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GBA
Health Network Systems, as one of the most successful privately
held medical software companies in the United States, was early
to recognize both the benefits and the impact of the Health Insurance
Portability and Accountability Act of 1996 (HIPAA) on the healthcare
marketplace and, in particular, on its software customers.
GBA has taken the following steps as part of its Compliance Plan
to prepare for the HIPAA requirements:
Customer Information
- In mid-2001, a GBA staff member was assigned to monitor HIPAA
news and to prepare our customers for their future challenges
as the regulations moved towards enforceable law. The text of
the act (well over 1,000 pages) was reviewed and summarized into
a 39-page whitepaper document that included information specific
to GBA’s customer base. The document was distributed via
the mail and the GBA website. The GBA employee was available to
answer HIPAA questions when customers called the company.
- The GBA customer newsletter devoted much of its news space
in numerous issues to HIPAA updates and guidance.
- Software customers received a HIPAA action letter advising
them of the steps needed to reach HIPAA readiness. The letter
and the GBA Business Associate Agreement document were provided
for the customer’s compliance records.
- In April of 2004, PMS Gold software customers were sent the
first letter about the HIPAA 2005 Security Rule with an April
21, 2005 deadline.
- In March of 2005, GBA customers were sent letters about the
approaching deadline and an 18-page document describing the major
phases of HIPAA in general and the April 2005 Security Rule in
particular.
Privacy and Security
- All GBA employees are required to take HIPAA training on patient
privacy, confidentiality, and medical office conduct and to sign
statements that they understand and agree to abide by the guidelines.
- Shredding policies were created and machines have been placed
throughout the building.
- Policies have been developed regarding system safeguards, equipment
use and maintenance, and media control.
- A Clean Desk policy has been established whereby no paperwork
with Protected Health Information (PHI) would be left visible
to others.
- Continuous reviews of services to insure proper privacy and
security measures are taken and followed by all employees.
- As a designated Business Associate, GBA has contract assurances
in place with its Covered Entities.
- A privacy officer has been appointed to develop policies and
procedures designed to protect PHI, handle all complaints related
to the proper use and disclosure of PHI, and for training the
workforce in all matters relative to HIPAA.
- A security official has been appointed to develop policies
and procedures designed to protect the security of PHI within
the organization and for providing staff with information concerning
security protection.
Software and Service Applications
GBA’s software product called PMS Gold was updated to a
HIPAA-ready version (v8.30) including the ANSIx12 4010A for electronic
data interchange (EDI) transactions.
ANSIx12 implementation guides are being used for the development
of GBA’s new practice management software. The product –
called MEDfx – was built with HIPAA regulations
in mind – not retrofitted to accommodate the federally mandated
changes.
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HIPAA Resources
GBA
HIPAA 2005 Security Rule Resources - Deadline April 21, 2005
Letter
to PMS Gold Customers-3/11/05
PMS
Gold HIPAA 2005 v8.35 FAQs
PMS
Gold HIPAA 2005 Return Fax Sheet
Letter
to MEDfx Customers-3/11/05
HIPAA
2005 Security Rule - The 54 Steps to Compliance
The above documents were created by GBA for distribution to its
customers. It requires Acrobat Reader. To download Acrobat Reader,
click
here.
HIPAA Legislation and General Information
CMS
Centers for Medicare and Medicaid Services (formerly HCFA)
American
Medical Association
Strategic National
Implementation Process
DHHS
Department of Health and Human Services, Administrative Simplification
Page
HIPAAdvisory
Washington Publishing
Company
Distributor of Documentation
OCR
Office for Civil Rights – News and documents, Right to Privacy
Act Information
National Institutes
of Health
Health information, grants and funding opportunities, news and events,
scientific resources, institutes, centers and offices.
Healthcare Administration and General Medical
Office Information
AHIMA
American Health Information Management Association – Coding
certification, continuing education, catalog of tools for health
information professionals, events, associations, links
Medicode
Coding books, coding software, tips, news, links
Ingenix
News, publications, pharmaceutical services, consulting and advisory
services
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