Basics of Risk Analysis and Risk Management 
U.S. Centers for Medicare & Medicaid Services
U.S. Government
8/18/05
This paper, the sixth in a series intended to give guidance on the HIPAA security rule, reviews pertinent security rule implementation specifications and the basic concepts of risk analysis and management, and general steps to conduct assessments.
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CMS Forms
U.S. Centers for Medicare & Medicaid Services
U.S. Government
9/9/02
last updated 9/9/02
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CMS Information Security
U.S. Centers for Medicare & Medicaid Services
external web site, U.S. Government
6/1/04
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CMS Policy Clarification on Coding Compliance--Use of Physician Query Forms
U.S. Centers for Medicare & Medicaid Services
U.S. Government, AHIMA Policy & Govt Relations
10/2/01
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CMS Quarterly Provider Update
U.S. Centers for Medicare & Medicaid Services
U.S. Government
7/2/04
includes all non-regulatory changes to Medicare, including all Program Memoranda, manual changes & any other instructions that could affect providers, and identifies the specific days on which CMS business will be published in the Federal Register
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Documentation Guidelines for E&M Services
U.S. Centers for Medicare & Medicaid Services
U.S. Government
5/9/06
Web site contains the 1995 and 1997 guidelines currently in use.
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Education and Outreach Arrangements Between Medicare-Endorsed Discount Drug Card Sponsors and their Network Pharmacies Under the Anti-Kickback Statute
U.S. DHHS. Office of Inspector General
U.S. Government
4/7/04
This guidance was issued to address the application of OIG's fraud and abuse authorities to payment arrangements between discount drug card sponsors and pharmacies for education, outreach, and enrollment services.
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Emergency Medical Treatment & Labor Act (EMTALA) Resource
Centers for Medicare & Medicaid Services
external web site, U.S. Government
11/1/07
information about EMTALA from the CMS web site
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Final Rule on Use of Physician Query Forms
U.S. Centers for Medicare & Medicaid Services
U.S. Government, AHIMA Policy & Govt Relations
10/2/01
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General Equivalence Mappings: ICD-9-CM to and from ICD-10-CM and ICD-10-PCS
U.S. Centers for Medicare & Medicaid Services
U.S. Government, Medicare Learning Network
6/26/09
second in series of frequently asked questions
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General Equivalence Mappings: ICD-9-CM to and from ICD-10-CM and ICD-10-PCS
U.S. Centers for Medicare & Medicaid Services
U.S. Government, Medicare Learning Network
3/3/09
top ten questions and answers regarding GEMs
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Guidance on Compliance with HIPAA Transactions and Code Sets after the October 16, 2003, Implementation Deadline
U.S. Centers for Medicare & Medicaid Services
U.S. Government
7/24/03
Due to concern about the health care industry's lack of readiness for the 10/16/03 deadline for compliance with HIPAA's electronic transaction and code set provisions, DHHS here outlines its plans for enforcement of the provisions.
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Health Insurance Portability and Accountability Act (HIPAA) X12N 837 Health Care Claim Implementation Guide (IG) Editing Additional Instruction
U.S. Centers for Medicare & Medicaid Services
U.S. Government
3/25/04
Effective July 1, 2004, Medicare systems are enforcing additional HIPAA edit
instructions related to X12N 837 Institutional Claims. These changes are required by
the HIPAA Implementation Guides for the 837 transaction.
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Health Insurance Portability and Accountability Act of 1996--Civil money penalties; investigations procedures, penalties imposition, and hearings
U.S. DHHS
Federal Register, U.S. Government
4/17/03
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Health Insurance Reform: Modifications to Electronic Data Transaction Standards and Code Sets; Final Rule
U.S. Centers for Medicare & Medicaid Services
U.S. Government, Federal Register
2/20/03
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Health Insurance Reform: Security Standards; Final Rule
U.S. Centers for Medicare & Medicaid Services
U.S. Government, Federal Register
2/20/03
Word version of Security Rule
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Health IT Adoption Toolbox [external web site]
U.S. DHHS, Health Resources and Services Administration's Office of Health Information Technology
U.S. Government, HRSA, external web site
7/15/09
This resource is meant to serve health centers as well as other safety net and ambulatory care providers seeking to implement health IT to improve the overall effectiveness of their institutions.
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Health IT Privacy and Security Toolkit
U.S. DHHS. Office of the National Coordinator for HIT, Office for Civil Rights
U.S. Government, ONC, OCR
12/16/08
Compilation of the toolkit documents
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HIPAA Administrative Simplification: Standards for Electronic Health Care Claims Attachments; Proposed Rule
U.S. Dept. of Health and Human Services. Centers for Medicare & Medicaid Services
Federal Register, U.S. Government
9/23/05
The attachment standards will affect health care providers who transmit health information in electronic form in connection with a transaction covered by HIPAA, health plans, and health care clearinghouses.
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HIPAA Electronic Transactions and Code Sets Model Compliance Plan
Centers for Medicare and Medicaid Services
U.S. Government, DHHS, CMS
3/27/02
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HIPAA Privacy Rule's Right of Access and Health Information Technology
U.S. DHHS. Office of the National Coordinator for HIT, Office for Civil Rights
U.S. Government, ONC, OCR
12/16/08
See also the Framework and the Health IT Privacy and Security Toolkit document compilation.
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HIPAA Privacy Rule and Electronic Health Information Exchange in a Networked Environment: Introduction
U.S. DHHS. Office of the National Coordinator for HIT, Office for Civil Rights
U.S. Government, ONC, OCR
12/16/08
See also the Framework and the Health IT Privacy and Security Toolkit document compilation.
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HIPAA Privacy Rule and Public Health
U.S. DHHS. Office of Inspector General, U.S. DHHS. Centers for Disease Control
U.S. Government
4/11/03
Guidance from CDC and the U.S. Department of Health and Human Services
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HIPAA Privacy Rule and the Privacy and Security Framework: Accountablity Principle and FAQs
U.S. DHHS. Office of the National Coordinator for HIT, Office for Civil Rights
U.S. Government, ONC, OCR
12/16/08
See also the Framework and the Health IT Privacy and Security Toolkit document compilation.
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HIPAA Privacy Rule and the Privacy and Security Framework: Collection, Use, and Disclosure Principle and FAQs
U.S. DHHS. Office of the National Coordinator for HIT, Office for Civil Rights
U.S. Government, ONC, OCR
12/16/08
See also the Framework and the Health IT Privacy and Security Toolkit document compilation.
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