News & Analysis

March 1, 2015
Case Management Monthly

The good news is that the rate of 30-day readmissions is going down in hospitals across the nation, according to a CMS report. The bad news is that fines are going up. CMS also added some new conditions to its readmission prevention list for 2015.

March 1, 2015
Briefings on HIPAA

Tips from this month's issue.

March 1, 2015
Briefings on HIPAA

A business case for resourcing a compliance assurance program for privacy and security should be possible solely on the basis of the need to respond to complaints made directly to a covered entity (CE) (or business associate (BA) acting as an agent of a CE). However, despite stepped-up enforcement and periodic audits required by HITECH, industry experts still anticipate that a more proactive process for compliance may not be taken until an untoward event occurs. Consequently, other avenues for substantiating the importance of privacy and security measures are necessary and readily available. Information privacy and security officials may find it necessary to go beyond information about HIPAA Privacy and Security Rule enforcement in making the business case. Monitoring the general security industry and relating those risks to healthcare privacy and security are important when doing so. Consider the following:

March 1, 2015
Briefings on HIPAA

Q: How should an organization handle patient requests to withhold PHI from the patient's insurance company?

March 1, 2015
HIM Briefings

Q: I work in long-term care and I am familiar with the language in HIPAA regulations regarding requests for electronic copies of medical records for a reasonable fee according to community standards. However, my company does not maintain its medical records in electronic form, nor do we presently have the capability of converting our paper records into electronic format. Our state legislature addressed the issue of "reasonable charges and community standards" by state statute in 2006 by providing a formula for every medical provider to follow state-wide for copy charges regarding paper copies.

March 1, 2015
Briefings on HIPAA

The healthcare industry is continuously evolving, and health information technology (HIT) is changing with it. Organizations should take advantage of the technology available to improve healthcare operations but must be aware of the risks that HIT can present.

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