May 2004 News Archives
May
28, 2004 Less Than Half of Self-Insured Organizations Addressing
HIPAA Security Only about 40 percent of self-insured organizations
have begun to work toward the security requirements mandated by
HIPAA, according to META Group, Inc. These observations are based
on META Group's change management work with insurance organizations
and employers. "Many of these companies, particularly those with
less than $1 billion in annual revenues, have only recently become
aware that the HIPAA requirements apply to them, and less than half
of them have begun the first or second phase of compliance efforts,
including risk assessment and gap analysis," said Paul Proctor,
vice president with Security & Risk Strategies at META Group.
META Group is conducting an online HIPAA security readiness survey;
to participate, visit http://www.metagroup.com/mgsurveys/hipaareadiness_0404.htm.
May
20, 2004 HHS Creates Task Force to Promote Medical Technology
Innovation Department of Health and Human Services (HHS) Secretary
Tommy Thompson recently announced that the department is forming
an internal task force to examine and promote innovation in healthcare.
The task force will issue a report this year on steps that can be
taken across the department to speed the development and availability
of new medical technologies. "Often, a new technology must
clear several hurdles in different parts of HHS before it can reach
consumers," Sec. Thompson said. "By better coordinating
this process across HHS, we can streamline the way we do business
and make safe, effective medical technologies more quickly and readily
available... ." To assist the task force's efforts, HHS is
seeking comments from the public on how to stimulate innovation
in medical technologies.
Read more.
May
19, 2004 HHS Answers Privacy Questions, Soon to Issue Security
Guidance Richard M.Campanelli, Office for Civil Rights (OCR)
Director, sent a letter May 17 to healthcare providers this week
encouraging them to visit OCR's website and take advantage of "the
wide variety of helpful guidance and technical assistance materials
the Department of Health and Human Services (HHS) has published
and made available." The letter tells where guidance can be
found on the site regarding aspects of the Privacy Rule, such as:
- HIPAA does not require patients to sign consent forms before
doctors, hospitals, or ambulances can share information for treatment
purposes.
- HIPAA does not require providers to eliminate all incidental
disclosures.
- HIPAA does not cut off all communications between providers
and the families and friends of patients.
- HIPAA does not stop calls or visits to hospitals by family,
friends, clergy or anyone else.
- HIPAA does not prevent child abuse reporting.
- HIPAA is not anti-electronic.
Stanley Nachimson, senior adviser for the Office of HIPAA Standards
in the Centers for Medicare and Medicaid Services (CMS), told providers
and payers that same day they should be well into their security
compliance efforts, reports Health Data Management. Speaking May
17 at the Workgroup for Electronic Data Interchange's (WEDI) Annual
National Conference, Nachimson emphasized to attendees that the
Security Rule requires covered entities to protect against 'reasonably'
anticipated threats to security. "We do not expect covered
entities to protect against every possible security breach,"
said Nachimson. We do not expect covered entities to double their
information technology budgets just to meet the security rule."
Nachimson also announced that CMS will soon post on its HIPAA website
guidance to help small providers implement the security rule.
Read
OCR's Privacy Guidance letter
(PDF). 
May
18, 2004 NCVHS to Study Electronic Prescribing Issues
The Subcommittee on Standards and Security of the National Committee
on Vital and Health Statistics (NCVHS), an advisory body to the
Department of Health and Human Services, will hold public hearings
May 25-27 in Washington, DC. The main focus of the hearings will
be on e-prescribing: standards, practices, and incentives and barriers
to adoption.
The first day will include findings from a recent RAND study on
e-prescribing, an overview of patient safety issues, perspectives
from the two major e-prescribing networks, and presentations from
several major implementation initiatives.
The second day will include discussions on e-prescribing from the
perspective of software vendors and knowledge base vendors. Time
will be devoted later in the afternoon to follow up on issues related
to the DSMO request on transaction standards for billing of supplies
by retail pharmacies, which had been discussed at the March 31,
2004, hearing of the Subcommittee.
The morning of the third day will focus on the perspectives of
health care providers on e-prescribing. The afternoon will be devoted
to Subcommittee discussion and planning for future agendas.
More information.

May
14, 2004 Kennedy Introduces Electronic Health Records Bill
Sen. Edward Kennedy (D-MA) introduced a bill (S. 2421) yesterday
that would require healthcare providers to adopt electronic records
and claims processing by 2011 or have their reimbursements reduced,
reports iHealthBeat. The Health Care Quality Modernization, Cost
Reduction and Quality Improvement Act focuses on improving the healthcare
system through the use of information technology (IT), results-based
reimbursement, quality improvement, and disease prevention.
Read Sen. Kennedy's statement.
May
13, 2004 NIST Releases Draft HIPAA Security Resource Guide
The Computer Security Division of the National Institute of Standards
and Technology (NIST) has recently completed a draft of NIST Special
Publication 800-66, "An Introductory Resource Guide for Implementation
of the HIPAA Security Rule," for public comment. The guidance
is intended to assist in identifying available NIST guidance which
can provide useful reference material in addressing the HIPAA security
standards. In addition, for federal agencies subject to both the
Federal Information Security Management Act (FISMA) and HIPAA, it
provides a cross-mapping between the two sets of requirements to
assist agencies in not doing double work since the two sets of requirements
overlap. The draft is available on the CSRC Drafts Publications
page. NIST is requesting comments by July 15, 2004. Comments should
be addressed to sec-hipaa@nist.gov.
Read
NIST's Draft "Introductory Resource Guide for Implementation
of the HIPAA Security Rule" (PDF). ![external link [external link]](../../../images/extlink.gif)
May
13, 2004 Two-Week Payment Penalty Threatens as Claims Deadline
Looms Tens of thousands of doctors will soon see their Medicare
payments postponed for two weeks if they don't begin meeting HIPAA
transactions and code sets standards, reports American Medical News.
The American Medical Association (AMA) is advising physicians to
contact their software vendors and clearinghouses to check whether
those firms are submitting electronic claims that conform to the
rules. In a recent communication, the Centers for Medicare &
Medicaid Services (CMS) recommends physicians put pressure on their
vendors to get compliant or consider switching to a new company.
Beginning July 1, anything received in legacy format will be treated
like paper claims and reimbursed in no sooner than 28 days. HIPAA-compliant
electronic claims, however, are reimbursed after 14 days. As of
mid-April, nearly 80% of electronic claims sent to Medicare were
received in HIPAA-standard format, leaving the remaining 20% of
electronic claims to be hit by the slowdown.
Read
more. ![external link [external link]](../../../images/extlink.gif)
May
12, 2004 URAC Report Sets HIPAA Security Timetable A
new report from URAC, a Washington, DC-based accreditation firm,
contends most covered entities are not yet compliant with the security
rule, according to Health Data Management. The report identifies
major areas of concern, including risk analysis and management,
and security incident reporting and response. The report lays out
a timetable of tasks covered entities should perform between now
and the security rule deadline of April 21, 2005.
Read
more. ![external link [external link]](../../../images/extlink.gif)
May
6, 2004 Health Information Technology Legislation to Be Unveiled
This Summer Sen. Judd Gregg, Chairman of the Senate Committee
on Health, Education, Labor and Pensions (HELP), announced he will
introduce legislation promoting use of health information technology
(HIT). The proposal will closely track ideas outlined last week
by President Bush. Gregg plans to introduce a bipartisan bill in
the coming month for HELP Committee consideration with provisions
to develop standard terminology through the leadership of a single
IT coordinator and provide resources for high-need communities,
and rural and underserved areas to help all Americans gain access
to IT.
Read more.
May
6, 2004 Sec. Thompson Announces HIT Coordinator & Development
Milestones Department of Health and Human Services (HHS) Secretary
Tommy G. Thompson today announced the appointment of David J. Brailer,
M.D., Ph.D., to serve as National Health Information Technology
(HIT) Coordinator. This is a new position at HHS, created by President
Bush last week to coordinate the nation's HIT efforts. Secretary
Thompson announced the appointment at a Secretarial Summit on health
information technology (IT) convened in Washington today. At the
summit, Secretary Thompson also announced several new accomplishments
in developing standards to help bring about electronic medical records
and other health IT benefits:
-
HHS and other federal agencies will adopt 15 additional standards
agreed to by the Consolidated Health Informatics (CHI) initiative
to allow for the electronic exchange of clinical health information
across the federal government.
-
HHS also announced that, starting today, the medical vocabulary
known as SNOMED CT can be downloaded for free for use in the
United States through HHS' National Library of Medicine.
-
Health Level 7 (HL7) today is announcing a favorable vote on
a functional model and standards for the electronic health record.
Read more.
May
3, 2004 16th National HIPAA Roundtable Scheduled for May
12 The Centers for Medicare & Medicaid Services (CMS) announced
today that it will be hosting the Sixteenth National HIPAA Implementation
Roundtable Wednesday, May 12, from 2:00 to 3:30 PM Eastern Time.
The call-in number is 1-877-203-0044 and the conference ID number
is 6858845. No registration is required.
CMS also announced the addition of new answers to the Frequently
Asked Questions section of its site. Answers are provided for the
following questions:
- When a health plan makes a capitation payment to a provider,
what transaction is required?
- Can a health plan require its enrolled health care providers
who are not covered entities to obtain and use NPIs?
- Can a health plan require that a provider use NPIs after the
effective date, but prior to the compliance date?
Read
transcripts of past Roundtables. ![external link [external link]](../../../images/extlink.gif)
Read
CMS' FAQ. ![external link [external link]](../../../images/extlink.gif)
May
3, 2004 Pets' Privacy Protected at Their Own Hospitals
Officials with the University of Georgia's College of Veterinary
Medicine say the same confidentiality rules that apply to human
patients apply to animal patients, reports the Associated Press.
As HIPAA has tightened policies at human
hospitals, some say they've seen vets hold back more information
about animal patients even through HIPAA does not apply to animals.
The American Animal Hospital Association
introduced new accreditation standards last year requiring policies
and procedures that protect the privacy of animals treated by its
3,000 members in the US and Canada.
Read
more.
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