Hipaa Plain Simple

HIPAA Plain and Simple demystifies the complex HIPAA regulations for those in the medical office who have direct patient contact or are responsible for safeguarding patient information. It is written by HIPAA authorities in plain language so that everyone in the office, from new employees to the receptionist to the physician's management team, will understand what it means to be HIPAA compliant -- and how to achieve compliance. Features include a description and analysis of HIPAA components, including the final security rule; charts, graphs and timelines; at-a-glance lists; easy to understand procedures; scenarios for discussion; a month by month HIPAA training program; and an internal and external HIPAA communications plan.

A compendium of revised statutes, regulations, and other information related to Hipaa privacy, security, transactions, code sets, and meaningful use, as well as observations on electronic medical records and patient communications.

While the vast majority of providers never intend to commit fraud or file false claims, complex procedures, changing regulations, and evolving technology make it nearly impossible to avoid billing errors. For example, if you play by HIPAA’s rules, a physician is a provider; however, Medicare requires that the same physician must be referred to as a supplier. Even more troubling is the need to alter claims to meet specific requirements that may conflict with national standards. Far from being a benign issue, differing guidelines can lead to false claims with financial and even criminal implications. Compliance for Coding, Billing & Reimbursement, Second Edition: A Systematic Approach to Developing a Comprehensive Program provides an organized way to deal with the complex coding, billing, and reimbursement (CBR) processes that seem to force providers to choose between being paid and being compliant. Fully revised to account for recent changes and evolving terminology, this unique and accessible resource covers statutorily based programs and contract-based relationships, as well as ways to efficiently handle those situations that do not involve formal relationships. Based on 25 years of direct client consultation and drawing on teaching techniques developed in highly successful workshops, Duane Abbey offers a logical approach to CBR compliance. Designed to facilitate efficient reimbursements that don’t run afoul of laws and regulations, this resource – Addresses the seven key elements promulgated by the OIG for any compliance program Discusses numerous types of compliance issues for all type of healthcare providers Offers access to online resources that provide continually updated information Cuts through the morass of terminology and acronyms with a comprehensive glossary Includes a CD-ROM packed with regulations and information In addition to offering salient information illustrated by case studies, Dr, Abbey provides healthcare providers and administrators, as well as consultants and attorneys, with the mindset and attitude required to meet this very real challenge with savvy, humor, and perseverance.

With AMA's HIPAA Plain & Simple: After the Final Rule, you'll understand the complex regulation of HIPAA and HITECH so your office can take immediate action and achieve HIPAA compliance sooner. The stronger HIPAA privacy and security safeguards and better protection for electronic health data included in the final rule means that you need an accessible, easy-to-understand guide to all of the details surrounding this important change. This third edition expands upon the topics of enforcement, the accounting of disclosures, and contracts with and disclosures to business associates, while providing new content on migrating to operating rules and meaningful use.

HIPAA Overview

The Third Edition of this widely used text provides manual therapists with much-needed guidance on taking client histories, setting functional goals, communicating with health care and legal professionals, documenting outcomes, and billing insurance companies. This edition includes crucial information on HIPAA regulations, new and updated blank forms, and lists of codes for self-referred patients and for insurance verification forms. Reader-friendly features include sidebars, case studies, chapter summaries, and useful appendices. A front-of-book CD-ROM includes the blank forms for use in practice, a quick-reference abbreviation list, and a quiz tool to review key concepts. Faculty ancillaries are available upon adoption.

"This book is for nurses, billing and insurance specialists, business associates, Physicians and office managers. A resource for help understanding risk analysis, security implementation process, HIPAA and HITECH strategies"--Provided by publisher.