1st MEDICAL CODING AND BILLING CAREER GUIDE
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And Along Came HIPAA
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tree red points HIPAA is the United States Health Insurance Portability and Accountability Act of 1996 which was created to reduce health care costs and protect patient privacy. Protected health information (PHI) under HIPAA includes any individually identifiable health information. With HIPAA also came new job descriptions, responsibilities and opportunities in medicine and the health care industry.

coding billing paragraph Along Came HIPAA!
To improve the efficiency and effectiveness of the health care system, the Health Insurance Portability and Accountability Act (HIPAA) of 1996, Public Law 104-191, included "Administrative Simplification" provisions that required HHS to adopt national standards for electronic health care transactions.

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coding billing paragraph HIPAA
Short for Health Insurance Portability and Accountability Act, HIPAA provides national standards to protect the privacy of personal health information.
HIPAA has created an opportunity for the health care industry to move from paper claims transactions to electronic transactions using one national standard format. This means that many health care providers across the nation must update their systems or outsource their billing needs. This situation also created a tremendous opportunity for coders, billers and consultants to advice and help non-compliant providers to achieve HIPAA compliancy in order to get paid!

coding billing paragraph Organizations Affected by HIPAA
Healthcare companies need project managers to develop new policies and procedures. HIPAA consultants work one-on-one with organizations to help direct their compliance efforts. They assist organizations with their efforts to become HIPAA compliant. Most assignments are on location so some travel is required.

Information systems departments must use staff or IT experts to bring infrastructure into compliance, and in some cases, purchase and implement new systems. These tasks could require the services of privacy officers, programmers, analysts, quality assurance professionals and so on.

HIPAA Links
HIPAA compliant industry standard codes are required on all electronic claims for dates of service rendered on and after October 16, 2003. This is a HIPAA requirement.

red medical coding bulletOther organizations affected by HIPAA include:
Healthcare plans
Hospitals
Physicians' offices
Pharmacies
Billing agencies
Information systems vendors
Health information clearinghouses
Life insurance companies
Public health authorities
Universities


coding billing paragraph HIPAA Compliance Products
   Makers of HIPAA compliance systems and services include:
Extol International of Franklin Lakes, New Jersey
Syntel of Troy, Michigan
Business Applications Outsourcing Technologies of Plainview, New York
Exstream Solutions of Cambridge, Massachusetts.

coding billing paragraph HIPAA Tutorials
CMS Offers Free HIPAA Tutorials and Documentation
                                                                                                                                                                                                                                                                                                           




 

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And Along Came HIPAA




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