Successfully achieving appropriate levels of compliance
with Title II Subtitle F Administrative Simplification Section
of HIPAA depends on how effectively the enterprise understands the Law, the
Regulations and their impact. With this in mind RFA
provides a series of HIPAA workshops and seminars which focus on the full
"end-to-end" HIPAA Compliance effort.
RFA workshops can be "generic" or
customized to specific types of enterprises:
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Hospitals
& Other Acute Care Institutions
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Physician
Practice Groups
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Health
Plans & Third Party Administrators
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Insurance
Companies & Other Payers
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Billing
Services & Other Service Providers
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Business Associates of Covered Entities
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Topics and content of each workshop
can be further focused to specific audiences:
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IT Staff
(Both Internal And External Outsourced)
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RFA's workshops and seminars can be conducted on-site
for a single enterprise or its business associates or both. Additionally,
an enterprise may wish to host and sponsor such workshops and seminars for
its business associates and trading partner community.
Each of
these following four workshops is geared towards a half-day workshop. The
workshops can be conducted individually over a
period of time or sequentially over two consecutive days.
- A Legal
Perspective of HIPAA: the Law,
the Regulations and What you
need
to know to get started
- HIPAA Privacy
& Security: What you
Need
to Know About Privacy and Security
is Not just Technology: How to Approach Privacy
and Security Readiness
- HIPAA
Privacy: The Impact to
Policies, Procedures and Processes
- The HIPAA Transactions: The Format, the
Standard Data, Codes and Identifiers --
What
the Rules Require and What's Not Allowed
Special
intensive technically focused workshop are also available for these
topics:
Understanding
the underlying ANSI ASC X12 Standards
Understanding
and using the HIPAA Transaction Set Implementation Guides
Developing
comprehensive privacy and security policies, procedures, controls and
technologies
EDI
Management Systems and Architectures
Developing
requirements, evaluating and selecting, integrating with back-end
systems, data analysis and mapping
Tutorials
on individual HIPAA & Other Health Care
Transaction Set Implementation Guides
837
Institutional, Professional or Dental Claim Submissions
835 Claim Payment and EOB
270/271 Eligibility Inquiry/Response
276/277 Claim Status/Response
278 Referral Certification/Authorization
820 Premium Payment to Health Plans
834 Benefit Enrollment & Maintenance
277 Health Care Claim Acknowledgment
277/275 Health Care Request for Additional Information and Response
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Follow-on
workshops would then begin to zero in on the challenge of achieving
compliance by looking at the key phases of a compliance project. RFA's
approach to designing the workshop topics and sequence is based on
classical project management methodologies and proven systems analysis and
design techniques refined over decades of experience in managing and
implementing complex projects and systems. Topics include:
Program
Startup
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Setting
the scope of the HIPAA effort, forming the HIPAA project team,
promoting
initial awareness and training
Compliance Assessment and Gap Analysis
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Evaluating
the current
versus a HIPAA compliant environment by examining
current
policies, procedures, controls, internal/external systems
Project
Plan Development
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Identifying
project goals, major activities, key tasks and dependencies,
determining required resources and establishing budgets
Implementation
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Organizing,
designing, building, testing & implementing the required processes
and procedures, operational
and technical Infrastructure, post-implementation
auditing and monitoring mechanisms and metrics
Maintaining
Compliance: Ongoing
Monitoring & Auditing Activities
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Establishing
strong controls for efficient monitoring and reporting
Click here for a detailed listing of topics and curriculum.
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