Medicare Compliance & Reimbursement

Good news: CMS offers more guidance on HIPAA.

Security rule questions got you scratching your head? You may find what you're looking for on the Centers for Medicare and Medicaid Services' Web site. The agency listed 12 new and updated answers to frequently asked questions Aug. 12.
 
Here's the lowdown:
      Does the Health Information Portability and Accountability Act allow for sending electronic protected health information in an email or over the Internet? Sending PHI via e-mail or over the Internet is allowed as long as access is protected. Covered entities are required to implement policies and procedures that protect the integrity of PHI and guard against unauthorized access.
      Do the security rule requirements for access control apply to employees who work from home?  Yes. The automatic logoff specification or an equivalent alternative safeguard must be implemented. Policies and procedures authorizing access to PHI should also be in place.
    What is the difference between risk analysis and risk management? Risk analysis may include taking a close look at all systems/applications that are used to access and house data, and classifying them by risk. Risk management, however, is the implementation of security measures to reduce the risk of losing or compromising PHI.
      How will we know if our organization and our systems are compliant? Rest assured, no single HIPAA compliance strategy will fit every organization. Compliance includes performing a risk analysis, implementing reasonable security measures and documenting/maintaining policies, procedures and other required documentation.
  Are we required to "certify" our organization's compliance? No specification requires you to "certify" compliance with the security rule standards. The evaluation standard requires a technical and non-technical evaluation that can be performed internally or by external "certification" services.
 
To view more FAQs, go to http://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg/php/enduser/std_alp.php; under category 'HIPAA,' type 'security' in the search text.