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If you know of a reputable and  informative HIPAA e-source, please email us at info@practisinc.com. We would be happy to include it on our HIPAA Resource Center.

 

CMS HIPAA Workshop
The following materials were distributed at an Upstate Medicare readiness workshop on HIPAA transactions & code sets. 

e-Sources

Enforcement Notice - CMS published a Notice in the Federal Register regarding HIPAA enforcement procedures.  This notice sets forth the procedures for filing with the Secretary of Health and Human Services a complaint of non-compliance with HIPAA Administrative Simplification provisions
(except privacy).  Click to download notice.
 "Medicare Providers: Their Vendors, Clearinghouses, or Other Third Party Billers, and the HIPAA/Medicare Contingency Plan."  CMS
NPI Final Rule Published (pdf) - the Final Rule that adopts the National Provider Identifier (the NPI) as the standard unique health identifier for health care providers.  This rule becomes effective May 23, 2005, May 23, 2007 for all but small health plans, May 23, 2008 for small health plans. 
Myths and Facts about the HIPAA Privacy Rule” common myths regarding HIPAA Rules and the facts about what the law actually says, Health Privacy Project
Civil Money Penalties: Procedures for Investigations, Imposition of Penalties, and Hearings OCR
Understanding the final rule. HIMSS Briefing, Tom Walsh, CGT Healthcare Solutions. (ppt format).
HIPAA.org - comprehensive online resource on HIPAA
HIPAA - Privacy Essentials for the Physician Practice Office (OHIC) Offering free documents and practical advice on HIPAA.
Flowchart to determine if you're a covered entity - provided by CMS
HIPAA.ORG Vendor Directory  Check to see if your practice management software vendor is compliant
HIPAA FAQs - CMS (interactive)
HIPAA FAQs - HHS
Implementation of the HIPAA Eligibility Transaction
Office of Civil Rights - HIPAA
HIPAA - Health Insurance Portability Accountability Act
HIPAA Glossary -- from wedi.org
HIPAA's Impact on Business Relationships - HIPAAdvisor.com
HIPAA Planning Checklist for physician practices - ahima.org
HIPAA Advisory
HIPAA Comply
HIPAA - Massachusetts Health Data Consortium
DSMO - Designated Standard Maintenance Organizations
"How to HIPAA" - Top 10 Tips from the AMA 
HIPPA Meter - from Claredi, measuring industry progress towards compliance with transaction & code set rules
Tool Kit for Small Group Providers - California Healthcare Foundation
HIPAA Updates - Upstate Medicare Division

On-Line Tools

How and where to file a complaint - OCR 
HPP Model Complaint Form - to provide HPP with copies of complaints submitted to OCR.
HIPAA Document Templates, Forms and Checklists
Request to Access PHI Log - Excel format 
CMS Online HIPAA Complaint Form
CMS Checklist for Transactions Rule  
Consent form for Interpreter - AHIMA Library; in Word format
Model Business Associate Agreement - AHA in Word format
Sample Contracts & Policies - by the AAMC
Privacy Officer Job Description
HIPAA Benefit Calculator - hipaainfo.net
HIPAA-REGS Listserv - send mail to listserv@list.nih.gov. Type the following into the first line in the body of the message: subscribe HIPAA-REGS first-name last-name. Leave subject line blank
HSS Listserv - Dept of Health and Human Services listserv regarding HIPAA requirements
HIPAA Forums - National HIPAA forums
AHA Fact Sheet: HIPAA Medical Privacy Rules - HIPAA Fact Sheet in chart format provided by the AHA
Required Content for Authorization to Disclose & Sample Form - AHIMA
 

PLEASE NOTE: Information is provided as a service to our visitors. Practis takes no responsibility for it's content.  It is provided with the understanding that Practis is not engaged in rendering legal, accounting, or other professional services. If legal advice or other expert assistance is required, the services of a competent professional should be sought. Links and information are provided as a service to our visitors. Practis takes no responsibility for their content nor connectivity.

 
Authorization

What is Authorization? 

A written permission signed by the patient authorizing the covered entity permission to release PHI to third parties for a specific reason/condition and or treatment period. 

Specifically:

Is obtained each and every time there is a release of PHI to third parties.

Release only what is minimally necessary as defined by the authorization itself.

Examples

  • chart audit by health plan
  • referral to other physician 
  • disability forms
  • school forms
  • attorney requests
  • research

Disclosure Log

The covered entity should maintain a log of all PHI disclosures.

Implementing Minimal Necessary Standards   
what is "reasonably necessary" , determining and managing minimum necessary uses, disclosures, and requests in non-automated and automated environments. AHIMA

Restriction Requests - AHIMA

Under HIPAA, patients have the right to ask for restrictions on the disclosure of their protected health information.

Learn how:

you can develop an appropriate restriction request policy

you can respond to such requests

to define what the exceptions to the rule are

to develop an implementation plan 

to terminate such an agreement

 
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