The Health Insurance Portability and Accountability Act (HIPAA)
HIPAA is the acronym for the Health Insurance Portability and Accountability Act of 1996. The Centers for Medicare & Medicaid Services (CMS) is responsible for implementing various unrelated provisions of HIPAA, therefore HIPAA may mean different things to different people. Here are PolyCommerce's business activities with regard to HIPAA.
HIPAA Administrative Simplification
The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA, Title II) require the Department of Health and Human Services to establish national standards for electronic health care transactions and national identifiers for providers, health plans, and employers. It also addresses the security and privacy of health data. Adopting these standards will improve the efficiency and effectiveness of the nation's health care system by encouraging the widespread use of electronic data interchange in health care.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) promises to revolutionize Health Information Management. Health Plans, Health Care Clearinghouses, and any Health Care Provider who transmits Health Information in electronic form in connection with a standardized transaction should have already begun taking steps to adhere to HIPAA's strict new standards.
Mandated enterprise-wide compliance initiatives will require health care entities, over the next two years, to reengineer all processes surrounding the capture, storage and transmission of health information. In spite of the immense scope and initial resource requirements of this initiative, the benefits will be very significant! After these standards have been put in place, a Healthcare Provider will be able to submit data for claims and other standardized transactions using an industry standardized EDI template. All Health Plans are required to accept and process standardized transactions without imposing delays because of format or content. Resulting in:
Standardizing transactions will make electronic data interchange the preferred method of doing business over current paper processing methods.
Ultimately, HIPAA is poised to create a dramatic improvement in the efficiency and effectiveness of the health care system.
HIPAA Compliance Planning
This Implementation Plan is appropriate for submission to the Federal Government to certify your organization's HIPAA Compliance for 2002.
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