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Group Health Plan's Glossary

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Source: AHIMA web extra

Publication Date: March 02, 2003


Administrative requirements of the privacy rule include those to have personnel designations, training, safeguards, complaint handling, sanctions, mitigation of harm, and current policies and procedures. These are not required if only summary information is exchanged between the GHP and plan sp....

Staff Discovery Tools

Author:

Source: AHIMA web extra

Publication Date: February 02, 2003


Use one of the two approaches below to involve and educate staff on privacy issues. The second method uses a more structured approach.
1. Protected health information (PHI) is confidential information that includes a patient's identity and medical information. Identify instances where PHI....

Sample Compliance and Audit Program

Author:

Source: AHIMA web extra

Publication Date: June 02, 2000


________________________________Corporate Compliance and Audit Program (CCAP) is a comprehensive strategy to ensure the submission of consistently accurate claims to the Medicare program, as well as all payers, and will ensure the_________ employees and administrative personnel providing servic....

Sample Professional Fee Billing Compliance Plan

Author:

Source: AHIMA web extra

Publication Date: June 02, 2000

Foreword

_______representatives collaborated to develop a Compliance Plan which describes the commitment and procedures for proper billing of physician services.

The Compliance Plan was reviewed by the following:
_____Operations Committee
Hospital Operations Team
....

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