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I'm game. what you describe is about all I've gotten at my work as well.

doracpht wrote:Hi all-

When I ask about HIPAA, most of my coworkers have little or no

knowledge of the act or how it will impact their job. Our hospital

(approx 297 beds) has a compliance committee, but the only info I've

seen has been a hospital wide memo announcing the committee and a

very general description of HIPPA, and some " Shhhhh " posters in the

elevators reminding the staff about patient confidentiality.

I'd like to know how much you and your co-workers know about HIPAA

and what your facility is doing to train/educate staff before the

April 2003 compliance deadline?

I'd also like to know if you would be interested in a HIPAA tutorial

or perhaps even a chat session? There are a few techs who have been

researching this area, and I'm sure they would be happy to share

their knowledge.

Thanks for your time.

Dora

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  • 3 weeks later...

Dan,

Thanks for one of the most clear writings on HIPAA that I have seen, not to mention a small bit of good news.

D Freeman Mailing address: 2480 Liberty Street NE, Suite 180Salem, Oregon 97303ph 503 763-3528fax 503 763-3530cell 503 871-0715

HIPAA

Doc's:

I wanted to follow up on last pm's post. I know that the HIPAA law is confusing and that no one wishes to spend the time resources or money to add additional administrative paperwork to their clinics.

Some months ago I was made aware of HIPAA through Axis Healthcare and started reviewing and ascertaining how the law would affect us as providers. Subsequently I was appointed to the Medical Privacy Commission here in Oregon as well as Dr Tilden.

The law pertains to protection of Personal Health information, (PHI), and affects anyone in the health care field who electronically transmits PHI for treatment, payment or health care operations, (TPO). In talking with several attorney's, nationally and locally, an opinion that the fax transmission fell under the definition of a "covered entity" was given to me. That meant nearly all offices would be affected, as, whom among us has not faxed PHI for TPO?

The agency given the responsibility to ensure compliance to this law is the Dept of HHS with the additional judicial authority coming from the Office of Civil Rights. As Dr Saboe and the ACA have stated, HHS has taken the position that faxes are not a consideration in determination of a covered entity. Applause and kudos' to Dr Saboe and the ACA!

Unfortunately for those of us that have electronically billed we are a covered entity and will need to follow the compliance process.

The state of Oregon may become more stringent in regard to who is affected, ie a covered entity and a DRAFT that would have made all health care providers that have an examining board subject, was introduced to the committee yesterday. It did not appear to have support and will be re-worked.

I am not sure how this will all shake out. I have even heard arguments that a telephone could be considered an electronic transmission. Not that I agree with that position, but I see the reasoning behind the argument.

For those of you that have billed by electronic means I strongly suggest that you get up to speed on this law and pay attention to it. I would also recommend that everyone at least become somewhat familiar with this law as all aspects have not been finalized and I believe it would be in your best interest to do so.

The next meeting date of the commission is the 26th of SEP which I will not be attending thanks to Dr Feinberg.

I will attempt to re-connect with the civil attorney's and will post the opinion/s. I am also attempting to get the HHS opinion in writing as to this point it has been verbal.

Dr Beebe OregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed.

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Danno and fellow colleagues:

Just got back from the ACA's semi-annual HOD/BOG meeting in Kansas City, MO.

The supposed top HIPAA expert at HHS in Wash., DC had sent a reply to my question relative to this issue, she said the following:

"Dr. Saboe my sense is that medical information, chart notes, reports, physician to physician letters regarding a mutual patient etc., etc. is not an electronic submission. When we talk about HIPAA Administrative Simplification requirments, generally the term electornic submission means transmitting claims electronically to payers."

This may be all well and good but when this gal refers to "my sense is" it just doesn't give me a warm fuzzy feeling as per legal accuracy! However the latest seminar this weekend at the ACA meeting by a blue cross gal seem to confirm this. So I guess stay tuned?

Vern Saboe, DC.,DACAN.,FICC.,DABFP

ACA Delegate

HIPAA

Folks:

I asked the Oregon HHS attorney to provide specific language concerning the "covered entities" with regard to Fax transmission on Wed Am. Additionally I have had contact with two local "experts" and have e-mails into 3 National experts.

To this point the HHS attorney has not provided any response, which I find curious. The opinions of the local attorneys are conflicting and I have not recieved a response from the National people.

I will update you as information is received.

Dr B OregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed.

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  • 8 months later...
Guest guest

Dear Diane and others,

If anyone needs HIPAA information, go to the ACA or APA websites. They give you government links and advise on how to fill the compliance forms out. It makes it much easier, and it is free!

JoAnn

JoAnn Blumenthal, MS, MA, LMHC

Biofeedback Center of Florida, INC

8850 Terrene CT (107) Bonita Springs, Florida 34135

Office: (239)-949-2300 Fax: (239)-949-0048

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Guest guest

Hi ,

Yes, I read the same thing. The deadline of April 14th only applies if you are filing electronically. If you are a provider for any insurance companies, they will assist you in becoming HIPAA compliant. CIGNA and Blue Shield/Cross just sent me the information. Just what we need...more RULES to follow, and more paper work..LOL

JoAnn

JoAnn Blumenthal, MS, MA, LMHC

Biofeedback Center of Florida, INC

8850 Terrene CT (107) Bonita Springs, Florida 34135

Office: (239)-949-2300 Fax: (239)-949-0048

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  • 4 weeks later...
Guest guest

And actually the original intent of HIPAA was to make it more

effective and timely for patient information to be shared between

providers and insurance companies. See how things become more

difficult once they go to task forces and committees? :-)

Sue

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  • 3 years later...
Guest guest

I would like to find new stuff on HIPAA also.....

Rod , DC

(unknown)

We are looking for a new source for HIPAA training material. What are ya’ll doing? Suggestions appreciated.

Thanks in advance.

Larry L. Oliver, DC

408 NW 7th

Corvallis, OR 97330

droheresco

541-757-9933

The information contained in this electronic message may contain protected health information which is confidential under applicable law and is intended only for the use of the individual or entity named above. If the recipient of the message is not the intended recipient, you are hereby notified that any dissemination, copying or disclosure of this communication is strictly prohibited. If you have received the communication in error, please notify Heresco Chiropractic & Associates, 408 NW 7th St, Corvallis, OR 97330, 541-757-9933 and purge the communication immediately without making any copy or distribution

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  • 11 months later...
Guest guest

Great summary, Addy. My only comment, not about HIPAA, would be that

the curtains I've seen are mounted so that they can be pulled

alongside and in front of the patient during a procedure but not

during an ongoing infusion.

Fran

>

> Health Insurance Portability and Accountability Act -

>

> A lot of folks think that the " P " in HIPAA stands for " Privacy. "

While

> Title II of HIPAA does include a privacy rule, the act was enacted

to

> address the issue of portability and accountability for medical

records

> in the electronic age.

>

> Title I essentially prohibits any group health plan from

establishing

> rates and eligibility rules based on health status or disability.

This

> does not apply to private individual insurance. For example, the

cost

> for a spouse to join the NC State Employee's Health Care plan is an

> additional $500 per month regardless of that spouse's health

issues.

> Title I also has some rules regarding limiting pre-existing

condition

> issues and the like.

>

> Title II addresses health care fraud and abuse, administrative

> simplification and medical liability reform and includes the

Privacy

> Rule, which establishes guidelines for the use and distribution of

> Protected Health Information. This really addresses one's records,

not

> really whether or not I get my shot behind a curtain.

>

> For example, it would be unreasonable for the doctor's office to

have

> some kind of special entrance for patients only and to schedule us

so

> far apart that we'd never run into each other so that no one

patient

> would see (and therefore be able to reasonably identify) any other

> patient. So the fact that I show up at the pulmo's office at all

means

> that I give up some small amount of my privacy.

>

> Regarding receiving infusion in a room with only the slightest

amount

> of privacy (e.g., Fran's example, where presumably I can't see the

> folks next to me but I can see the person directly ACROSS from me),

> while admittedly the other patients in the room would then know I'm

> getting an infusion, it's not really any less of a violation of my

> privacy than sitting in the waiting room with them.

>

> SO.....HIPAA protects the privacy of my records and under what

> circumstances they can be released and for what purpose they can be

> used.

>

> Addy

> Group Co-owner

>

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Guest guest

I guess what bothors me most of all is that the nurses sometimes have

to ask intimate questions and I don't want other people hearing the

answers. Curtains do not protect re sound including sounds of

someone sick and moaning. I've heard others' talking about their

health problems many times - and even crying - and that's even in the

doc's office. If it's an emergency of course I want them to do

whatever they need to do however they need to do it. Otherwise, I

want sensitivity. I think there's more consciousness in that arena

(I've written training about it myself) but there's still a ways to

go.

> >

> > Health Insurance Portability and Accountability Act -

> >

> > A lot of folks think that the " P " in HIPAA stands for " Privacy. "

> While

> > Title II of HIPAA does include a privacy rule, the act was

enacted

> to

> > address the issue of portability and accountability for medical

> records

> > in the electronic age.

> >

> > Title I essentially prohibits any group health plan from

> establishing

> > rates and eligibility rules based on health status or

disability.

> This

> > does not apply to private individual insurance. For example, the

> cost

> > for a spouse to join the NC State Employee's Health Care plan is

an

> > additional $500 per month regardless of that spouse's health

> issues.

> > Title I also has some rules regarding limiting pre-existing

> condition

> > issues and the like.

> >

> > Title II addresses health care fraud and abuse, administrative

> > simplification and medical liability reform and includes the

> Privacy

> > Rule, which establishes guidelines for the use and distribution

of

> > Protected Health Information. This really addresses one's

records,

> not

> > really whether or not I get my shot behind a curtain.

> >

> > For example, it would be unreasonable for the doctor's office to

> have

> > some kind of special entrance for patients only and to schedule

us

> so

> > far apart that we'd never run into each other so that no one

> patient

> > would see (and therefore be able to reasonably identify) any

other

> > patient. So the fact that I show up at the pulmo's office at all

> means

> > that I give up some small amount of my privacy.

> >

> > Regarding receiving infusion in a room with only the slightest

> amount

> > of privacy (e.g., Fran's example, where presumably I can't see

the

> > folks next to me but I can see the person directly ACROSS from

me),

> > while admittedly the other patients in the room would then know

I'm

> > getting an infusion, it's not really any less of a violation of

my

> > privacy than sitting in the waiting room with them.

> >

> > SO.....HIPAA protects the privacy of my records and under what

> > circumstances they can be released and for what purpose they can

be

> > used.

> >

> > Addy

> > Group Co-owner

> >

>

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Guest guest

I keep seeing the word INFUSION in this Hipaa

posting... is xolair given intravenously and that is

why privacy is a concern? I am scheduled for my first

injection next week and I thought I understood that I

was getting a shot once a week and would have to wait

an hour or so afterwards to be watched. Could someone

give me a heads up on what to expect?

________________________________________________________________________________\

____

Food fight? Enjoy some healthy debate

in the Answers Food & Drink Q & A.

http://answers./dir/?link=list & sid=396545367

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Guest guest

--- In , Joy VanSleet <jclutterbuster@...>

wrote:

>

> I keep seeing the word INFUSION in this Hipaa

> posting... is xolair given intravenously and that is

> why privacy is a concern? I am scheduled for my first

> injection next week and I thought I understood that I

> was getting a shot once a week and would have to wait

> an hour or so afterwards to be watched. Could someone

> give me a heads up on what to expect?

>

>

> I have no idea why it says infusion, because I have been taking

xolair shots for 6 months now. They have been shots not intravenous,

and I have to wait 2 hours after the shots. Hope everything goes well

with your first injections.

>

________________________________________________________________________________\

____

> Food fight? Enjoy some healthy debate

> in the Answers Food & Drink Q & A.

> http://answers./dir/?link=list & sid=396545367

>

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