HIPAA > HIPAA
Proof for HIPAA
Pay_My_Claims:
--- Quote from: annaevans on June 27, 2010, 02:30:22 AM ---I know this question was started in April however, I did find some interesting resource that might help the original person about demonstrating HIPAA compliance for her home based business. Now I have not looked at the actual manual but American Medical Billing Association (AMBA)has a manual for members not sure about non members for $69.00 with sample. Try this URL for a direct link to it www.ambanet.net/compl_manual.htm Not sure if this is what your looking for but maybe it could be of some use in your journey. Thanks, Anna Evans
--- End quote ---
Its not sold to non-members, and you can obtain a lot of that same information from the OIG website.
PMRNC:
Here is MY opinion on samples downloaded on the internet.. They are just A GUIDE. I've seen too many billing companies get burned because they downloaded some simple 3 page contract and thought that was all they needed. NOT true. My contract went from 4 pages to 13.. I will challenge anyone with a contract with less than 5 pages.. I will find a ton of loopholes. ..yes that's a challenge, bring it on. It is why I don't give out samples like that because in my opinion it is IRRESPONSIBLE for anyone to send these through email or put out to download. First of all a compliance manual is UNIQUE to your business, in addition to adhering to federal guidelines, there are state guidelines and there are guidelines you need that are specific to the running of YOUR company. How can you download a sample compliance plan, put in your name and stick it on a shelf? It's ridiculous actually! It's irresponsible, nevermind you just paid for information given to you for free and MEANT for you to modify it.. PLUS you have to adhere to those guidelines. Putting it on paper is the easy part.. ADHERING and following that compliance plan is imperative!! Do you know how many times a biller might ask about a provider who wants to know if he can waive a copay, or do other things.. the first place a biller has to look BEFORE asking this question is the compliance plan of the provider, the policies procedures, the financial policies of the practice they are working for.. YOUR answers are there..that's what they are there for. If your provider doesn't have one.. wow..get on them about it.. get them compliant. 90% of questions I see should never be posted because the answers are within the compliance guides or the policies and procedures. A billing company should have one of each. It's your guideline, it's where you go to find out if your doing something wrong, it's your guideline to figuring out what to do when there is a problem.
DO NOT RELY ON downloaded contracts, samples of compliance plans. Please don't. I'm telling you this to save you a lot of trouble!
blhoffman:
I'm glad you posted this information PMRNC. Everyone here had really good information on contracts and compliance plans. All things I keep making note of in my very big book of things to do and know. ;D
The poster asked about HIPAA certification which is something ENTIRELY different then contracts and compliance plans. It is certification that you are aware of the HIPAA Law. To the poster, I have gone through HIPAA training over 10 times. I have a link to the a certification class that is basically the same as all the other's I have taken over the years, at companies I have worked for, and hope it is helpful.
Keep the passion flowing everyone ;D
PMRNC:
HIPAA yes is a separate thing, however HIPAA should be included in the "compliance plan" But again, downloading samples and guides is not enough, My compliance plan is in a large 5'' binder and HIPAA is in there in it's own section, if I were to have downloaded it and set it on my shelf would have been useful. I think you actually LEARN more and BECOME HIPAA compliant by doing your own so that you know what is in there is how it is in your business.
oneround:
We implement P&P's and HIPAA into our overall compliance plan and training even though we include all we still place even emphesis on all sections because each and all are equal. Not only do we train that an effective compliance plan reinforces an employees' sense of right and wrong but also demonstrates a companies commitment to honestly and integerity. I always advise my peers that as with any risk downloading material has its pros and cons and if you decide to alter any material to your advantage make sure to have your legal counsel review and approve before implementing. If looking for compliance guidance I like constantly reviewing the OIG website because in all OIG program guidances, the first of all its elements calls for 'The development and distribution of written standards of conduct and well as written P&P's that promote committment to compliance'. Now with that said and done does this make you compliant? No! Does having a library in ones house make them a scholar? No! You must be able to practivce what you preach, be committed, maintain resources and continue, continue,continue, continue and KEEP continuing your compliance education and training. Remember, the worst thing about not having a compliance program is having a compliance program and not following it.
For compliance education and insite I recommend the book compliance 101 as well as popping in every now and then on the HCCA Compliance fourm
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