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Since limited-coverage plans are exempt from HIPAA requirements, the odd case exists in which the applicant to a general group health plan cannot obtain certificates of creditable continuous coverage for independent limited-scope plans, such as dental to apply towards exclusion periods of the new plan that does include those coverages.
As outlined in the federal regulation, The Health Insurance Portability and Accountability Act of 1996 (HIPAA), covered providers must also share their NPI with other providers, health plans, clearinghouses, and any entity that may need it for billing purposes.
The American Health Information Management Association (AHIMA) is a professional association for health professionals involved in the health information management needed to deliver quality health care to the public.
Certified HIPAA Security Expert: CHSE: Intermediate level certification for covered entities and business associates employees who need to validate their HIPAA Security knowledge. This certification is mainly for IT staff, security consultants and Security compliance team members. Certified HIPAA Security Specialist: CHSS Certified in Medical ...
It offers dedicated programs targeting vendor certification, software certification, and compliance auditing. Health plans seek accreditation and measure performance through the administration and submission of the Healthcare Effectiveness Data and Information Set (HEDIS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey.
Due to the rapidly changing requirements by U.S. health insurance companies, several aspects of medical billing and medical office management have created the necessity for specialized training. Medical office personnel may obtain certification through various institutions who may provide a variety of specialized education and in some cases ...
The patient, however, according to HIPAA, has a right to view the originals, and to obtain copies under law. [ 26 ] The Health Information Technology for Economic and Clinical Health Act (HITECH) ( Pub. L. 111–5 (text) (PDF) ,§2.A.III & B.4) (a part of the 2009 stimulus package ) set meaningful use of interoperable EHR adoption in the health ...
HIPAA provides a federal minimum standard for medical privacy, sets standards for uses and disclosures of protected health information (PHI), and provides civil and criminal penalties for violations. Prior to HIPAA, only certain groups of people were protected under medical laws such as individuals with HIV or those who received Medicare aid. [41]
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