According to new HIPAA regulations, you must now, more than ever, be aware of who receives your Patient's sensitive information!  Because of cheap labor, there is a large influx of new billing companies that are actually operating OUTSIDE OF THE UNITED STATES!  Many of these countries are exempt from restrictions that would keep them from SELLING your patient's IDENTITY information. 

Ultimately, YOU are responsible for any security breach once a patient has filled out forms in your office. Take the time and effort to research any company that you are considering to use as an outside billing service.  Ask them to sign not only a HIPAA agreement, but an affidavit of information distribution to ensure that your data stays in the United States.

Secondly, ensure that you are USING the built-in security features of Medisoft Patient Accounting.  This means requiring a Login Name and Password for every person that uses your program.  You might also consider having all employees sign a HIPAA agreement to ensure that they understand their responsibilities when handling your patient's data.