MACRA Changes Health Care Economics with a Focus on ChildrenMACRA Background: A final rule released on Oct. 14, 2016 by the Centers for Medicare and Medicaid Services (CMS) details the final regulations for implementation of the Medicare Access and CHIP Reauthorization Act (MACRA), the historic Medicare reform law that repealed the Sustainable Growth Rate (SGR) formula [...]
Precision medicine targets disease at a genetic level for groups of patients with specific attributes. Sharing patient data at the point of care introduces new opportunities and new HIPAA Privacy and Security challenges. The President's 2016 budget proposes federal funds to update interoperability standards to include genetic data with the intent of sharing it while acknowledging [...]
Peyton Manning Privacy May Have been Violated by Guyer Institute According HIPAA Privacy and Security Rules and HITECH
Peyton Manning's privacy was violated by Guyer Institute IF the press is accurately presenting the facts about the patient and the HIPAA covered entity.
by Michael Arrigo In my experience serving as HIPAA Expert Witness on HIPAA Privacy and Security advising clients in HIPAA breach litigation cases, one of the most important and challenging mandates for providers is to enforce policies and procedures across multiple technology platforms, devices, and a geographically distributed workforce. Recent HIPAA breaches I have seen [...]
The HITECH Act, which was enacted as part of ARRA, promotes the adoption and meaningful use of health information technology. Subtitle D of the HITECH Act addresses the privacy and security concerns associated with the electronic transmission of health information. While the HITECH Act mirrors HIPAA, it elaborates with specific requirements
If your hospital is notified by CMS that is auditing your organization's Meaningful Use (MU) attestation you will need a clear action plan and the advice of experienced people who have led MU audit defense work. Additionally, if your organization had a HIPAA breach in any year when stimulus funds for MU of an EHR were received, [...]
Experts to Review Electronic Health Care Innovation, Regulations and Mobile Health at Scripps, April 17th To register and for more information: http://bit.ly/SDHIS417 A group of companies will participate in a comprehensive discussion on the current and future state of health care reform and innovation on Wednesday, April. 17. The companies include Qualcomm, the San Diego Health [...]
Finally, uncertainty about ICD-10 is lifted. "...rule changes the compliance date for the ICD-10-CM and ICD-10-PCS medical data code sets (hereinafter "code sets") from October 1, 2013 to October 1, 2014."
If The Patient Protection and Affordable Care Act (PPACA) is repealed it will be interesting to see if it is repealed in whole or in part. The Supreme Court of the United States (SCOTUS) may excise the individual mandate requiring health insurance coverage, or it could strike it down entirely.
Stage 2 Meaningful Use, Interoperability of EMRs and ICD-10. What is CMS, ONC and HIPAA Impact on Accountable Care Organizations?
One of the key questions will be how the EMR provides a foundation with the Health Information Exchanges (HIEs) for comparative effectiveness data over the life span of a patient (sometimes called the continuum of care) and whether CDA standards currently proposed will accomplish that. Informatics people call this "longitudinal clinical data."
Health care providers should ensure that the EMR vendor is on track toward ICD-10 compliance, however they should not rely on their EMR vendor as the panacea. Most hospital systems we work with have many more ancillary systems in radiology, etc. that are also impacted, and the EMR isn't the core system of record (yet) for everything that goes on in a hospital.
ICD-10 implementations must move forward despite Presidential campaign promises to repeal 'Omabacare' or the Affordable Care Act. As Business Week pointed out this week, repealing the Accountable Care Act is not that easy. And even if it were repealed ICD-10 is a HIPAA mandate that was enacted prior to President Omaba's election in August 2008. Hospital systems should push ahead on ICD-10 Assessments, ICD-10 Implementation Plans, and get ready for the shift to ICD-10-CM which includes many more diagnosis codes than ICD-9. ICD-10 PCS also include many more procedure codes than ICD-9.