as adjustments and overpayment resolutions are completed.