Jan. 1, 2012 is an important deadline for physicians who use the HIPAA electronic standard transactions, such as patient eligibility and claims submission. Whether physicians use these transactions through a clearinghouse or directly with payers, physicians and other HIPAA covered entities are required to implement the next version of these transactions, known as 5010, by the Jan. 1, 2012, deadline.
Implementing the 5010 version will involve some changes to the existing data collected and reported in the administrative transactions as well as possible changes to practice management and billing systems.
Improvements in the 5010 transactions include clearer instructions, reduced ambiguity among common data elements used in different transactions, and elimination of redundant and unnecessary data elements.
The AMA has prepared the article 7 steps practices can take to prepare for 5010 to help physicians and their practice staff prepare for these changes.
MASA MODEL HIPAA FORMS
MASA has developed model authorization forms as well as notice of privacy practices for MASA members. The forms are based on the final Privacy rule which was released in August 2002.
Note: These forms are not a replacement or substitute for legal advice. When in doubt on an issue related to HIPAA compliance, the best policy is to seek professional legal advice. HIPAA compliance requires the development of a comprehensive plan that addresses several elements, not just model forms.
Sample Notice of Privacy Practices
Sample Authorization Form A
Sample Authorization Form B
Are you looking for information on:
HIPAA Privacy? This link will take you to the Office of Civil Rights resource page on the HIPAA Privacy Rule.
Workgroup for Electronic Data Interchange (WEDI)? This not-for-profit association fosters widespread support for the adoption of electronic commerce in healthcare.
Strategic National Implementation Process (SNIP)?A WEDI-sponsored collaborative healthcare industry process for the development and implementation of standards. This site includes white papges on transactions, security and privacy. Commonly referred to as WEDI-SNIP.
Other HIPAA Resources
American Medical Association
DHHS Office of Civil Rights
Centers for Medicare & Medical Services
Southern Healthcare Administrative Regulatory Programs (SHARP) Workgroup
American Health Information Management Association (AHIMA) information on HIPAA
National Institute of Standards and Technology