Compliance & Hipaa Protection
Regulatory Defense. Documentation Integrity. Zero-Risk Revenue Operations.
Compliance failures don’t only trigger penalties — they trigger denials, audits, clawbacks, contract suspensions, and reputation damage.
True Care Billing builds full HIPAA and payer-aligned safeguards into your revenue cycle so billing becomes liability-proof, audit-ready, and tightly secured.
Why Compliance Matters to Financial Health
Compliance isn’t just legal language.
When ignored, it causes:
- Silent denials
- Bulk take-backs
- Payer investigation holds
- Suspended reimbursements
- Coding violations
- State-level audit exposure
Without compliance, revenue is never guaranteed.
Our Compliance Infrastructure Includes:
- HIPAA-aligned documentation protocols
- PHI encryption & protected access controls
- Multi-factor authentication
- Audit-ready claim documentation structure
- Secure EDI and ERA handling
- Claims retention requirements
- Credentialing renewal alerts
- Coding & modifier compliance reviews
- Ongoing payer rule updates
Your billing, coding, and records operate under enforced integrity — not trust alone.
Audits: Prepared, Not Panicked
We help practices avoid:
- CMS examinations
- Commercial payer clawbacks
- Unexpected chart requests
- Retroactive coding audits
If audits occur, you already have:
- Source documentation alignment
- Audit-trace logs
- Historical payer compliance mapping
- Corrective narratives
Data Protection & Encryption
- End-to-end PHI encryption
- Secure VPN + restricted user access
- Data sharing logs
- Compliance staff training
- Breach-response protocols
No generic “HIPAA compliant” stamp — regulated, verified, documented compliance posture.
Compliance Outcomes
Risk
Audit exposure
Claim reversals
Payout holds
Coding violations
After Implementation
Drastically minimized
Reduced to exceptional cases
Lifted before financial impact
Eliminated through pre-checks