Are you a health care professional or considering a career in the health care industry? Do you provide products or services to a health care organization? If the answer to either of these questions is yes, then it's mandatory that you understand the compliance requirements of HIPAA, and subsequent rules and laws (through March 31, 2014) that affect HIPAA, includingARRA/HITECH, the Affordable Care Act (ACA), Administrative Simplification Compliance Act (ASCA), the Patient Safety and Quality Improvement Act (PSQIA), and the OMNIBUS rules. These laws require all health care professionals to take careful steps to protect protected health information (PHI). But what exactly do all these regulations require?
In this course, we'll demystify the compliance process. We'll focus specifically on the Administrative Simplification portion of HIPAA, starting by defining the lingo of HIPAA, ARRA/HITECH, ASCA, ACA, and the OMNIBUS rules. While we're at it, we'll identify all the important players.
Next, we'll zero in on the Administrative Simplification rules of HIPAA, starting with transactions, code sets, and identifiers, which are all key elements in the HIPAA-mandated electronic health care transmissions.
We'll use real-world examples to help explain the Privacy Rule, which governs patient rights and disclosure of protected health information (PHI), We'll explain what's meant by covered entities (CE), business associates (BA), and many other relationships within the health care industry impacted by HIPAA.
Since computers are an integral part of health care these days, we'll see how they fit into the Security Rule. We'll also examine administrative safeguards, physical safeguards, technical safeguards, and policy and procedure creation—all of which are crucial components of the Security Rule.
Last, but not least, we'll focus on the Office for Civil Rights (OCR), HIPAA's watchdog organization, and learn about the civil and criminal penalties for non-compliance.
By the time you finish this course, you'll be confident and capable of implementing HIPAA's Administrative Simplification rules, and the laws impacting it, in your own organization. If you're just starting your career in the health care field, you'll have a priceless addition to your resume.
Course Revised August 2014
About The Instructor
Carline Dalgleish has worked in healthcare administration and education for more than 30 years, starting as a file clerk in the Army/Air Force American Hospital in Nuremberg, Germany on a work-study program. She began her career on the clinical side of healthcare as a licensed vocational nurse (LVN) and emergency medical technician (EMT), but she soon gravitated toward the administrative medical management side—specializing in medical billing and coding, health information management, and HIPAA. She has two bachelor's degrees and a master's degree and is a registered health information administrator (RHIA). She is an AHIMA-approved ICD-10-CM/PCS trainer and the author of several comprehensive ICD-10 training textbooks. She has taught a variety of healthcare administration courses and owns an education services company.