The HIPAA Security Rule requires implementing risk management tools and techniques to adequately and effectively safeguard ePHI. Risk analysis and management provides the foundation for an organization's Security Rule compliance efforts, and reinforces its strategy to protect the confidentiality, integrity, and availability of vital information.
To fully understand where your organization's risks lie, you not only need to have a firm grasp on risk analysis and assessment processes, you need to define these processes as well.
The hospital/health system revenue cycle has a significant role in hospital billing compliance. The billing department is the final gatekeeper for compliance, as it is the final area to touch a bill before it is sent to Medicare. Therefore, it is essential that billing staff understand key compliance risk areas.
CMS' 2014 IPPS final rule redefined inpatient admissions when it implemented the 2-midnight rule, which requires a validated physician order, documentation of medical necessity, and the expectation of a stay crossing two or more midnights.
You hear it over and over again. Covered Entity (CE) A failed to produce an ongoing risk assessment for HIPAA security compliance. CE B had an incomplete risk analysis, leading to a failure to recognize security weaknesses and vulnerabilities. And in come the fines.
