Hipaa: A Short- and- Long-term Perspective for Health Care / Edition 1

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American Medical Association Press, 06/15/2002, Paperback, Very Good condition.

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Overview

The first publication from the American Medical Association to address HIPAA regulations HIPAA: A Short- and Long-term Perspective for Health Care is a straightforward, comprehensive review of HIPAA provisions and their net positive value to the health care industry. This book focuses on the practical implications of the legislation and gives the user an enhanced understanding of HIPAA regarding: Analysis of regulations Impacts of the security and privacy provisions Key compliance issues Enforcement and certification of compliance Benefits of investing in HIPAA compliance The future of HIPAA and the electronic medical record The value of aligning HIPAA mandates with Internet and other business strategies Comprehensive appendices contain model business agreements, sample assessment templates, definitions of terms, and other valuable tools. This book is a valuable resource for practice administrators, office managers, compliance officers, and physicians.

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Editorial Reviews

Doody's Review Service
Reviewer: L. Pat Hoidal, RN, MPH (Creighton University)
Description: This is a detailed review of the potential impact of HIPPA legislation on various entities of healthcare. It gives a thorough review of the opportunities and challenges of the legislation from the perspective of each entity, including payors, providers, and patients.
Purpose: The purpose is three-fold: 1) outline the pro's and con's of this major legislation; 2) enhance the understanding of HIPPA regulations by healthcare professionals; and 3) explain the administrative simplification intended by the legislation. The book serves to help expand our understanding of this new legislation. The detailed evaluation from different perspectives underscores the magnitude of this change. The book meets the author's objectives.
Audience: The book primarily addresses the issues of the hospital administrator, CIO, and chief privacy or compliance officer. For this purpose, it is complete and comprehensive. From the perspective of the practitioner, it is somewhat technical and assumes a level of understanding and experience with automation that many providers do not have. As healthcare is provided as much by small practices and/or rural hospitals as by larger facilities, this could prove significant in determining what audience might find this book helpful.
Features: The book addresses the far-reaching extent of the HIPPA legislation, the systems impacted, the intent of the standards and perspectives from various healthcare entities. The author provides a detailed description of the integration required within the field to comply with and meet all the standards and a convincing argument on why this is important to the patient and for the efficiency and effectiveness of health information management. All areas are covered adequately. Examples of business agreements are excellent. Bullets and key points add to the ease of reading and create a to-do list for the user. The definition of terms section is extremely helpful, given many terms are new to the field. I found the index less helpful when looking up issues of implementation, more helpful when considering technical terms or topics.
Assessment: The book is comprehensive and detailed in its review of the regulations and their impact. It stopped short of providing detailed practical application of the standards, although that was not its stated purpose. I had a sense from the assessment tool provided in the appendix that it was written for a fairly sophisticated system and/or that I would need a consultant to comply, a limitation from my perspective.
From The Critics
Reviewer: L. Pat Hoidal, RN, MPH(Creighton University)
Description: This is a detailed review of the potential impact of HIPPA legislation on various entities of healthcare. It gives a thorough review of the opportunities and challenges of the legislation from the perspective of each entity, including payors, providers, and patients.
Purpose: The purpose is three-fold: 1) outline the pro's and con's of this major legislation; 2) enhance the understanding of HIPPA regulations by healthcare professionals; and 3) explain the administrative simplification intended by the legislation. The book serves to help expand our understanding of this new legislation. The detailed evaluation from different perspectives underscores the magnitude of this change. The book meets the author's objectives.
Audience: The book primarily addresses the issues of the hospital administrator, CIO, and chief privacy or compliance officer. For this purpose, it is complete and comprehensive. From the perspective of the practitioner, it is somewhat technical and assumes a level of understanding and experience with automation that many providers do not have. As healthcare is provided as much by small practices and/or rural hospitals as by larger facilities, this could prove significant in determining what audience might find this book helpful.
Features: "The book addresses the far-reaching extent of the HIPPA legislation, the systems impacted, the intent of the standards and perspectives from various healthcare entities. The author provides a detailed description of the integration required within the field to comply with and meet all the standards and a convincing argument on why this is important to the patient and for the efficiency and effectiveness of health information management. All areas are covered adequately. Examples of business agreements are excellent. Bullets and key points add to the ease of reading and create a to-do list for the user. The definition of terms section is extremely helpful, given many terms are new to the field. I found the index less helpful when looking up issues of implementation, more helpful when considering technical terms or topics.
Assessment: The book is comprehensive and detailed in its review of the regulations and their impact. It stopped short of providing detailed practical application of the standards, although that was not its stated purpose. I had a sense from the assessment tool provided in the appendix that it was written for a fairly sophisticated system and/or that I would need a consultant to comply, a limitation from my perspective.

3 Stars from Doody
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Product Details

  • ISBN-13: 9781579472689
  • Publisher: American Medical Association
  • Publication date: 6/1/2002
  • Edition number: 1
  • Pages: 256
  • Product dimensions: 7.00 (w) x 10.00 (h) x 0.60 (d)

Table of Contents

Dedication
Acknowledgements
1 Introduction 1
What Is HIPAA? 2
Genesis of HIPAA and the Evolution of the Standards Bodies - A Cause for Change 14
2 Transactions: Benefits, Impacts and Information Technology Investments 19
Automating Claims Submission (ANSI X12N 837) 20
Automating Claims Status Requests and Responses (ANSI X12N 276/277) 23
Automating Claims Payments/Remittance Advices (ANSI X12N 835 and 820) 25
Automating Referrals and Authorizations (ANSI X12N 278) 28
Automating Eligibility Requests and Responses (ANSI X12N 270/271 & 834) 31
Automating Claims Attachments (ANSI X12N 275) 35
Automating the Benefits Coordination Verification (ANSI X12N 269) 38
3 Standard Identifiers 41
Impacts and Opportunities 42
IT Investments and Strategies 43
4 Benefits and Return on Investment 45
Care Service and Payment Model 45
Best Practices and Benefits 48
Aligning HIPAA with e-Commerce and Advanced Automation Strategies 52
Deriving the Return on Investment 56
5 Security 61
Administrative Security 62
Technical Security Services and Mechanisms 64
Business Partner and Chain-of-Trust Agreements 67
Digital Signatures 71
6 Privacy 75
General Impacts of the Privacy Rule 75
Privacy as a National Concern 77
Current State of Privacy in the Health Care Industry 78
Estimated Cost of Privacy Compliance 78
Impacts and Opportunities 79
Post Final Rule Publication Debate 80
The Moderating Effects of the Federal Guidelines 81
The Classification and Simplification of the Proposed Privacy Modification Rule 83
IT Investment Options and Strategies 85
Early Partial Adoption of the Privacy Standards 88
Early Provider Solutions 90
7 HIPAA Assessments: Best Practices and Key Compliance Challenges 95
Best Practices 95
Key HIPAA Compliance Challenges 99
8 Resources 105
Public Domain and Fee-based Materials 105
Regional HIPAA-Charted Alliances 109
9 Training and Ongoing Employee Education 115
Orientation and Awareness 115
In-Depth Training on Implementation Process, Tools, and Impacts 116
Specialized HIPAA Components 116
Ongoing Internal Operations 116
10 Road to Implementation 121
Provider Challenges 121
Procuring Software Solutions 125
Future State Attributes and Critical Success Factors 129
Management Decision-Making Models 132
11 Into The Future 137
Electronic Medical Record Rule 137
Benefits and Impacts of EMR Standards 139
Exploiting the Internet 141
12 Conclusion 147
App. A HIPAA Acronyms 149
App. B HIPAA Web Sites 151
App. C Model Trading Partner Agreements 153
App. D Model Business Associate Agreements 173
App. E Model Requests for Assessment 185
App. F The Healthcare Privacy Project's HIPAA Myths and Facts 201
App. G HIPAA Definition of Terms 207
Index 227
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