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HIPAA Links
HIPAA Law
Health
Insurance Portability and Accountability Act of 1996 (HIPAA)
Public Law 104-191
HIPAA Law amends the Internal Revenue Code of 1986 to improve
portability and continuity of health insurance coverage in the group and
individual markets, to combat waste, fraud and abuse in health insurance
and health care delivery, to promote the use of medical savings accounts,
to improve access to long-term care services and coverage, to simplify
the administration of health insurance, administrative simplification,
and for other purposes.
HIPAA
Title II, Subtitle F, Administrative Simplification
Administrative Simplification provisions are being implemented by the
State of Ohio agencies impacted by its provisions. Administrative Simplification
requires that health plans, health care clearinghouses use certain standard
transaction formats and code sets for the electronic transmission of health
information. Health care providers that transmit any health information
in electronic form in connection with a transaction covered in the rules
are also required to use the standard transactions and codes sets for
the electronic transmission of health information. In addition, it establishes
standards for the protection and security of individually identifiable
health information, and provides penalties for its wrongful disclosure.
The purpose of this Subtitle is to enhance health care insurance and delivery
systems by making them more efficient, simpler, and less costly.
Administrative
Simplification Compliance Act (ASCA)
Public Law 107-105
ASCA allows the implementation date of the Transaction and
Code Sets Rule to be extended from October 16, 2002 to October 16, 2003.
ASCA requires that covered entities that wish to request an extension
until October 16, 2003, submit a compliance plan to the Secretary of the
federal DHHS by October 16, 2002. The plan must include a budget, schedule,
work plan, and implementation strategy for achieving compliance. The Act's
provisions do not affect the implementation date of October 16, 2003 for
small health plans or the Privacy Rule's compliance date of April 14,
2003. (Small health plans are required to implement the Privacy Rule by
April 14, 2004.)
Transactions and Code Sets Rule and Related
Links
Final
Transactions and Code Sets Rule
This rule adopts standards and code sets under HIPAA for electronic transactions.
It also contains requirements concerning the use of these standards by
health plans, health care clearinghouses, and health care providers.
Accredited Standards
Committee (ASC X12)
ASC X12 develops and maintains standards for inter-industry electronic
interchange of business transactions.
American Dental Association
(ADA)
This site is a resource to order the Current Dental Terminology 3rd Edition
codes (CDT-3, HCPCS Level II "D" codes) , and for the Dental
Content Committee (DeCC) that sets standards for the dental claim form
and maintains dental codes.
American Medical
Association (AMA)
This site is a resource for the Current Procedural Terminology 4th Edition
codes (CPT-4). The AMA copyrights the CPT codes.
Designated
Standard Maintenance Organizations (DSMO)
This site is a resource for information about the standard setting organizations,
and transaction change request system.
Health
Care Common Procedure Coding System I
This federal site contains the alpha-numeric Health Care Procedure Coding
System (HCPCS).
Health
Care Common Procedure Coding System II
This site contains information related to the Healthcare Common Procedure
Coding System (HCPCS).
Health
Care Financing Administration (HCFA) Place of Service Codes
This site is a resource for place of service codes for professional claims.
Health Level Seven
(HL7)
Health Level Seven is one of several ANSI accredited Standards Development
Organizations (SDO), and is responsible for clinical and administrative
data standards.
National Council
of Prescription Drug Programs (NCPDP)
The NCPDP is the standards and codes development organization for pharmacy.
National
Drug Code Directory (NCD)
This site is a resource for the National Drug Code Directory.
National Uniform
Billing Committee (NUBC)
NUCB is affiliated with the American Hospital Association, and develops
standards for institutional claims.
Public
Health Data Standards Consortium (PHDSC)
PHDSC is a part of the CDC's National Center for Health Statistics, and
represents Public Health interests.
Washington
Publishing Company (WPC)
WPC is a resource for HIPAA required transaction implementation guides
and code sets.
Privacy Rule
Final
Privacy Rule
This rule adopts standards under HIPAA that protect personal health information.
Final Modifications
to the Privacy Rule
This rule modifies the Final Privacy Rule to correct unintended consequences
that threatened patients' access to quality health care.
Office
for Civil Rights (OCR)
OCR is the Health and Human Services Office responsible for enforcing
the Privacy Rule under HIPAA.
Guidance to Standards
Security Rule
Final
Security Rule
This rule adopts standards under HIPAA that secures personal health information.
Compliance Deadlines
HIPAA Administrative Simplification Compliance Deadlines
This site is a sponsored by the Centers for Medicare and Medicaid Services.
Other HIPAA Links
Agency
for Health Care Policy and Research (AHCPR)
AHCPR is a resource for the current activities of selected healthcare
informatics standards organizations.
Association for
Electronic Health Care Transactions (AFEHCT)
A healthcare association dedicated to the use of EDI.
Centers
for Medicare and Medicaid Services (CMS)
This federal site provides various information regarding HIPAA implementation.
HIPAA Gives
A web site provides HIPAA information exchange among states and links
to states' HIPAA web sites.
National Institute
of Health (NIH)
A Listserv to receive e-mail notification on the publication of documents
related to HIPAA regulations.
NHVSHIP
The New Hampshire and Vermont Strategic HIPAA Implementation Plan is a
regional affiliate of the Strategic National Implementation Program (SNIP).
O.H.I.O. for
EDI
The Ohio HIPAA Implementation Organization for EDI is a regional affiliate
of the Strategic National Implementation Program (SNIP).
Private
Sector Technology Group (PS-TG)
An advisory panel to CMS (formerly HCFA) MMIS & HIPAA: A white paper
that gives an overview of architectural differences in Medicaid Management
Information Systems (MMIS) systems and approaches to HIPAA compliance.
Strategic National
Implementation Process (SNIP)
Affiliated with WEDI, SNIP developed a national process for complying
with the administrative simplification provisions of HIPAA.
The National
Committee on Vital and Health Statistics (NCVHS)
This committee serves as the public advisory board to the Secretary of
Health and Human Services in the area of health data and statistics.
U.S. Department
of Health and Human Services (DHHS) Administrative Simplification
This site is a resource for the NPRMS, rules and other information regarding
HIPAA.
Workgroup for Electronic
Data Interchange (WEDI)
A workgroup dedicated to improving healthcare through electronic commerce.
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