HIPAAAS Regulations

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HIPAA-AS Regulations
Health Insurance Portability and Accountability
Acts Administrative Simplification Regulations
Cathy Benoit HIPAA Coordinator CMS - Atlanta
Regional Office
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Special Thanks to the

• South Carolina Hospital Association and
• Trudy Solomon
• SHARP Workgroup

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HIPAA Simplified Tool

• Collaborative effort of industry representatives
• Special Thanks to WebMD, PricewaterhouseCoopers,
  and Per-Se Technologies
• Sara Lambert, Sandra Tzeng are here today.

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Session Topics
Where are we today Outreach Challenges CMS
Outreach Efforts
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What will happen on 10/16/03 in regards to
enforcement?
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Where Are We Today?

• We are less than 3 months from Oct 16
• Testing should have started, at least internally
• Vendors should have provided software to their
  customers so testing could begin
• Clearinghouses should have test plans and
  packages available for customers

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Where are we today?

• Health plans should be scheduling testing with
  providers
• Most Medicare contractors are already doing this.
• Providers should be looking for health plans to
  test with.

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Key is Cooperation

• Plans, providers, clearinghouses, vendors must
  work together
• Coordinate testing schedules
• Coordinate information campaigns
• Test early to discover problems
• Work together to fix them
• Look at solutions others have already found

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HIPAA Outreach Challenges

• Many HIPAA Components TCS, Identifers,
  Security, Privacy
• Different Knowledge Levels
• Various Target Audiences
• Different interests/roles
• within organizations
• Billing Clerks
• Physicians
• Privacy Officers
• Different Organizational Sizes

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WebCast Topics
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Upcoming Webcast Topics
Scheduled for early to mid August

• Message from Jared Adair
• Testing issues identified for the 837p
• Testing issues identified for the 837i

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CMS Resources

• Audio conferences for target audiences
• Fax-back service and blast faxing
• Web casts available 24/7
• HIPAA Kits
• Websites, listservs, blast emails
• CMS approved HIPAA articles, advertisements and
  informational papers
• One-day HIPAA events in each of our states 
• Employer Conference

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CMS Informational Papers

• HIPAA 101
• Are you a covered entity?
• Key HIPAA dates and tips for getting ready
• What electronic transactions and code sets are
  standardized under HIPAA?
• Is your software vendor or billing service ready
  for HIPAA?

• 6. What to expect from your health plans
• 7. What you need to know about testing
• 8. Trading Partner Agreements
• 9. Final steps for compliance with Electronic
  Transactions and Code Sets
• 10. Enforcement

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Where to Get Help!

• Look to state associations or specialty
  organizations for information specific to your
  needs.
• CMS www.cms.hhs.gov/hipaa/hipaa2
• HHS http//aspe.hhs.gov/admnsimp/
• OCR www.hhs.gov/ocr/hipaa
• SHARP www.sharpworkgroup.com
• WEDI/SNIP www.wedi.org/snip/

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CMS Hotline [phone]AskHIPAA_at_cms.hhs.gov
For any HIPAA Privacy QuestionOCR Hotline
866.627.7748