The Health Insurance Portability and Accountability Act (HIPAA) of 1996 prompted new Federal regulations require physicians to ensure they are protecting the privacy and security of patients medical information and using a standard format when submitting electronic transactions, such as submitting claims to payers.
Payers who conduct business electronically need to be aware of two significant changes concerning standard transactions and code sets. On January 16, 2009, the Department of Health and Human Services (HHS) announced two new compliance deadlines. First, the new version of HIPAA standards known as 5010 will become effective on January 1, 2012. Second, ICD-10 codes will replace ICD-9 diagnosis codes for use in outpatient and inpatient settings and will replace ICD-9 procedure codes for inpatient settings beginning October 1, 2013. CPT codes will remain the codes used by physicians for reporting procedures in outpatient settings.
Below many helpful documents and tools to assist physicians to understand and comply with the different policies and laws of HIPAA, including sample forms and documents..
3 Useful HIPAA Law & HIPAA Regulation Resources
A collection of resources to help with the understaning of HIPAA Law and its policies.
Confidentiality has been Breached?
It is important to document all conversations with your health care provider about your breach of privacy. Also, if you have any paper documentation that relates to the concern, you will want to hold on to those. Contact your state insurance commissioner to report fraud from private insurance organizations or call 1-800-HHS-TIPS to report fraud and abuse in Medicare and Medicaid programs.
Free HIPAA Books
This is a collection of Free HIPAA books to help you with your initiatives and understanding of the HIPAA Act.
How to HIPAA (PDF)
With the October deadline approaching, the AMA is offering physicians these tips, which are thoroughly explained in the free booklet How to HIPAA
HIPAA Act Law
The Health Insurance Portability and Accountability Act (HIPAA) of 1996, this resource contains the full documentation of the HIPAA law.
OUWB: Privacy Essentials for the Physician’s Office Web site Forms and Documents
OUWB designs, develops, and delivers learning experiences for professional working people and other adult learners. Working with the vast educational resources of Ohio University and with other partner organizations, we provide graduate degree programs, certificate programs, and learning communities in a wide variety of disciplines.
National Institutes of Health
The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule is the first comprehensive Federal protection for the privacy of personal health information. Research organizations and researchers may or may not be covered by the HIPAA Privacy Rule. This website provides information on the Privacy Rule for the research community.
U.S. Department of Health & Human Services
– Office for Civil Rights
Federal civil rights laws and the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, together protect your fundamental rights of nondiscrimination and health information privacy. Civil Rights help to protect you from unfair treatment or discrimination, because of your race, color, national origin, disability, age, sex (gender), or religion. The Privacy Rule protects the privacy of your health information; it says who can look at and receive your health information, and also gives you specific rights over that information. In addition, the Patient Safety Act and Rule establish a voluntary reporting system to enhance the data available to assess and resolve patient safety and health care quality issues and provides confidentiality protections for patient safety concerns.