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Best Practices for Medical Necessity Validation

Author: Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: February 2002


To protect the Medicare Trust Fund from being drained, government health plans must provide coverage restrictions for unnecessary health services in vulnerable patient populations. One restriction mechanism is the provision of edits that look for valid reason-for-visit codes for selected servi....

Teamwork and Compliance Go Hand in Hand

Author: Ruppersburg, Patricia L.

Source: Journal of AHIMA

Publication Date: April 1999



Compliance is an issue that has earned much respect from healthcare professionals. It has become imperative to all HIM professionals to focus on providing the best possible solution for compliance. The ultimate goal: to create a scenario in which compliance supports the existing heal....

HITECH Security – A Practical Approach

Author: Rudloff, Rob

Source: AHIMA Convention

Publication Date: September 28, 2010


Background


HITECH has introduced new security requirements around HIPAA including new breach requirements and associated penalties. This paper addresses the information security and privacy requirements and provides practical solutions to address them. Many organizations already....

Cryptography and HIPAA: Breaking the Code

Author: Ruano, Michael

Source: In Confidence (newsletter)

Publication Date: June 02, 2003


Part four in a 10-part series.
This article is the fourth of a 10-part series that introduces the domains of information security and relates them to federal HIPAA regulations. The information security domain of cryptography is probably the most complex and mathematical of all the domai....

Security and HIPAA: Protecting Your Operations

Author: Ruano, Michael

Source: In Confidence (newsletter)

Publication Date: August 02, 2003


Part six in a 10-part series.
This article is the sixth of a 10-part series that introduces the domains of information security and relates them to federal HIPAA regulations. The information security domain of operations security includes the topics of controls, protections, monitoring,....

Getting 'Hip' to Other Privacy Laws: Part 2

Author: Roth, Julie A.

Source: Journal of AHIMA

Publication Date: March 2004


The HIPAA privacy rule is just one of several federal laws that protect the privacy of non-public information. But privacy is not a new concept in healthcare. Healthcare workers have long protected medical information under a varety of state and federal laws, accreditation standards, and rules....

HITECH Frequently Asked Privacy, Security Questions: Part 3

Author: Rose, Angela Dinh; Greene, Adam H

Source: Journal of AHIMA | AHIMA Q and A

Publication Date: March 2014

This article concludes a three-part series discussing the most commonly asked questions regarding compliance requirements surrounding the final HITECH Omnibus Rule, released in January 2013. It highlights the updated requirements and provides answers to questions regarding decedent protected health information (PHI), the release of immunization records to schools, and the enhanced request for restrictions requirements.

What to Expect When Phase 2 HIPAA Audits Begin

Author: Rose, Angela Dinh

Source: Journal of AHIMA

Publication Date: June 2016



The HITECH Omnibus Rule mandated that the US Department of Health and Human Services (HHS) conduct periodic audits on the privacy and security compliance of covered entities and business associates. It was during the Office for Civil Rights (OCR) update session on March 21, 2016 at the 20....

Low-Tech Threats in a High-Tech World

Author: Rollins, Genna

Source: Journal of AHIMA - website

Publication Date: April 2011



Despite the rise of health IT, healthcare providers still face daily privacy and security risks of the mundane variety—paper records are misplaced, improperly disclosed, or released without confidential information redacted. No matter the opportunities and risks that technology bring....

Transactions Delay Prompts Concern Among Covered Entities

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: March 2002


AHIMA recently attended a meeting of healthcare providers, payers, and staff representatives of the National Committee on Vital and Health Statistics (NCVHS) and the Centers for Medicare and Medicaid Services (CMS). Organized by the Association for Electronic Health Care Transactions, the meet....

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