This concise, practical guide helps the advocate understand the sometimes dense rules in advising patients, physicians, and hospitals, and in litigating HIPAA-related issues.
Is your HIPAA compliance program and breach reporting up to date? Over 94% of providers have experienced some form of data breach, and over 50% have had 5 or more data breaches. From phishing campaigns and PHI-containing emails sent to the wrong recipients to unencrypted devices and servers left publicly accessible, the total number of breaches in 2019 outnumbered the previous year by more than 33%, according to research from Risk Based Security. Get comprehensive guidance to implement HIPAA protocols and prevent the fallout of a data breach with AAPC’s HIPAA Reference Guide. Our nationally recognized HIPAA compliance experts lay out best practices and build on case studies to guide you through the dos and don’ts of compliance. We show you how to recognize and lock down your risk areas, including how to: Build and maintain a culture of security Evaluate your vulnerabilities and guard against cyber threats Assess, analyze, and manage your EHR Immunize your workstations Implement HIPAA-compliant use of mobile devices Ensure your BAAs are HIPAA compliant Prepare for community-wide disasters Plot out your practice’s security incident response plan
Effectively manage the business side of medicine. Profit margin, collections, cash flow, compliance, human resources, health information, efficient business processes—the broad responsibilities and complex requirements of practice management are endless. Drop one ball in the daily juggle and the fallout can be costly. There’s never enough time, which makes it tough to stay on top of regulations and best practices. That’s where AAPC’s Practice Management Reference Guide becomes vital to your organization, providing you with one-stop access to the latest and best in practice management. From office operations to financial oversight, the Practice Management Reference Guide lays out essential guidance to help you optimize efficiency, security, and profitability. Benefit from actionable steps to streamline accounts receivable. Discover how to bring in new patients and keep the ones you have happy. Leverage real-world strategies to command payer relations, recruitment, training, employee evaluations, HIPAA, MACRA, Medicare, CDI, EHR … everything you need to ensure bountiful operations in 2020 and beyond. With the Practice Management Reference Guide, you’ll gain working knowledge covering the spectrum of practice management issues, including: Negotiating favorable payer contracts Preventing an appeals backlog Remaining audit-ready Correctly applying incident-to billing rules to maximize reimbursement Using assessment tools to evaluate your risk Preparing a risk plan and know what questions to ask Knowing how and why you should implement policies and protocols Complying with state and federal patient privacy rules
HIPAA is very complex. So are the privacy and security initiatives that must occur to reach and maintain HIPAA compliance. Organizations need a quick, concise reference in order to meet HIPAA requirements and maintain ongoing compliance. The Practical Guide to HIPAA Privacy and Security Compliance is a one-stop resource for real-world HIPAA privacy and security advice that you can immediately apply to your organization's unique situation. This how-to reference explains what HIPAA is about, what it requires, and what you can do to achieve and maintain compliance. It describes the HIPAA.
This updated edition re-published in July 2013, includes 2013 HIPAA Omnibus changes and simplifies the overwhelming complexity of the HIPAA Privacy and Security regulations. HIPAA standards and implementation specifications can be understood with the help of this simple guide. Risk management program can be built with step-by-step implementation guide, risk self-assessment, set of comprehensive policies and procedures, privacy, security, office productivity forms and ready to use templates. The book also contains HIPAA awareness quiz to test the basic understanding of rules and provides examples of workable solutions and documents. More about Robert K. Brzezinski MBA, CHPS, CISA, CPHIMS can be found at www.bizwit.us
Stedman's Guide to the HIPAA Privacy Rule finally makes clear for medical transcription students and professionals the confusing legal issues surrounding the HIPAA Privacy Rule, and how it relates to and affects their practice. This text provides comprehensive information about the rule itself, how it affects service owners and independent contractors, implementation guidelines, sample template contract language, and sample policies. Mnemonics and other quick aids help readers remember important information. Case-based vignettes and real-world applications emphasize the practical application of the law on medical transcriptions. End-of-chapter critical thinking questions—with answers in an appendix—encourage readers to ponder and apply information.
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Use this book to learn how to conduct a timely and thorough Risk Analysis and Assessment documenting all risks to the confidentiality, integrity, and availability of electronic Protected Health Information (ePHI), which is a key component of the HIPAA Security Rule. The requirement is a focus area for the Department of Health and Human Services (HHS) Office for Civil Rights (OCR) during breach investigations and compliance audits. This book lays out a plan for healthcare organizations of all types to successfully comply with these requirements and use the output to build upon the cybersecurity program. With the proliferation of cybersecurity breaches, the number of healthcare providers, payers, and business associates investigated by the OCR has risen significantly. It is not unusual for additional penalties to be levied when victims of breaches cannot demonstrate that an enterprise-wide risk assessment exists, comprehensive enough to document all of the risks to ePHI. Why is it that so many covered entities and business associates fail to comply with this fundamental safeguard? Building a HIPAA Compliant Cybersecurity Program cuts through the confusion and ambiguity of regulatory requirements and provides detailed guidance to help readers: Understand and document all known instances where patient data exist Know what regulators want and expect from the risk analysis process Assess and analyze the level of severity that each risk poses to ePHI Focus on the beneficial outcomes of the process: understanding real risks, and optimizing deployment of resources and alignment with business objectives What You’ll Learn Use NIST 800-30 to execute a risk analysis and assessment, which meets the expectations of regulators such as the Office for Civil Rights (OCR) Understand why this is not just a compliance exercise, but a way to take back control of protecting ePHI Leverage the risk analysis process to improve your cybersecurity program Know the value of integrating technical assessments to further define risk management activities Employ an iterative process that continuously assesses the environment to identify improvement opportunities Who This Book Is For Cybersecurity, privacy, and compliance professionals working for organizations responsible for creating, maintaining, storing, and protecting patient information
In the realm of health care, privacy protections are needed to preserve patients' dignity and prevent possible harms. Ten years ago, to address these concerns as well as set guidelines for ethical health research, Congress called for a set of federal standards now known as the HIPAA Privacy Rule. In its 2009 report, Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research, the Institute of Medicine's Committee on Health Research and the Privacy of Health Information concludes that the HIPAA Privacy Rule does not protect privacy as well as it should, and that it impedes important health research.
Preparing business managers and human resources professionals for the myriad questions surrounding the new Health Insurance Portability and Accountability (HIPAA) Privacy Rule, this guide has more than 80 tools that help employers understand and comply with the new statutes. Sample policies, procedures, and forms will aid in quickly developing a privacy program, and training materials will aid in educating employees as to its requirements. Checklists and training materials include requirements for group health plans, an authorization checklist, and a training leader’s guide. A section-by-section summary of the Privacy Rule provides an accessible, summarized reference. A CD-ROM with forms, policies, checklists, and training materials in both PDF and rich text formats is included.