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HIPAA Control
and Compliance Reviews
What does HIPAA stand for? The Health Insurance Portability
and Accountability Act (HIPAA), signed into law in August 1996,
requires the Department of Health and Human Services (DHHS)
to adopt national uniform standards for the electronic transmission
of certain health information. The intent of HIPAA is "administrative
simplification" and protection of patient privacy.
"In simple language: HIPAA is a lifesaver for the health
care industry, because it requires the industry to develop a
set of national standards that will help bring much needed data
standard unity to health care transactions. It provides assurance
that confidential patient information will be as safe or safer
than paper based patient records. Common sense says that if
HIPAA hadn't come along, we would have to invent it."
DHHS divides proposed
security requirements into the following four groups:
- Administrative
procedures - documented general practices for establishing
and enforcing security policies.
- Physical safeguards
- documented processes for protecting physical computer systems,
buildings, and so on.
- Technical security
services - processes that protect, control, and monitor access.
- Technical security
mechanisms - mechanisms for protecting information and restricting
access to data transmitted over a network.
Who is affected
by HIPAA regulations?
HIPAA affects all health care organizations. In particular,
organizations will need to focus on HIPAA compliance in the
following areas:
- Electronic data
interchange (EDI) transactions for health plan enrollment,
eligibility, claims payment, premium payment, coordination
of benefits, and referral/authorization - HIPAA will mandate
specific EDI transaction standards and code sets for data.
- Storage and reporting
of identifiers - Patient IDs, provider IDs, payer IDs, and
employer IDs will be standardized under HIPAA for purposes
of electronic transactions. As a result, information systems
devoted to administrative, financial, and clinical applications
must be able to capture, store, and report these identifiers.
- Protecting confidentiality
of individually identifiable patient information in an automated
system - Organizations must be able to demonstrate sound practices
that protect patient confidentiality and security.
Organizations and
vendors in the health care industry will need to understand
the elements of HIPAA and be aware of the required changes.
Providers and health plans will need to review their current
information systems for HIPAA compliance. Organizations should
also closely review their current confidentiality and security
practices. Third party reviews are required. Also, providers
and health plans will need to institute policies for selection
and acquisition of new information systems that require vendors
to demonstrate compliance with known HIPAA requirements and
a commitment to meet future requirements.
What are the guidelines
for HIPAA compliance?
HIPAA was written with only 3 general rules to set general security
standards without locking the healthcare industry into a particular
technology:
- Comprehensive physical
safeguards to protect patient data.
- Employ a scalable
technology.
- Technology-neutral,
flexible enough to support interconnectivity and future industry
advances.
Are there any penalties
for not complying with the regulations? Yes. For example,
here are some penalties for non-compliance with these rules:
- The civil penalty
for violating transaction standards is up to $100 per person
per violation and up to $25,000 per person per violation
of a single standard for a calendar year.
- The penalty
for knowing misuse of individually identifiable health information
can reach $250,000 and/or imprisonment for up to 10 years.
For more information,
or to receive a Request For Proposal questionnaire, please
contact us toll-free at (866) 585-8324 or via email info@e3tech.net.
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Inc. ©2002
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