Physicians Referral Criteria





 

 

TBA

 

 
 

   HIPAA in

 
 

Definition: HIPAA

HIPAA, which stands for the American Health Insurance Portability and Accountability Act of 1996, is a set of rules to be followed by doctors, hospitals and other health care providers. HIPAA took effect on April 14, 2006. HIPAA helps ensure that all medical records, medical billing, and patient accounts meet certain consistent standards with regard to documentation, handling and privacy.

In addition, HIPAA requires that all patients be able access their own medical records, correct errors or omissions, and be informed how personal information is shared used. Other provisions involve notification of privacy procedures to the patient. HIPAA provisions that have led in many cases to extensive overhauling with regard to medical records and billing systems.

However, it can be frustrating wading through online information on HIPAA. This website can help you become more educated about this important subject. In this way, you can be better informed when contacting HIPAA consultants. 

What are the main objectives of HIPAA?

1. Accountability. HIPAA hopefully will reduce waste, fraud, and abuse. New penalties will be imposed.

2. Insurance Reform. HIPAA offers continuity and portability of health insurance, as well as providing limits on pre-existing provisions.

3. Administrative simplification. HIPAA mandates standards on electronic data transactions in a confidential and secure manner.

What are the HIPPA compliance deadlines?
1. Privacy Rule:   April 14, 2006
2. Transactions & Code Set Rule:  October 16, 2006
3. Security Rule:  April 21, 2006

(Note: The deadline dates are one year later for small businesses)

Who must comply with HIPAA?

 
Any healthcare provider that electronically stores, processes or transmits medical records, medical claims, remittances, or certifications must comply with HIPAA regulations. HIPAA does not require a practice to purchase a computer-based system as it applies only to electronic medical transactions.
 

What is the difference between HIPAA-ready and HIPPA-compliant?
 

HIPAA-ready typically refers to software products used by healthcare providers, insurance companies and clearing houses that comply with HIPAA guidelines. HIPAA-compliant refers to the doctors, hospitals and insurance companies themselves that are in compliance with HIPAA regulations.
 

Does HIPAA specify how compliance is to be achieved?

No. HIPAA regulations give health-care organizations the decision to decide how they will implement HIPAA compliance, and are technology and software-neutral.
 
What are the penalties for HIPAA non-compliance?
 
Fines up to $25,000 for multiple violations, $250,000 or imprisonment up to 10 years for knowing abuse or misuse of individually-identifiable health information.
 
 
About usServicesTerm to useProductsHIPPA

© 2006 RTN Solutions, Inc. All rights reserved. 
Website Designed By Real Time Networking

Contact e-mail
sales@realtimenetworking.com