Note: Sample below may appear distorted but all corresponding word document files contain proper formattingExcerpt from Term Paper:
The security rule also requires the physician to train his staff periodically on security policies and procedures and to come up with a contingency plan in cases of calamities like an earthquake, fire or other events that can destroy his information systems. Experts estimate that 70-80% of the administrative policies and procedures and 20-30% of the technology of the security rule constitute its implementation specifications and other approaches in meeting them. Some approaches are required while some are addressable. Dr. Lazarus says that a particular implementation specification that is addressable allows a physician to perform something else that is equivalent to it but not to ignore the specification. What applies to a solo medical practitioner will not apply to a 200-physician alliance or a 00-bed hospital, for example, but whatever it is, must be in fine shape and carefully documented. Walsh Consulting said that a physician basically needs information systems with five types of technical controls and most vendors or systems have these capabilities within them (Chin).
The HIPAA security rule requires controls that will allow access, identify and track down authorized users (Chin 2004). One of these controls is a unique user ID and the other is an automatic log-off and an "addressable" element. It also requires audit controls that record and examine what goes on within a system; integrity controls that will protect data from intentional or un-intentional damage or modification; authentication controls that will ensure those accessing are genuine and actual through passwords, personal identification numbers, tokens, biometric technology or digital certificates; and transmission security controls to protect the information moving through an electronic network (Chin).
Dr; Kibbe explains that encryption is an "addressable" implementation specification under the HIPAA security rule (Chin 2004). A physician is not required to encrypt emails to patients but he must determine if encrypting is the proper option. If he is a solo or small practitioner, he may do away with encryption, but the option is altogether different for a 16-doctor practice, which should use encryption in sending emails through a secure server Dr. Kibbe adds. One problem encountered in using encryption, however, is that patients must use the same software to decrypt the email messages, according to experts. Physicians can, nonetheless, use secure web portals, secure messaging networks or virtual private networks to avoid or solve this problem One such secure messaging network is Medem, Inc., which is partly owned by the American Medical Association.
Physicians complying with HIPAA's security rule need not use anti-virus software but good practice dictates it to keep a computer set running well, according to Paramore (Chin 2004). Compliance costs will vary from physician to physician and depend on individual needs in meeting requirements. Adjustment or compliance with HIPAA rule will not occur overnight but gradually and is better begun early. Meeting the risk analysis requirement alone will take time, as a physician cannot proceed very far without first determining or identifying where to best spend one's money and effort in reducing or containing security risks, Dr. Lazarus emphasizes. This phase alone will take up half a day up to several weeks, depending on the complexity of the organization (Chin).
Privacy and security are major issues for the medical profession, which the HIPAA seeks to address as part of a broad and overall attempt at reforming the health care system (Website Tonight 2003). HIPAA consists of the Transaction and Code Sets, the Privacy Rule and the Security Rule. The Privacy Rule became effective on April 16, 2003 and requires all those covered to thoroughly review their privacy measures and analyzes risks and gaps so that they can take appropriate steps in upgrading their practice standards.
Most of HIPAA's requirements became effective on June 30, 1997 (Public Law [HIDDEN] ). From thereon, group health plans are obliged to comply with all the non-discrimination, pre-existing and crediting of prior health coverage requirements. The Secretary of the Labor is the enforcer of HIPAA portability requirements on group health plans under ERISA and including self-insured arrangements. Participants or those covered may file actions or suit under ERISA. The Secretary of Treasury enforces the health care portability requirements on group health plans, including self-insured arrangements. A violating taxpayer may be subjected to the payment of excise tax.
Local governments exercise control over group and individual requirements imposed by HIPAA on health insurance issuers and these include sanctions available under local laws (Public Law [HIDDEN] ). If the State does not act in those areas within its responsibility in the event of a question or problem, the Secretary of Health and Human Services may perform the function or exercise that right or duty of the State by declaring that it has failed to "substantially" enforce the law, by declaring its federal authority to take over the enforcement responsibility and from there, impose sanctions on insurers, including civil monetary penalties, according to law (Public Law 104-191).
HIPAA does not require an employer to offer or provide health coverage for an employee, because health coverage is voluntary, neither does HIPAA restrict the amount or nature of employee benefits (Public Law [HIDDEN] ). If a new employer does not provide health coverage, the employee may continue to pay for his or her previous employer's plan under the COBRA continuation coverage. An employee who is unable to obtain group coverage may obtain an individual insurance policy from an insurance company. HIPAA guarantees this right to eligible persons who have had coverage for at least 18 months, especially under a group health plan in the most recently covered period; who have not had their group coverage terminated because of fraud or the non-payment of premiums; are ineligible for continuation coverage under COBRA or have exhausted their COBRA benefits; and are not eligible for coverage under another group health plan, by Medicare, Medicaid or an equivalent. An employee can avail of an individual insurance policy whether he or she is laid off, fired or quits a job (Public Law).
American Medical Association. HIPAA-Health Insurance Portability and Accountability Act, June 23, 2004. http://www.ama-assn.org/ama/pub/category/4234.html
Centers for Medicare and Medicaid Services. The Health Insurance Portability and Accountability Act of 1996, 2004. http://cms.hhs.gov/hipaa
Chin, Tyler. Data Guard: the Next HIPAA Mandate. American Medical News. Mobile edition. http://www.ama-assa.org/amednews/2004/05/10/bisa0510.htm
Employee Benefits Security Administration. The Health Insurance Portability and Accountability Act of 1996 (HIPAA). U.S. Department of Labor. http://www.dol.gov/ebsa/pdf/fshipaa.pdf
Gellman, Robert. Medical Privacy in the Electronic Age. HIPAA Basics: Medical Privacy fact sheet 8 (a). Privacy Rights Clearinghouse, 2003. http://www.privacyrighs.org/fs/fs8a-hipaa.htm
Hep-C Alert. HIPAA. Digiscape Communications, 2002. http://www.hep-c-alert.org/links/hipp.html
Legislative and Government Affairs. Health Insurance Portability and Accountability Act of 1996. National Association of Health Underwriters, 2003. http://nahu.org/government/issues/hipaa
Public Law 104-191. Health Insurance Portability and Accountability Act of 1996. 104th Congress, August 21, 1996. http://aspe.hhs.gov/admnsimp/pl104191.htm
US Department of Health and Human Services. Designated Standard Maintenance Organization. Hipaa-dsmo, Dec 2004. http://www.hipaa-dsmo.org
Website Tonight. HIPAA. AMR Healthcare Solutions, 2003. http://app.websitetonight.com/project_root/a/amrhcs/page6.html[continue]
"HIPAA And The Medical Profession" (2005, January 10) Retrieved October 22, 2016, from http://www.paperdue.com/essay/hipaa-and-the-medical-profession-60754
"HIPAA And The Medical Profession" 10 January 2005. Web.22 October. 2016. <http://www.paperdue.com/essay/hipaa-and-the-medical-profession-60754>
"HIPAA And The Medical Profession", 10 January 2005, Accessed.22 October. 2016, http://www.paperdue.com/essay/hipaa-and-the-medical-profession-60754
HIPAA Compliant Electronic Medical Record Capture/Management System The successful outcome of medical processes largely depends on complete, relevant, and timely medical data. Up-to-date and accurate data allows for images of surgical wounds, surgical pathology, and operative techniques to be used in the most efficient ways for patient management. However, while there are technological solutions that could improve medical data storage and retrieval systems, any improvement to medical data systems must include
Figure 1: Electronic Medical Systems Architecture Source: (Cahn, 2001) The core building blocks of this framework include the presentation and client layers, where web-based applications aligned with the needs of clinicians, specialist MDs and patients. The need for synchronization across Platform, Storage and Infrastructure and Integration areas of this framework dictate the speed and accuracy of responses to all users of the system. Thinking of this framework as the foundation that the
Medical billing and coding can be described as the process of presenting and following up on claims to health insurance companies for the purpose of obtaining payment for services provided by the healthcare provider. Regardless of whether an insurance company is government-owned or privately owned company, the process for medical billing and coding is similar for many companies. For an individual to become a specialist in medical billing and coding,
Lost medical records are process errors that can cause significant medical issues affecting patient privacy, care and safety. Furthermore, Federal laws mandate the secure creation, retention and use of medical records to ensure the highest quality of care, security and privacy for patients. Consequently, health care providers, often under severe budgetary limitations, struggle to comply with these legal, medical and ethical mandates. Research appears to show that medical records issues,
Schneck Medical Center: The Baldrige Award Schneck Medical Center: Overview The Schneck Medical Center according to the National Institute of Standards and Technology -- NIST (2011) "is a 93-bed nonprofit hospital providing primary and specialized services to the residents of Jackson County, Ind., and surrounding communities." The facility as NIST (2011) further points out, offers a variety of primary care services including but not limited to cancer care, noninvasive cardiac care, and
It would then become incumbent on the experienced coder to be able to read through the injuries and determine the accurate code to use. Another issue Kramer, Barancik, and Thode, Jr. (1990) found was that certain areas of the body lacked a code when injured to a very specific area of the body. The training and education one needs to be a successful medical coder, and in particular a remote
Future of Managed Care Medical facilities have become much more important today than they were ever before. The complex diseases are treated by treatment methodologies and the equipment that were nonexistent a few decades ago. But these facilities have also increased in the cost of treatment. The medical facilities thus need to find ways in which a patient can be offered services without over-burdening him. The financial and economic situation of