Information Systems Technology -hipaa Security - 986 Words

Ms. Kays provided an Enterprise-wide Risk Assessment which status updates to apprise the committee of recent events. Areas of note for the audit committee include: †¢ Corporate Compliance †¢ Information Systems Technology –HIPAA Security †¢ IRS 990 †¢ Medicare RAC Review †¢ Sarbanes-Oxley †¢ Stark Laws Ms. Kays provided the committee with information an update on the Medicare RAC review process. CMS had offered a settlement to try to address the large backlog of cases which paid hospitals to resolve pending appeals or waive the right to appeal in exchange for timely partial payment of 68% of the net payable amount. Ms. Keys explained that the Organization did not opt for the settlement. Review of the cases in question and related documentation supported revising the charges to reflect observation, not inpatient. For calendar year 2014, the Organization had 108 cases totaling $326,226 reviewed, with 37 cases totaling $53,345 questioned/denied. January through March 2015 had 34 cases totaling $179,764 subject to review. Of those, 9 totaling $55,579 were in appeals at June 19, 2015. October 1, 2015 is the go live date for ICD 10. The transition to ICD 10 reaches many areas including patient care, charge capture, and collections and reimbursements. On the patient care side, ICD 10 provides the opportunity to better identify the specific nature of a procedure due to the increase in codes from 18,000 under ICD 9 to over 80,000 under ICD10. The Organization has spent 3 yearsShow MoreRelatedHipaa Essay862 Words   |  4 PagesIn enacting HIPAA, Congress mandated the establishment of Federal standards for the security of electronic protected health information (e-PHI). The purpose of the Security Rule is to ensure that every covered entity has implemented safeguards to protect the confidentiality, integrity, and availability of electronic protected health information. Standards for security are needed because there is a growth in the exchange of protected health information between covered entities as well as non-coveredRead MoreCase Analysis : Topaz Information Sol utions1184 Words   |  5 PagesINTRODUCTION 1. PURPOSE Topaz Information Solutions, LLC (Topaz) is considered a business associate under the Health Insurance Portability and Accountability Act (HIPAA). A business associate performs certain functions or activities that involve the use or disclosure of protected health information (PHI) on behalf of or for a covered entity. As a business associate (BA), Topaz is required to complete an annual security risk assessment to evaluate the physical, administrative and technical safeguardsRead MoreHIPAA: Privacy and Security Rules The Computer, the Nurse and You1436 Words   |  6 PagesHIPAA: Privacy and Security Rules The Computer, the Nurse and You Introduction How would you like to keep track of your personal health information record in your computer at home? The electronic data exchange was one of the goals of the government to improve the delivery and competence of the U.S. healthcare system. To achieve this plan, the U.S. Congress passed a regulation that will direct its implementation. The Department of Health and Human Services is the branch of the government thatRead MoreHipaa Compliance And Technology Use Essay942 Words   |  4 PagesHIPAA compliance and technology use: In 1996 when Health Insurance Portability and Accountability Act (HIPAA) was enacted HIPAA compliance and the use of technology was not given that much importance as it is today. Only small percentage of people owned mobile phones twenty years ago which didn t have a lot of capabilities of communicating except the basic text messaging. Twenty years later the mobile device technology is much advanced and has much more capabilities and much faster than imaginedRe ad MoreEssay On Hipaa1199 Words   |  5 PagesHIPAA is the acronym for the Health Insurance Portability and Accountability Act of 1996. HIPAA is responsible for health insurance coverage for workers and their families, especially when the worker changes or loses their jobs. President Clinton signed this on August 21, 1996. It was considered a Public Law 104-191. To decrease the organizational costs of health care a separate section is included in the law. It is required by the law that all health plans, including ERISA, healthcare clearinghousesRead MoreHci / 510 Systems Life Cycle920 Words   |  4 Pages TaSharon L. Collins HCI/510 Systems Life Cycle September 22, 2014 Professor Eric Everard  Data security is used to prevent anything that is unauthorized, and it helps to protect all of the data from any corruption. Almost daily, media reports highlight the failure of health care organizations to safeguard the privacy and security of patient data, whether electronic or paper. Preventing data breaches has become more complex, and at the same time, the fines being levied against healthRead MoreHealthcare Insurance Portability And Accountability Act Essay1353 Words   |  6 PagesAccountability Act known as HIPAA was signed into law to improve the healthcare system. Now, HIPAA is a wide known law followed by every health plans, healthcare providers, healthcare clearinghouses, and other covered entities. The HIPAA law has many purposes which were enacted in stages. This law provides the ability to continue health insurance for American employees when they change or lose their jobs. This law also mandated a healthcare industry wide standard for health care information on electronic billingRead MoreCIO Briefing for Information System Acquisition in a Healthcare Organization816 Words   |  3 Pagesï » ¿Briefing for CIO Information System Acquisition Executive Summary The acquisition of an information technology (IT) system by a healthcare organization must incorporate several different concerns. Generally, there is a process by which the organization determines what functions and capabilities are essential for the new IT system to provide. Much of that concern is dictated by specific goals of the organization, its mission, and the operational elements of the organization. Most importantlyRead MoreTft2 Cyberlaw, Regulations, and Compliance1320 Words   |  6 PagesStatements Kevin Corey Western Governors University Policy Statements 2 Internationally security techniques and standards, such as ISO 17799, establish guidelines that organizations must implement in order to maintain information security. Information must be protected from those without a readily need to know to perform organizational business functions. Unauthorized access to information can have a detrimental impact on an organization from a legal and operating perspective. One of theRead MoreSEC440 Week 7 Essay1041 Words   |  5 PagesAccountability Act (HIPAA) Compliance By Christopher Knight SEC 440 16 Oct 2014 TO: Company Chief Security Officer FROM: Security Engineer DATE: 16 Oct 14 SUBJECT: HIPAA Security Compliance for Alba, IA Hospital Any patient that is seen by a physician within the United States is to be protected by the â€Å"Health Insurance Portability and Accountability Act† or HIPAA, which was passed into law in 1996 (Jani, 2009). All health care facilities dealing with any protected health information (PHI) are to