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AHIMA's Response to HCFA on the Notice of Proposed Rule-Making on the Proposed Prospective Payment System for Hospital Outpatient Services

Author: Kloss, Linda L

Source: AHIMA testimony and comments

Publication Date: January 06, 1999


Text:

The American Health Information Management Association (AHIMA) is pleased to have the opportunity to submit comments on the proposed prospective payment system for hospital outpatient services.

Description of the Ambulatory Payment Classification (APC) Groups
W....

AHIMA Comments on Privacy Rule

Author: Asmonga, Donald D.

Source: Journal of AHIMA

Publication Date: March 2000


On January 18, 2000, AHIMA submitted comments to the Department of Health and Human Services (HHS) on the proposed rule for 45 Code of Federal Regulations (CFR), Parts 160 through 164: "Standards for Privacy of Individually Identifiable Health Information." The proposed rule....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Notice of Privacy Practices for Protected Health Information

Standard: Notice of Privacy Practices—Right to Notice

The Rule states (§164.520) that "an individual has a right to adequate notice of the uses and disclosures of PHI that may be made by the covered entity, a....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Other Requirements Relating to Uses and Disclosures of Protected Health Information

This section of the Rule (§164.514) begins by covering the standard and specifications for de-identification of PHI. In this analysis, this item is covered in Uses and Disclosures of De-Identified Protecte....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Modifications

The Rule’s provision for modifications (§160.104) follow the same approach as the other HIPAA regulations. "The Secretary may adopt a modification at any time during the first year after the standard [rule] or implementation specification is initially adopted [the rule....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. Resources

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001



Initially the reader will find only a few Web site resources available. As with other HIPAA components, this will change as the industry matures in its understanding. Since the final Rule has already created comments, the Secretary has already indicated that several technical amendments wi....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Access of Individuals to Protected Health Information

Standard: Access to PHI—Right of Access

The Rule states (§164.524) that "an individual has a right of access to inspect and obtain a copy of PHI about the individual in a designated record set, for as long as the PH....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Amendment of Protected Health Information

Standard: Right to Amend

The Rule says (§164.526) that "an individual has the right to have a covered entity amend PHI or a record about the individual in a designated record set for as long as the PHI is maintained in the designate....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Consent for Use or Disclosures to Carry Out Treatment, Payment, or Health Care Operations

Standard: Consent Requirement

The Rule states (§164.506) that "a covered health care provider must obtain the individual’s consent, in accordance with this [Rule], prior to using or di....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Uses and Disclosures for Which Consent, an Authorization, or Opportunity to Agree or Object Is Not Required

The Rule states (§164.512) that "a covered entity may use or disclose PHI without the written consent or authorization of the individual as described in Consent for Uses or Di....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Administrative Requirements

Standard: Personnel Designations—Privacy Officer

The Rule states (§164.530(1)(i)) that: "A covered entity must designate a privacy official who is responsible for the development and implementation of the policies and procedures of the entit....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Uses and Disclosures for Which an Authorization Is Required

Standard: Authorizations for Uses and Disclosures

Authorizations Required: General Rule
The Rule states (§164.508) that except as otherwise permitted or required by [the Rule], a covered entity may not use or discl....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Definitions

Definitions play a key role in the Privacy Rule, and there are a number of definitions provided in the final rule: §160.103 (65FR82798), §160.202 (65FR82800), §164.501 (65FR82803), and §164.504 (65FR82802). Due to their detail, several of the definitions are important componen....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Uses and Disclosures of De-Identified Protected Health Information

Standard: Uses and Disclosures to Create De-Identified Information

The Rule (§164.502(c)) states "a covered entity may use PHI to create information that is not individually identifiable health information o....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Accounting of Disclosures of Protected Health Information

Standard: Right to an Accounting of Disclosures of PHI

The Rule states (§164.528) that "an individual has a right to receive an accounting of disclosures of PHI made by a covered entity in the six [6] years prior to....

Final Rule for Standards for Privacy of Individually Identifiable Health Information

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy | AHIMA regulation analysis

Publication Date: January 02, 2001

Notes

Readers will notice that some word such as "healthcare" may be written in more than one way in this analysis. Style guides often require the term "healthcare" be stated as such, however, the federal government uses the term as "health care." In this document we will be using the te....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Rights to Request Privacy Protection for Protected Health Information

Standard: Right of an Individual to Request Restriction of Uses and Disclosures of PHI

The Rule provides a standard (§164.522) that states that "a covered entity must permit an individual to request that....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001


Uses and Disclosures Requiring an Opportunity for the Individual to Agree or to Object


The Rule states (§164.510) that "a covered entity may use or disclose PHI without the written consent or authorization of the individual as described in the sections..[on Consents and Au....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Uses and Disclosure of Protected Health Information: General Rules
Standard: General

DHHS takes the approach to privacy-based on who, when, and under what circumstances protected health information (PHI) can and cannot be used. To further clarify the Rule’s intent, it has been writte....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Uses and Disclosures: Organizational Requirements

Hybrid Entities

Standard/Specification: Healthcare Component
The discussion in this part of the Rule (§164.504) notes that except for where it is specifically noted, when dealing with a hybrid entity [see Definitions], the r....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: January 02, 2001

Preemption of State [and other] Law[s]

{The preemption of state law remains one of the more controversial issues with Privacy. Parties generally disagreed on three specific issues. First, various groups that include AHIMA support complete preemption to establish a uniform national standar....

Journal Q&A (2/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: February 02, 2001

Q: How does the Health Insurance Portability and Accountability Act of 1996 (HIPAA) define health information in the final rule for healthcare electronic transactions and code sets?

A: The HIPAA final rule for healthcare electronic transactions and code sets was released on August 17, 200....

Review of Congressional Action 2000

Author: Asmonga, Donald D.

Source: Journal of AHIMA

Publication Date: February 2001




The 106th Congress dragged more than two months beyond its targeted adjournment date, wrangling about fiscal year 2001 budget matters.

Congress finally adjourned on December 15, after passing a massive $384 billion omnibus spending package (HR 4577) that included a five-year....

Divided Congress Faces Challenging Future

Author: Asmonga, Donald D.

Source: Journal of AHIMA

Publication Date: March 2001




Our closely divided government reflects a closely divided nation. Governing and legislating in this atmosphere will be an interesting and unpredictable undertaking. As a result of the lengthy election process, Congress's organization and the presidential transition have taken an inord....

Delegating Complaint Line Responsibilities

Author: Rode, Dan

Source: In Confidence (newsletter)

Publication Date: March 02, 2001


The Health Insurance Portability and Accountability Act of 1996 (HIPAA) adds several compliance requirements, with none more daunting than the administrative simplification rule for privacy. The question these privacy rules raise is whether the facility’s complaint line should be altered or e....

Final Rule for Standards for Privacy of Individually Identifiable Health Information. What the Rule Covers

Author: AHIMA Policy and Government Relations Team

Source: AHIMA Advocacy and Policy

Publication Date: March 02, 2001

Reaction to AHIMA’s Previous Comments on the Standards for the Privacy of Individual Identifiable Health Information

Applicability

AHIMA recommended that the scope of the rule be extended to include all individually identifiable health information, including purely paper records....

Tapping Our Legislative Influence

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: April 2001




Beyond the endless speculation about how the recent federal election will affect Congress' lawmaking abilities, the narrow margins of victory illustrated an important point: individual votes have power. The 436 elected officials in Washington, DC, recognize this. This is AHIMA's-and y....

AHIMA Advocates for Physician Query Forms

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: May 2001




The Medicare program's reluctance to accept physician query forms has been fermenting for several years. Recently, the Health Care Financing Administration (HCFA) and the Department of Health and Human Services (HHS) Office of the Inspector General (OIG) have argued that facilities u....

AHIMA Testifies in Support of ICD-10

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: July 2001


The "replacement [of ICD-9-CM, Volume 3] with a new procedural coding system for inpatient services is absolutely necessary and ICD-10-PCS meets the criteria for such a replacement system," said Linda Kloss, MA, RHIA, AHIMA's executive vice president and CEO. Kloss also argued that &q....

Meeting HIM Needs Through Advocacy Efforts

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: September 2001




One of the major benefits of association membership is the opportunity to participate in advocacy efforts on national and local levels. At AHIMA, volunteer leaders, members, and staff work in a variety of ways to promote certain policies and standards within the healthcare industry an....

Current Issues

Author:

Source: AHIMA bibliography

Publication Date: September 15, 2001

Coding

Hospital Outpatient Services Prospective Payment System (PPS) Background [PDF file, you must have Adobe Acrobat Reader in order to print or view this document], HCFA, March 2000

HCFA Clarification of Modifier Usage in Reporting Outpatient Hospital Services, HCFA, Septembe....

NCVHS Groups Explore CPR, Privacy Rule Possibilities

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: October 2001




HIPAA's fifth anniversary was marked by meetings of two key subcommittees of the National Committee on Vital and Health Statistics (NCVHS): the standards (transactions) and security subcommittee and the privacy and confidentiality subcommittee. At the security subcommittee, experts fr....

Call for Preparedness and Political Activism

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: November 2001




As I read and heard stories about the emergency support and rescue efforts after September's terrorist attacks, three things came to mind. First, I thought about our medical systems' preparedness. Those in hospitals and other healthcare facilities often go through disaster preparednes....

How Bioterrorism Became an HIM Issue

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: January 2002


Bioterrorism is not a subject that people would normally relate to HIM. Yet, since the first anthrax letter was discovered on October 4, 2001, there have been discussions around the country that will directly affect HIM for many years to come.


Bioterrorism spotlighted public he....

Coding: a Look at the Big Picture

Author:

Source: AHIMA Advantage

Publication Date: February 2002


The AHIMA Board of Directors has developed a comprehensive plan to address critical issues in coding for 2002. The focus on coding is just one of four special strategic initiatives on this year's agenda, which also includes membership, education, and work force issues. It's hard to ignore the f....

Testimony of the American Health Information Management Association to the National Committee on Vital and Health Statistics on Medical Code Sets

Author: Prophet, Sue

Source: AHIMA testimony and comments

Publication Date: February 06, 2002

February 6, 2002
Opening Comments

Good morning Mr. Chairman, members and staff of the National Committee on Vital and Health Statistics (NCVHS) Standards and Security subcommittee, ladies and gentlemen.   I am Sue Prophet, director of coding policy and compliance for the American Heal....

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....

Look Back at Congressional Action 2001

Author: Asmonga, Donald D.

Source: Journal of AHIMA

Publication Date: March 2002


Despite an eventful year, the AHIMA Policy and Government Relations team dedicated itself to advocating for AHIMA members and monitoring those issues that may impact the HIM profession. This article will provide you with a snapshot of AHIMA’s activities in 2001, Congressional activity and....

Advocating HIM Issues in an Election Year

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: April 2002



This column has often addressed the advocacy role of the HIM professional. This year, that role becomes even more important—it’s an election year. Elections call for citizen involvement, and HIM professionals are no exception.


This election year, 435 members of th....

Envisioning Consistent Coding for All

Author:

Source: AHIMA Advantage

Publication Date: April 2002


What if...a single entity oversaw all of the coding systems in use today? What if...all payers and providers were required to adhere to code set rules and guidelines in the same way? What if...there was one definitive set of coding rules, definitions, and guidelines that all users could easily....

Testimony of the American Health Information Management Association to the National Committee on Vital and Health Statistics on ICD-10-PCS

Author: Prophet, Sue

Source: AHIMA testimony and comments

Publication Date: April 09, 2002


April 9, 2002

Opening Comments

Chairman Cohen, members of the National Committee on Vital and Health Statistics (NCVHS) Standards and Security Subcommittee, ladies and gentlemen, good afternoon. I am Sue Prophet, director of coding policy and compliance of the American Hea....

Testimony of the American Health Information Management Association to the National Committee on Vital and Health Statistics on ICD-10-CM

Author: Prophet, Sue

Source: AHIMA testimony and comments

Publication Date: May 29, 2002

May 29, 2002
Opening Comments

Chairman Cohn, members of the National Committee on Vital and Health Statistics (NCVHS) Standards and Security Subcommittee, ladies and gentlemen, good afternoon. I am Sue Prophet, director of coding policy and compliance of the American Health Informati....

Coding Standards Remain AHIMA Priority in 2002

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: June 2002


While legislative activity in Congress has been slow, 2002 has proven very active for various healthcare regulations, coding standards discussions, and AHIMA. Most activity has surrounded code sets and coding standards, healthcare information infrastructure, and privacy.

Changes to....

Taking Our Stand: AHIMA Stakes Four Key Issues

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: July 2002


In May, AHIMA’s Board of Directors approved two key issue statements—one on consistency of healthcare diagnostic and procedure coding, and a second on national healthcare information infrastructure (available at www.ahima.org). These “umbrella” statements are general and ap....

Analysis of Final Rule for FY 2003 Revisions to the Medicare Hospital Inpatient Prospective Payment System

Author: AHIMA Policy and Government Relations Team

Source: AHIMA regulation analysis

Publication Date: August 02, 2002


The final rule regarding FY 2003 revisions to the Medicare hospital inpatient prospective payment system (PPS) was published in the August 1, 2002 issue of the Federal Register.



This rule becomes effective on October 1, 2002.This analysis will cover changes to DRG classificat....

Make Your Voice Heard: AHIMA's 2002 Advocacy Agenda

Author:

Source: AHIMA Advantage

Publication Date: September 2002


Once Chrisann Lemery tried it, she was hooked. As an HIM professional frequently frustrated by confusing regulations, she began questioning regulatory agencies and third-party payers.
"I realized that my questions were taken seriously and they were listening," says Lemery, MS, RHIA, medic....

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