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Reporting Security Incidents

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: March 2005


HIPAA requires covered entities “implement policies and procedures to address security incidents.” There is one implementation specification: to “identify and respond to suspected or known security incidents; mitigate, to the extent practical, harmful effects of security inci....

Re-examining HIPAA Six Years Later

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: April 2008


It was six years ago this month that the HIPAA privacy rule went into effect. For many in healthcare, compliance has become a routine part of doing business. But for too many, the current regulations remain poorly understood and poorly implemented. All the while, the environment has been chang....

Recovery Audit Program Changes

Author: Wilson, Donna D

Source: CodeWrite

Publication Date: February 2015



Editor's note: The Centers for Medicare and Medicaid Services (CMS) has delayed the commencement of work under the Recovery Audit contract for durable medical equipment (DME), home health (HH), and hospice reviews. For more information and further updates on this new development, please s....

Reaffirming Your HIPAA Compliance Efforts

Author: Woloszyn, William

Source: Journal of AHIMA

Publication Date: April 2005


Two years after the HIPAA privacy compliance date, is it time for your organization to reassess your efforts and recommit to enforcing HIPAA?
Revisiting HIPAA’s Roots

The HIPAA privacy regulation was created in response to public healthcare concerns about the privacy of pa....

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....

RAC Ready: How to Prepare for the Recovery Audit Contractor Program

Author: Johnson, Kathy M; Bloom, Allison; Morris, Denise; Madamba, Roderick

Source: Journal of AHIMA

Publication Date: February 2009


The Centers for Medicare and Medicaid Services is expected to announce the official start date of the Recovery Audit Contractor program this month, but it is already time for providers to be preparing for a potential audit. Managing a RAC audit effectively and efficiently requires preparing de....

RAC Primer for LTC Facilities

Author: Leonard, Mary Ann

Source: Journal of AHIMA

Publication Date: January 2010



Last year the Centers for Medicare and Medicaid Services (CMS) began rolling out the Recovery Audit Contractor (RAC) program to all 50 states and all providers, including long-term care facilities. HIM professionals working in LTC facilities need to understand the basics of the program in....

RAC Audit Underpayments: Does CMS Owe You Money?

Author: Eramo, Lisa A

Source: Journal of AHIMA

Publication Date: February 2017



Anxiety—it’s the emotion that looms over most patient financial services (PFS) directors and those working in health information management (HIM) when they discover that their organization’s claims are subject to a Centers for Medicare and Medicaid Services (CMS) Recovery....

Psychotherapy Notes under HIPAA

Author: Dougherty, Michelle

Source: In Confidence (newsletter) | AHIMA Q and A

Publication Date: July 02, 2001


Q: I work in a non-psychiatric facility covered by HIPAA. On occasion, a patient may receive a psychological evaluation and possibly treatment for a short period of time. Our medical record does not include a copy of the psychotherapist’s “notes,” but a report that summarizes the psychologist....

Proposed Rule Mandates Fraud Data Bank

Author:

Source: Journal of AHIMA

Publication Date: January 1999


On October 30, 1998, the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) published a Notice of Proposed Rulemaking titled "Health Care Fraud and Abuse Data Collection Program: Reporting of Final Adverse Actions." The notice states that....

Proof Is in the Policy

Author: Walsh, Tom

Source: Journal of AHIMA

Publication Date: February 2004


Proving security compliance later requires establishing documentation now. HIM professionals have a valuable role to play.

HIM professionals played central roles in their organization’s privacy efforts, ensuring that appropriate policies, procedures, and documents were in plac....

Privacy's Day in Court

Author: Gradle, Brian D.

Source: Journal of AHIMA

Publication Date: September 2002


While HIM professionals work to implement HIPAA, courts across the nation continue to hear cases that could affect this work. Namely, these are cases related to state privacy laws.


HIPAA's "preemption" framework provides that state laws that are not contrary to HIPAA or that p....

Privacy Holes in the 'Hidden Healthcare System': Students' PHI-laden Education Records that are Stored and Shared Electronically Don’t Have the Same Safeguards as most EHRs

Author: DuBravec, Daniel A; Daigle, Matt

Source: Journal of AHIMA

Publication Date: June 2015



With student safety and privacy an increasing parental concern, school administrators nationwide are sitting on a powder keg of potential backlash because of a gray area of student privacy protections that Julia Lear, senior advisor for the Center of Health and Health Care in Schools at G....

Privacy Compliance: Maintaining the Gains

Author: Vogt, Nancy

Source: Journal of AHIMA

Publication Date: October 2005


Most HIM professionals would probably agree that the state of information privacy has dramatically improved as a result of all the HIPAA efforts over the past few years. Executive leadership has tuned in, and even boards of directors have addressed information privacy. Awareness is at an all-t....

Privacy and Security Audits of Electronic Health Information (2014 update)

Author: Walsh, Tom; Miaoulis, William M

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: March 2014

In a perfect world, access controls alone would ensure the privacy and security of electronic protected health information (ePHI). However, the complexities of today’s healthcare environment make it extremely challenging to limit access to the minimum information necessary that members of the workforce require in order to perform their jobs.

Preparing the Physician Office for HIPAA

Author: Uppena, Mary

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2001




Change has been a constant factor in coding and reimbursement with the intensified focus on billing, compliance, and cost control. Out of necessity, coding professionals in physician settings have learned to be organized, adaptable, and armed with the latest information. The mandates....

Preparing for the Next Big April

Author: Thomason, Mary

Source: Journal of AHIMA

Publication Date: April 2004


Yesterday’s privacy compliance preparations can contribute to meeting tomorrow’s security mandates. One organization is tackling risk analysis with both matrix and memories.
The 2003 HIPAA privacy rule implementation is still fresh in many minds throughout healthcare organiza....

Practice Toolkit: Medical Record Completion

Author: Hirsch, Ronald

Source: Journal of AHIMA

Publication Date: January 2006


Medical record completion compliance has always been a problem at Sherman Hospital, a medium-sized community hospital in Elgin, IL. The number of incomplete charts often exceeded the standard set by the Joint Commission on Accreditation of Healthcare Organizations, risking a type I violation.....

Oral Privacy and HIPAA: We Really Need to Talk

Author: Jacobs, Jodi

Source: In Confidence (newsletter)

Publication Date: June 02, 2003


Oral privacy is not a new need or requirement in healthcare. However, because it is now backed by a federal mandate, it is receiving newfound attention. With the passing of the April 14, 2003, deadline for HIPAA compliance, hospitals, pharmacies, clearinghouses, physician’s offices, military....

On the Line: Professional Practice Solutions

Author: Smith, Cheryl M.

Source: Journal of AHIMA

Publication Date: June 2001



Q: Are there new Joint Commission hospital standards that address patient safety?


Q: What are the Joint Commission definitions of a sentinel event and root cause analysis?


Q: Where can I find information on completion of the medical record statistics form to det....

On the Line: Professional Practice Solutions

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: January 2002


Q: A couple were on vacation in my city when the husband suddenly became ill and died in our facility. The wife requested copies of the record to take home with her. She had listed herself as next of kin. Was it correct to give her a copy of the record?

Q: I am a manager of several d....

On the HIPAA Hook

Author: Hicks, Andrew

Source: Journal of AHIMA

Publication Date: April 2014



Some healthcare business associates are still asking if HITECH-HIPAA impacts them. The answer is just as important to their affiliated healthcare providers.


Thousands of companies are now legally obligated to comply with the HITECH-HIPAA regulations because of their busines....

OCR Clarifies Policy on Medical Record Request Fees

Author: Greene, Adam H

Source: Journal of AHIMA

Publication Date: April 2016



In 2009, CONGRESS passed the Health Information Technology for Economic and Clinical Health (HITECH) Act, which granted individuals a right to have a copy of their records sent to a third party, according to 42 U.S.C. § 17935(e) of the regulation.


Unfortunately, many attorn....

Observation Services Present Compliance Challenges

Author: Prophet-Bowman, Sue

Source: Journal of AHIMA

Publication Date: March 2003


Observation services have been a top fraud and abuse target of the Office of Inspector General (OIG) of the Department of Health and Human Services, primarily due to the complexity of the Medicare billing regulations and the potential for abuse. New regulations regarding reimbursement for thes....

Observation Services - Ensuring Every Dollar

Author: Canter, Kelly

Source: AHIMA Convention

Publication Date: October 02, 2011

Introduction

Inpatient medical necessity has become a very hot topic for the Recovery Audit Contractors (RACs) over the last 12 months. Due to the focus on medical necessity for inpatient admissions, proactive and reactive hospitals are scrutinizing their admission practices. Since there....

Next Generation of E/M Guidelines

Author: Hill, Emily

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2000


Few non-clinical issues have inspired as much discussion, revision, and anxiety as the evaluation and management (E/M) services and their accompanying documentation guidelines. E/M services have produced a cottage industry focused on ensuring that medical records contain necessary docu....

New Tool Streamlines HIPAA Assessment Process

Author: Cohen, Kathleen

Source: In Confidence (newsletter)

Publication Date: August 02, 2003


How are you making sure that your organization is complying with the HIPAA privacy regulations? Many hospitals are doing HIPAA rounds with privacy officers, going from unit to unit to assess and document HIPAA compliance. But trying to make sense of the data collected during HIPAA rounds can....

Navigating a Compliant Breach Management Process

Author: Downing, Katherine

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: June 2014

The purpose of AHIMA’s new Breach Management Toolkit is to provide a comprehensive collection of resources and best practices to help healthcare organizations and health information management (HIM) professionals navigate their way through the Health Insurance Portability and Accountability Act (HIPAA) Breach Notification Rule and the overall breach management process. The toolkit is intended to raise awareness of the importance and responsibility of everyone within the organization to report HIPAA breaches to the appropriate designated personnel, as well as provide breach prevention education and training.

Mind Your Business Associate Access: Six Steps

Author: Sullivan, Tori E.

Source: Journal of AHIMA

Publication Date: October 2002


It's April 10, 2003, and a privacy officer is reviewing her policies for the imminent privacy regulations, title II of the Health Insurance Portability and Accountability Act (HIPAA) of 1996. The compliance deadline is April 13, 2003, and she is already feeling stressed about meeting the date.....

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