Exploring HIPAA and HITECH Act Definitions: Part 6

From now through November, HIPAA.com is providing a run through of HIPAA transaction & code set, privacy, and security definitions, along with relevant HITECH Act definitions pertaining to breach notification, securing of protected health information, and electronic health record (EHR) standards development and adoption. These definitions are key to understanding the referenced HIPAA and HITECH Act enabling regulations that are effective now and that will required compliance by covered entities and business associates now or in the months ahead, as indicated in HIPAA.com’s timeline. Each posting will contain three definitions, with a date reference to the Federal Register, Code of Federal Regulations (CFR), or statute, as appropriate. Exploring HIPAA and…

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House Passes Health Care Reform Bill: H.R. 3962, as Amended

On Saturday night, November 7, 2009, the U.S. House of Representatives passed H.R. 3962, the Affordable Health Care for America Act.  The vote was 220 in favor, 215 against.  The roll call for the vote is available online at the US House Office of the Clerk website. H.R. 3962 as introduced in the House on October 29, 2009, following Committee action, available here.  A chronology of all Congressional actions on this bill is available here.  Finally, various sources of information pertaining to HR 3962, including Committee reports, are available here. Action now moves to the Senate on Health Care Reform, which may be later this year or early in 2010….

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Exploring HIPAA and HITECH Act Definitions: Part 5

From now through November, HIPAA.com is providing a run through of HIPAA transaction & code set, privacy, and security definitions, along with relevant HITECH Act definitions pertaining to breach notification and securing of protected health information. These definitions are key to understanding the referenced HIPAA and HITECH Act enabling regulations that are effective now and that will require compliance by covered entities and business associates now or in the months ahead, as indicated in HIPAA.com’s timeline. Each posting will contain three definitions, with a date reference to the Federal Register and citation to the Code of Federal Regulations (CFR).  We begin the first series of postings with definitions from “Health Insurance…

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HHS Strengthens HIPAA Enforcement

On Friday, October 30, 2009, HHS published in the Federal Register its Interim Final Rule that strengthens HIPAA enforcement under HITECH Act civil penalty revisions enacted as part of the American Recovery and Reinvestment Act on February 17, 2009.  “These HITECH Act revisions significantly increase the penalty amounts the Secretary [of HHS] may impose for violations of the HIPAA rules and encourage prompt corrective action,” according to the HHS press release.  The Interim Final Rule is effective as federal policy on November 30, 2009, and HHS requests comments by December 29, 2009. With the definition of ‘breach’ in the HITECH Act moving privacy and security violations under one requirement requiring…

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Exploring HIPAA and HITECH Act Definitions: Part 4

From now through November, HIPAA.com is providing a run through of HIPAA transaction & code set, privacy, and security definitions, along with relevant HITECH Act definitions pertaining to breach notification and securing of protected health information. These definitions are key to understanding the referenced HIPAA and HITECH Act enabling regulations that are effective now and that will require compliance by covered entities and business associates now or in the months ahead, as indicated in HIPAA.com’s timeline. Each posting will contain three definitions, with a date reference to the Federal Register and citation to the Code of Federal Regulations (CFR). We begin the first series of postings with definitions from “Health…

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How Data Validation Will Make Your Life Easier

As a clinician, you want to know if data being entered into the system is accurate, clean, correct and useful. Data validation often called “validation rules” or “check routines” are built into systems such as EHR systems. These rules check for correctness, meaningfulness, and security of data. For example, the system would automatically disallow or question a user trying to enter eligibility results into the patient’s address field. Validation rules may be automated because the software company uses a data dictionary, or data may be checked by an explicit application program validation logic. To participate in quality reporting, such as meaningful use, PQRI or ePrescribing reimbursement incentive programs, you want…

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Exploring HIPAA and HITECH Act Definitions: Part 3

From now through November, HIPAA.com is providing a run through of HIPAA transaction & code set, privacy, and security definitions, along with relevant HITECH Act definitions pertaining to breach notification and securing of protected health information. These definitions are key to understanding the referenced HIPAA and HITECH Act enabling regulations that are effective now and that will require compliance by covered entities and business associates now or in the months ahead, as indicated in HIPAA.com’s timeline. Each posting will contain three definitions, with a date reference to the Federal Register and citation to the Code of Federal Regulations (CFR). We begin the first series of postings with definitions from “Health…

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Exploring HIPAA and HITECH Act Definitions: Part 2

From now through November, HIPAA.com is providing a run through of HIPAA transaction & code set, privacy, and security definitions, along with relevant HITECH Act definitions pertaining to breach notification and securing of protected health information. These definitions are key to understanding the referenced HIPAA and HITECH Act enabling regulations that are effective now and that will require compliance by covered entities and business associates now or in the months ahead, as indicated in HIPAA.com’s timeline. Each posting will contain three definitions, with a date reference to the Federal Register and citation to the Code of Federal Regulations (CFR). We begin the first series of postings with definitions from “Health…

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Exploring HIPAA and HITECH Act Definitions: Part 1

From now through November, HIPAA.com is providing a run through of HIPAA transaction & code set, privacy, and security definitions, along with relevant HITECH Act definitions pertaining to breach notification and securing of protected health information. These definitions are key to understanding the referenced HIPAA and HITECH Act enabling regulations that are effective now and that will require compliance by covered entities and business associates now or in the months ahead, as indicated in HIPAA.com’s timeline. Each posting will contain three definitions, with a date reference to the Federal Register and citation to the Code of Federal Regulations (CFR). We begin the first series of postings with definitions from “Health…

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Vendors and Physicians Partners in Meaningful Use?

The secure exchange of health information is dependent on both the practice and EHR vendors facilitating the secure electronic transactions and extracting data for reporting quality measures. Even early adopters of EHR systems must ask vendors if they will be ready for meaningful use reporting. The vendor’s response will impact cost, implementation timeline, workflow processes, reporting, and patient safety. A sampling of questions to ask include: Of my current health information exchange partners (labs, hospitals, pharmacies, imaging centers) where have you already built bi-direction interfaces with your EHR system? Does your system send e-prescribing alerts based on the content in the patient’s medication history? Does your system identify whether the…

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