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RAC Reform Awaits Government Action

Author: AHIMA Advocacy and Policy Team

Source: Journal of AHIMA

Publication Date: November 2013



Although the First session of the 113th Congress is coming to a close, plenty of work remains for the members of Congress to accomplish in the coming year. AHIMA has worked closely with federal legislators to raise awareness on key initiatives that affect health information management (HIM....

Adapting BA Practices to Meet the Omnibus Rule

Author: McSteen, Thomas

Source: Journal of AHIMA

Publication Date: September 2013



The 2013 HIPAA Omnibus Rule marks a key milestone for implementation of the 2009 Health Information Technology for Economic and Clinical Health Act (HITECH). One of the most far-reaching impacts of HITECH and the Omnibus Rule is that business associates (BA) and their subcontractors now mu....

HIPAA Changes Call for Revising BA Agreements

Author: McDavid, Jan P

Source: Journal of AHIMA

Publication Date: May 2013



Business associates (BAs) of HIPAA-covered entities like hospitals and doctor's offices should already be intimately acquainted with HIPAA's privacy and security regulations. BAs should already have business associate agreements with every covered entity with whom they work and assume resp....

De-identification and the Sharing of Big Data

Author: White, Susan E

Source: Journal of AHIMA

Publication Date: April 2013



One of the newest buzz words in data analytics is “Big Data,” and the data created through the healthcare industry is some of the “biggest” around. The widespread implementation of electronic health records (EHRs) and the need to share data to measure quality and ma....

HIM Staff RACing Up Record Requests

Author: AHIMA

Source: Journal of AHIMA

Publication Date: April 2013


Healthcare claims auditors have inundated release of information staff and vendors this year with record requests, in part due to the aggressive Centers for Medicare and Medicaid Services’ (CMS) Recovery Audit Contractor (RAC) initiative. RACs review provider bills and medical records to....

Top RAC Target Areas

Author: AHIMA

Source: Journal of AHIMA

Publication Date: July 2012


If you bill fee-for-service programs, your claims will be subject to review by the Recovery Audit Contractor Program (RAC). That was the promise made by the Centers for Medicare and Medicaid Services when it expanded its once-experimental program to all 50 states in 2010. The RAC's mission....

HIPAA Compliance for Clinician Texting

Author: Greene, Adam H

Source: Journal of AHIMA

Publication Date: April 2012



The HIPAA privacy and security rules need not act as an obstacle to efficient communications, but keeping texting compliant requires planning and diligence.

Text (or SMS) messaging has become nearly ubiquitous on mobile devices. According to one survey, approximately 72 perce....

The New Privacy Officer

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: April 2012



It has been a decade since the first privacy officers took their jobs in response to the HIPAA privacy rule. A slew of changes since then have added more responsibility, required more skills, and demanded more time of them than anyone could have imagined.

When Nancy Davis, R....

Busy Year for the RACs

Author: Easterling, Sharon

Source: Journal of AHIMA

Publication Date: March 2012



Learning from last year's denials and preparing for what's ahead will help providers avoid being stung in 2012.


When the Recovery Audit Contractor (RAC) permanent program began in 2009, providers were hopeful that the process for identifying underpayments and overpayments w....

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