HIPAA for Health Care Professionals

ISBN-10: 1418080535

ISBN-13: 9781418080532

Edition: 2008

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Description: HIPAA for Healthcare Professionals clearly explains HIPAA concepts and brings meaning to the concepts through examples, real-life scenarios, thought-provoking questions, and discussion. Perfect for any allied health professional, coverage includes key information on the HIPAA ruling including fundamentals, privacy issues, explanation of the security ruling, and dispels HIPAA myths.

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Book details

List price: $80.95
Copyright year: 2008
Publisher: Delmar Cengage Learning
Publication date: 2/11/2008
Binding: Paperback
Pages: 192
Size: 7.25" wide x 9.50" long x 0.50" tall
Weight: 0.660
Language: English

Preface
About the Authors
Acknowledgements
Introduction to HIPAA
Introduction
How the Rules Came into Existence
Titles of HIPAA Law
Health Insurance Access, Portability, and Renewal
Preventing Health Care Fraud and Abuse; Administrative Simplification; Medical Liability Reform
Group Health Plan Requirements
Other Titles in HIPAA
HIPAA: An Organizational and Business Challenge
Who Is a "Covered Entity?"
The HIPAA Officer
Summary
Review Questions
References
Privacy Issues Explained
Introduction
To Whom Does Title II Apply?
What Is Protected Health Information?
Authorization versus Consent
Concerns about Protected Health Information and Possible Disclosures
Required Disclosures
Permitted Use and Disclosure without Authorization
For Individual Access
For Treatment, Payment, and Health Care Operations
When Permission to Disclose is Received
When Incidental
For Public Interest or to Benefit the Public
For Research
Permitted Use and Disclosure with Authorization
Disclosure of Psychotherapy Notes
Disclosure for Marketing Purposes
Disclosure for Directory Purposes
Limiting Uses and Disclosures
Minimum Necessary Uses
Business Associates under the Privacy Rule
Training of the Public and Workforce
Amending Protected Health Information
Enforcement Guidelines
Civil Penalties under HIPAA
Criminal Penalties under HIPAA
What the HIPAA Privacy Rule Covers
Summary
Review Questions
References
Transactions and Code Sets
Introduction
Purpose of Transaction Standards
Designated Code Sets
Diagnosis Codes
Inpatient Procedure Codes
Outpatient Procedure Codes
Dental Procedures
Drug Codes
Nonmedical Code Sets
ASC X12 Nomenclature
Data Overview
Architecture
Use of Loops
Sample of EDI Claim Data (UB-04, Hospital Billing Form)
Limitations of Electronic Claims
Remittance Advice and Secondary Payer
Working with Outside Entities
Trading Partner Agreements
Business Use and Definition
Enforcement of Transactions and Code Sets
Summary
Review Questions
References
Security Rule Explained
Introduction
Core Requirements
Administrative Safeguards
Security Management
Assigned Security Responsibility-Security Officer
Workforce Security
Information Access
Security Awareness and Training
Security Incidents
Contingency Plans
Evaluation of Security Effectiveness
Business Associate Contracts
Physical Safeguards
Facility Access Controls
Workstation Use
Workstation Security
Device and Media Controls
Technical Safeguards
Access Control
Audit Controls
Integrity
Person or Entity Authorization
Transmission Security
Organization Requirements
Policies, Procedures, and Documentation
Impact on Organizations
Challenges to Compliance and Enforcement
Summary
Review Questions
References
Unique Health Identifiers and HIPAA Myths
Introduction
Reasons for Identification Numbers
Employer Identifier
Health Care Provider Identifier
Health Plan Identifier
Personal Identifier
What Is Important to Know about HIPAA?
Locating the Latest Title II Rules and Changes
Legal Ramifications of HIPAA
Myths about HIPAA
Summary
Review Questions
References
HIPAA for Health Care Professionals
Covered Entity Charts
CMS Regional Offices and Government Resources
HIPAA Non-Privacy Complaint Form
Security Standards Matrix
Resources for HIPAA Information
Introduction to HIPAA-Chapter 1
Privacy Rule Resources-Chapter 2
Transactions and Code Sets Resources-Chapter 3
Names and Web Sites of Designated Standards Maintenance Organizations (DSMOs)-Chapter 3
Security Rule Resources-Chapter 4
Identifier Rule Resources-Chapter 5
Glossary
Index
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