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What are the HIPAA Administrative Simplification Rules?

What are the HIPAA Administrative Simplification Rules? | Healthcare and Technology news | Scoop.it

What are the HIPAA Administrative Simplification Rules?

 

The HIPAA Administrative Simplification Rules establish national standards for electronic transactions and code sets to maintain the privacy and security of protected health information (PHI). These standards are often referred to as electronic data interchange or EDI standards.

The regulations, detailed in 45 CFR 160, 45 CFR 162, and 45 CFR 164, aim to make health care systems more efficient and effective by streamlining paperwork associated with billing, verifying patient eligibility, and payment transactions.

HIPAA Administrative Simplification Standards

HIPAA regulation includes four standards covering transactions, identifiers, code sets, and operating rules. The HIPAA Administrative Simplification Rules illustrate how switching from paper to electronic transactions reduces paperwork burden and increases payment speed for health care organizations. Additionally, information can be exchanged faster and claim statuses can be checked more easily.

HIPAA covered entities (which include health care providers, health plans, health care clearinghouses) and HIPAA business associates must adopt these standards for transactions that involve the electronic exchange of health care data. Such transactions may include claims and checking claim status. Other such transactions may involve encounter information, eligibility, enrollment and disenrollment, referrals, authorizations, premium payments, coordination of benefits, and payment and remittance advice.

Unique identifiers, such as a Health Plan Identifier, Employer Identification Number, or National Provider Identifier, are required for all HIPAA transactions.

Code sets are standard codes that all HIPAA covered entities must adopt. These codes have been developed for diagnoses, procedures, diagnostic tests, treatments, and equipment and supplies. HIPAA details several code sets including NDC national drug codes; CDT codes for dental procedures; CPT codes for procedures; the HCPCS health care common procedure coding system; and the code set for the international classification of diseases (ICD-10).

Updates to the HIPAA Administrative Simplification Rules

The HIPAA Administrative Simplification Rules were updated after the Affordable Care Act was passed in 2010 to include new operating rules specifying the information that must be included for all HIPAA transactions.

HIPAA covered entities must follow national standards, which were set to protect patients’ privacy (HIPAA Privacy Rule) and improve PHI security (HIPAA Security Rule), in addition to the HIPAA Administrative Simplification Rules. The Final Omnibus Rule, which was enacted in 2013, now includes HITECH Act standards in its HIPAA regulations; the standards added new requirements for breach notifications in the HIPAA Breach Notification Rule.

The Centers for Medicare & Medicaid Services both administers and enforces the HIPAA Administrative Simplification, whereas the Department of Health and Human Services’ Office for Civil Rights typically enforces the HIPAA Privacy, Security, and Breach Notifications Rules.

The HIPAA Administrative Simplification Regulations apply to all HIPAA covered entities and HIPAA business associates, not only those that work with Medicare or Medicaid.

Addressing the HIPAA Administrative Simplification Rules with Compliancy Group

Compliancy Group allows health care professionals and vendors across the industry to address the full extent of their HIPAA regulatory requirements, including HIPAA Administrative Simplification Rules, with our HIPAA compliance solution, The Guard. The Guard is a web-based HIPAA compliance app that allows users to confidently address their HIPAA compliance so they can get back to running their business.

Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

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How to integrate your Phone System with Google Apps through CTI?

How to integrate your Phone System with Google Apps through CTI? | Healthcare and Technology news | Scoop.it

With VoIP (voice over internet protocol), companies are now able to access cheaper, more accessible phone systems all over the world. While VoIP phones have become common, particularly in North America and Europe, there is still a broad growth trend in Asian, African, and Latin American markets. Asian Pacific Markets expect an estimated 14% growth over the next five years, a significant increase considering the dense technological saturation in the area, caused primarily by escalating high-speed communications networks.

 

In markets where there isn’t such an extreme jump in internet infrastructure, there are also significant gains in the adoption of IP phone technology. In Africa, VoIP growth is stunning (80% in South Africa, for example). Because governments own traditional phone infrastructure in Africa, and also because of the challenges expanding utilities to less urban or more isolated areas, mobile VoIP has been replacing traditional phone systems for emerging and growing businesses.

 

Given contemporary global markets and the push toward global expansion, even companies that have long-established traditional phone infrastructure are adopting VoIP systems for their call centers and sales teams. Global calls are more than just person-to-person voice; they now include video, conferencing, and text, whether in Asia, Europe, or North America.

 

With VoIP phone systems, businesses can integrate their phones to their computers and smoothly connect all aspects of sales and service. SMEs and larger enterprises can all benefit from merging data and communications functions; with IP phones, users gain key communication features, all the while letting their VoIP service providers handle IT, updates, and data hosting. Businesses, regardless of size, can benefit from efficiently merging voice and data functions and gaining innovative communication features, while their VoIP service provider takes care of the technology.

 

CTI (computer telephony integration) software lets users integrate their phones with their CRM or ERP platforms to provide more efficient, cheaper, and easier customer communications.

 

With sales, agents can contact more potential clients, improve customer/agent interaction, and create a more collaborative sales team performance. With service, CTI software gives customers options of self-service or live agents, gives automatic call routing, reduces handle times, and gives management the opportunity to review call center performance.

 

It follows by implication that it’s important for businesses to find the best VoIP phone system and CRM for their needs. Some companies need a comprehensive system that works seamlessly across a host of different silos, whereas other businesses need customizable specifics for one element (IT, for example). Businesses must understand their budgets, dominant departments, as well as the need for scalability, and make decisions accordingly.

 
Technical Dr. Inc.'s insight:
Contact Details :

inquiry@technicaldr.com or 877-910-0004
www.technicaldr.com

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