HIM310 Discussion 2

.docx

School

Ashford University *

*We aren’t endorsed by this school

Course

310

Subject

Health Science

Date

Dec 6, 2023

Type

docx

Pages

1

Uploaded by MinisterIbis1770

Report
The Health Insurance Portability and Accountability Act of 1996 (HIPPA) is a federal law created to improve the portability and continuity of health insurance coverage, fraud, and any abuse of health insurance and health care delivery. In addition, it promotes the use of medical savings accounts and improves access to care services that are long-term coverage. Lastly, it simplifies administrative health insurance (CMS, n.d.). Under HIPPA, covered entities are required to develop and implement contingency plans, establishing the policies and procedures to respond to emergencies that damage electronic health records and other protected health information. Contingency plans must include backup, recovery, and emergency mode operation plans (CDC, 2022). Periodically, contingency plans should be reviewed and updated, reflecting any changes to the covered entity's environment, such as changes to the hardware, software, and personnel. Lastly, periodic contingency plan testing should be conducted to ensure it is effective and up to date (CDC, 2022). The Administrative Simplification Compliance Act (ASCA) is a federal law requiring healthcare providers to submit any Medicare claims with exceptions electronically. Under the law, payment of services or supplies not billed to Medicare by the provider is prohibited. Providers must self-assess to determine if billing requirements are met. Physicians may send in manual submissions under particular circumstances. In addition, the CMS enforces ASCA requirements, conducting quarterly enforcement reviews to ensure compliance is met (CMS, 2021). References CDC. (2022). Health Insurance Portability and Accountability Act of 1996 (HIPAA) . Centers for Disease Control and Prevention. https://www.cdc.gov/phlp/publications/topic/hipaa.html CMS. (2021). Administrative Simplification Compliance Act Enforcement Reviews . CMS.gov. https://www.cms.gov/medicare/forms-notices/cms-forms CMS. (n.d.). Health Insurance Portability and Accountability Act of 1996 . U.S. Centers for Medicare & Medicaid Services. CMS.gov. https://www.cms.gov/files/document/hipaa101-1pdf
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