Exploring HIPAA and HITECH Act Definitions: Part 1

From now through November, HIPAA.com is providing a run through of HIPAA transaction & code set, privacy, and security definitions, along with relevant HITECH Act definitions pertaining to breach notification and securing of protected health information. These definitions are key to understanding the referenced HIPAA and HITECH Act enabling regulations that are effective now and that will require compliance by covered entities and business associates now or in the months ahead, as indicated in HIPAA.com’s timeline. Each posting will contain three definitions, with a date reference to the Federal Register and citation to the Code of Federal Regulations (CFR). We begin the first series of postings with definitions from “Health…

READ MORE

Direct Data Entry-No Change in the 5010 Final Rule

In the August 17, 2000 Final Rule for Standards for Electronic Transactions, direct data entry was defined as “direct entry of data (for example, using dumb terminals or web browsers) that is immediately transmitted into a health plan’s computer.” [65 Federal Register 50367] An exception for direct data entry was articulated in the August 17, 2000, Final Rule: A health care provider electing to use direct data entry offered by a health plan to conduct a transaction for which a standard has been adopted under this part must use the applicable data content and data condition requirements of the standard when conducting the transaction. The health care provider is not…

READ MORE

5010/D.0 Effective Date Tuesday, March 17, 2009; Compliance Date January 1, 2012

The version modification to the HIPAA Administrative Simplification transaction standards becomes effective Tuesday, March 17, 2009. Here are several critical things to know, drawn directly from the final rule published in the Federal Register on January 16, 2009. The final rule is available for download on the HIPAA.com site. Effective Date: The effective date [March 17, 2009] is the date that the policies set forth in this final rule take effect, and new policies are considered to be officially adopted. [74 Federal Register 3302] Compliance Date: On January 1, 2012, all covered entities will have reached Level 2 compliance, and must be fully compliant in using Versions 5010 and D.0…

READ MORE