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Health Insurance Portability and Accountability Act (HIPAA)

Health Insurance Portability and Accountability Act (HIPAA) of 1996 compliance, an Information Technology (IT) perspective by: Bruce W. Garrett, CEO, ARCHIVE-CD, LLC
CompTIA Solution Provider Access - July Issue

The Act, in its original intent, was created to "improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use of medical savings accounts, to improve access to long-term care services and coverage, to simplify the administration of health insurance, and for other purposes." To meet these expectations HIPAA evolved into several parts: the Privacy Rule, HIPAA Statute, the Security Rule, and Identifier Standards.
 
HIPAA Privacy Rule: Disclosures for Emergency Preparedness - A Decision Tool
Emergency preparedness and recovery planners are interested in the availability of information they need to serve people in the event of an emergency. For example, planners seek to meet the special needs of the elderly or persons with disabilities in the event of an evacuation. Read More. . .

The Secretary of Health and Human Services has delegated to the Director of OCR the authority to issue subpoenas in investigations of alleged violations of the HIPAA Privacy Rule and of the Patient Safety and Quality Improvement Act of 2005. Notice of this delegation was published in the Federal Register on April 16, 2007, and may be found at the GPO Access website Federal Register links:
/2007/pdf/07-1872.pdf (PDF); and /2007/07-1872.htm (HTML).

HHS Launches New Web site on HIPAA Privacy Compliance and Enforcement  Read More. . .

HIPAA Information
ball Business Associate Agreement  MS Word (49 KB)  PDF (167 KB)
ball Business Associate Contract MS Word (41 KB)  PDF (114 KB)
ball U.S. Department of Health & Human Services Office for Civil Rights. Business Associate Contract
ball Access Request MS Word (46 KB)  PDF (149 KB)
ball Communications Request MS Word (40 KB)  PDF (118 KB)
ball HIPAA Consent (Sample)   MS Word (14 KB)  PDF (42 KB)
ball HIPAA Notice (Sample)  MS Word (61 KB)  PDF (474 KB)
ball Identity & Authority Verification MS Word (32 KB)  PDF (96 KB)

Other HIPAA Reference Sites

ball CMS -HIPAA Medical Privacy - National Standards to Protect the Privacy of Personal Health Information
ball Health Insurance Portability and Accountability Act of 1996 (HIPAA) For implementing various unrelated provisions of HIPAA, therefore HIPAA may mean different things to different people.
ball The Accredited Standards Committee X12 of the American National Standards Institute The Accredited Standards Committee X12 of the American National Standards Institute has launched a Web site to provide interpretation of HIPAA transactions implementation guides. The site enables the submission of questions to experts in the X12N insurance subcommittee, which created most of the standardized transactions. The Web site also links to a repository of questions and answers
ball HHS - Office for Civil Rights - HIPAA Office for Civil Rights - HIPAA. Medical Privacy - National Standards to Protect the Privacy of Personal Health.
ball HIPAA.ORG   Unsure how to handle HIPAA? CMS has prepared a checklist to help you get started. Find it here. THE LAW AND DHHS National Employer Identifier Number EIN Final Rule in PDF EIN Proposed Rule in HTML, PDF, or Text.
ball HIPAA_40 All X12N Implementation Guides adopted for use under HIPAA and their corresponding Addenda are free.
ball ADA Topical Index: Health Insurance Portability and Accountability Act (HIPAA) Start on this page for ADA resources regarding HIPAA. ... The Health Insurance Portability and Accountability Act (HIPAA) of 1996.
 
 CMS: Non-HIPAA compliant electronic forms paid slower  

Starting July 1, the Centers for Medicare & Medicaid Services will still accept electronic Medicare claims that do not meet Health Insurance Portability and Accountability Act standards, but they will be treated as paper claims and paid more slowly than HIPAA-compliant electronic claims, taking an additional 13 days. The modification to the CMS compliance plan only affects covered entities submitting Medicare claims to a Medicare contractor. The modification has an effective date of July 1, but CMS said it will begin delaying payments for non-compliant claims submitted July 6 and after. CMS encourages filers in need of additional help to contact their Fiscal Intermediaries or carriers, the private contractors that process and pay Medicare claims.
 

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