The Importance Of The HIPAA Interactions And Code Set Standards

The Health Insurance Portability and Accountability Act, or HIPAA was introduced to the House of Representative in 1996. HIPAA was a huge piece of legislation that was intended to fix many aspects of health care and health insurance, and includes sections that ensure portability of health insurance, simplify the administration of health insurance coverage, and standardize electronic transactions between health care providers and insurance companies. This is also the law that sets up Medical Savings Accounts and requires insurers to cover patients with pre-existing conditions. The section of HIPAA that concerns

Although the EHR is still in a transitional state, this major shift that electronic medical records are taking is bringing many concerns to the table. Two concerns at the top of the list are privacy and standardization issues. In 1996, U.S. Congress enacted a non-for-profit organization called Health Insurance Portability and Accountability Act (HIPAA). This law establishes national standards for privacy and security of health information. HIPAA deals with information standards, data integrity, confidentiality, accessing and handling your medical information. They also were designed to guarantee transferred information be protected from one facility to the next (Meridan, 2007). But even with the HIPAA privacy rules, they too have their shortcomings. HIPAA can’t fully safeguard the limitations of who’s accessible to your information. A short stay at your local

In 1996, the HIPPA act was passed. Health Insurance Portability and Accountability Act (HIPAA), which was directed to improve the areas in the health field. For instance, lowering the number of errors and mistreatment, for individuals to have the access to transfer health coverage according to their present situation, and most importantly it monitors security and confidentiality information to ensure its being controlled in an accurate manner. This act gives congress ability to govern financial matter such as, federal level funding processes pertaining to different health documentation. Providing quality care while protecting patient’s information is a priority controlled under HIPAA, which accepts collaboration with all state and federal

Specific Purpose: I want to inform my audience about HIPAA “Health Insurance Portability and Accountability Act”.

Did you know that violating HIPAA can lead to criminal charges and even possible jail time? Also can cost you up to $1.5 million a year depending on the violation (Brown,2014). Violating HIPAA can be something as little as talking about the treatment of your patient that day to another nurse in the elevator. In this paper HIPAA will be defined and the importance of HIPAA in the health care system. As well as outcomes of what will happen if laws are violated. In addition, the scenario ending and what should happen to the nurse. Lastly, the advantages and disadvantages of cellphones and electronic devices in healthcare.

Several years ago, a mandate was ordered requiring all healthcare facilities to progress from paper charting and record keeping to electronic health record (EHR). This transition to electronic formatting has pros and cons associated with it. I will be describing the EHR mandate, including who initiated it, when it was initiated, the goals of the EHR, and how the Affordable Care Act and the Obama administration are tied into it. Then I will show evidence of research and discuss the six steps of this process as well as my facilities progress with EHR. Then I will describe meaningful use and how my facility attained it. Finally, I will define HIPAA law, the possible threats to patient confidentiality relating to EHR, and how what my facility

Medical records and medical correspondence are increasingly going digital. This has different risks than traditional paper records. Starting with HIPAA compliant software helps keep digital records safe. The IT end of things is a critical piece of the puzzle and one that can be a burden for small offices

In 1996 president, Clinton signed an act called the Health Information Portability and accountability Act (HIPAA). HIPAA was put into action because many employers were denying health coverage for pre-existing conditions. The primary goal of the law is to make it easier for people to keep health insurance, protect the confidentiality and security of healthcare information and help the healthcare industry control administrative costs. Since 1996, HIPAA has a length timeline of new proposals and rules. Such as defining covered entities and authorized release of Protect health information (PHI). Since the initial act was since there have been many advancements in technology have made the government expand on the Act adding the Health Information Technology for Economic and Clinical Health (HITECH) act. This act was implemented for all health systems to move to electronic charting to minimize violations and security breaches.

The right to receive a notice of privacy practices - Patients have the right to receive a notice explaining how a provider or health plan uses and discloses their health information.

The HIPAA regulations define security as the health care providers are accountable for maintaining the confidentiality of individually identifiable health care information or the Patient Health Information(PHI). Excretion of the HIPAA Security Rule surrounds the following three vital shields for PHI in electronic form

An accurate and specific documentation of universally accepted set of codes are important for the protection of healthcare providers as well as increased reimbursement for services received. These codes are for the validation of which services the patient received from their health care provider ( (Page, 2009). Having the correct codes in place insures the provider with the information needed by the health insurance carrier. Maintained by the AMA (American Medical Association), this universal numeric assignment is also used for developing guidelines for medical care review as well as data collection for medical education and research (Scott, 2013).

HIPAA, formally known as the Health Insurance Portability and Accountability act, was signed into legislation back in the 90's. These regulations were enacted as a multi-tiered approach that set out to improve the health insurance system. HIPAA has specifications that ensure the confidentiality and privacy of protected health information. Here are a few Dos and Don’ts of HIPAA:

HIPPA Transaction and Code Set Standards apply to the electronic exchange of information between two parties for a specific purpose. HIPPA adopted standards for electronic information, transactions of administrative healthcare data between health care providers, and health care facilities. If a healthcare organization or provider uses one of the designated health care electronic transaction code sets. HIPPA requires that the healthcare professional or organization must adhere and adopt the content and format requirements of each transaction to follow HIPPA Transaction and Code Set Standards by October 1, 2015. HIPPA Transactional Code Set Standards adopted HHS version X12 and Version 5010 and version D.0 for HIPPA transactions. By adopting

One of the huge issues at the time of conception was the transition to electronic means of storage and transfer. At the time this technology was new, and not widely used as it is today. However with the implementation of HIPAA, it helped create a sense of trust and security that was not present before. By creating procedures to follow when storing and transferring information electronically, it educated many on how patient information was really being handled. The National Conference of State Legislatures reports that HIPAA helped the adoption of electronic prescribing among physicians and other clinicians, overall adoption rates increasing from 5% to 18% (HIPAA: Impact). Essentially it helped usher in a new age of technology and assisted in its assimilation into the health industry, which provides far more convenience and utility than previous methods.

Medical billing is the health care area selected for the discussion. Medical billing is the process of submitting and tracking claims with health insurance companies in order to receive payments for the services rendered by healthcare providers to ensure business finances success. (https://en.wikipedia.org/wiki/Medical_billing). Usually, the process is performed by electronic means and each claim must be a mirror image of the patient encounter. Although electronic billing carries sensitive information most practice management billing software relies on the clearinghouse which converts the data into HIPAA format. Thus, information is encrypted to minimize any unauthorized access. The actual diagnosis code system will be replaced by ICD-10 on October 1, 2015. Hence, the need for greater coding accuracy and specificity has heightened considerably since the implementation of ICD-9-CM (Bowman S., 2008).