HIPAA & HIPAA 4010 - 5010 Migration
The Health Insurance Portability and Accountability Act (HIPAA) designed to provide privacy standards to protect patients' health information provided to doctors, hospitals, and other healthcare entities.
The law covers three areas:
- Privacy of medical records, regardless of media type.
- PHI (protected health information) security in electronic form.
- Administrative simplification of electronic data.
Failure to compliance HIPAA rules can be detrimental and damage your reputation, loss of trust and severe financial consequences.
Doyen’s HIPAA Solutions
Our solutions include process frameworks and innovative technological solutions to make compliance in a smooth, efficient, and cost-effective manner.We develop customized systems and processes that will integrate HIPAA privacy, data and security requirements into your compliance program and ensure adherence to all HIPAA requirements through continuing reviews and audits of documents. Additionally, we provide enhanced activities designed for workplaces activities.
- Security assessment - to identify gaps in the current security posture of the environment
- Security policies - to help mitigate the risk of PHI exposure
- Prevention of data Loss - allows you to discover where personal information is stored
- Encryption - Encryption of PHI and other sensitive information as required
- Network Access Control - safeguards your perimeter and enhance endpoint security
- Security awareness training and education - educates your staff and third parties
HIPAA 4010 - 5010 Migration
HIPAA mandated use of Accredited Standards Committee X12′s 4010 version in 2000. HIPAA X12 version 5010 and NCPDP (National Council for Prescription Drugs Program) version D.0 are new sets of standards to regulate the electronic transmission of specific healthcare transactions, including eligibility, claim status, referrals, claims, and remittances. Covered entities, such as health plans, healthcare clearinghouses, and healthcare providers are required to conform to HIPAA 5010 standards.
Healthcare organizations should put HIPAA 5010 migration initiatives in place soon, as delays may be costly and create process inefficiencies. Considerable planning and testing is required to successfully address technical and business impacts of this migration. Systems, processes and procedures need to be assessed to determine what remedy is required to smoothly move from 4010 to 5010.
Doyen with high level domain expertise along with technical capabilities is able to combine the two to provide robust solutions for HIPAA 5010 compliance. Doyen HIPAA 5010 migration framework allows healthcare providers to overcome the limitations of version 4010 and reduce the cost of providing healthcare services by:
- Improving the scope and degree of automation of claims processing
- Increasing the accuracy and efficiency of EDI transactions between trading partners
- Achieving high degree of standardization within transactions
- Allowing faster transaction processing capabilities
The smarter healthcare organizations realize that the improved data capture and transaction management capabilities of HIPAA 5010 will enable them to develop competitive advantage from improved patient care, diagnostic capabilities, accurate claims processing and electronic health records.