HIPAA Compliance Solutions
暫譯: HIPAA 合規解決方案

Steve Bass, Lisa Miller, Bryan Nylin

  • 出版商: MicroSoft
  • 出版日期: 2001-11-28
  • 售價: $1,690
  • 貴賓價: 9.5$1,606
  • 語言: 英文
  • 頁數: 176
  • 裝訂: Paperback
  • ISBN: 0735614962
  • ISBN-13: 9780735614963
  • 已過版

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商品描述

Description:

Comprehensive Strategies from Microsoft and Washington Publishing Company

“The bottom line is that this solution is going to help us reach new levels of integration with our customers and partners, and make us a more agile organization.”
Charles C. Emery, Jr., Ph.D.
Sr. V.P. Information Systems and C.I.O.
Horizon Blue Cross/Blue Shield of New Jersey

The Health Insurance Portability and Accountability Act (HIPAA) mandates standardization in electronic healthcare administration. Washington Publishing Company (WPC)—the main publisher of HIPAA implementation guides—and Microsoftâ have developed a state-of-the-art solution to help the healthcare industry make this transition smoothly. Based on Microsoft BizTalk™ Server 2000 plus technology from WPC, this standards-based solution for electronic data interchange helps reduce HIPAA compliance costs by accelerating transactions and eliminating paper-shuffling among providers, plans, patients, and payers. Find out about:

• THE FUNDAMENTALS: Learn about the origins of HIPAA, who it affects, its goals and compliance dates, and how it impacts existing information systems.
• THE BUSINESS CASE: Get the facts about the long-term benefits of HIPAA and the logistical consequences of using paper-based claims systems.
• THE SOLUTION: Find out how the technology in the Microsoft and WPC solution works to help you manage enrollment, claims, payments, and other transactions.

 

Table of Contents:

Preface—Preparation for Change: HIPAA and the Remaking of Health Care Administration

Introduction  
    The Solution x
    OnlyConnect Framework xi
    BizTalk Server 2000 xi
    Microsoft BizTalk Accelerator for HIPAA xii
    WPC and Microsoft Consulting Services xii
    Microsoft Solution Offering (MSO) Support xii
    Independent Software Vendors and Systems Integrators xiii
    A Fiscally Responsible Solution xiii
CHAPTER 1   HIPAA  
    Minding the Business of Health Care 1
    K2 Trek: A Look at the Regulation 2
    EDI 4
CHAPTER 2   To Implement HIPAA, or Not to Implement?  
    Who Must Comply? 21
    Publication in the Federal Register 22
    The Business Value of EDI 25
    The X12 Approach 27
    HIPAA-Phobia 29
    Pessimistic Voices 31
    The Cost of Implementation 31
    Beyond Expediency: The Value of Implementing HIPAA for the Entities That Must 33
CHAPTER 3   The HIPAA Solution Offered by Microsoft and Washington Publishing Company  
    Core Technologies 36
    Specialized Technology and Consulting 36
    Partners 37
    The OnlyConnect Framework 38
    The Solution in Action 44
CHAPTER 4   Technical Deployment Overview  
    Working in Tandem 56
    BizTalk Server 2000 56
    BizTalk Mapper 57
    The OnlyConnect Gap Analysis Tool 68
    OnlyConnect FirstPass 71
CHAPTER 5   The New Health Care Economy: A Vision of Fundamental Change  
    Technology Empowering Consumers 73
    The Health Care Landscape 74
    Provider Organizations and Physicians 75
    Payers 77
    Device Manufacturers 78
    Private Sector Employers, Public Sector Agencies: Funding Health Care 78
    Vision for a New Health Care Economy 79
    The New Healthscape 81
APPENDIX A   What Is the Federal Register?  
    The Final HIPAA Rule for Transaction and Code Set Standards 84
Timeline 106
HIPAA Supplemental Information  
PART I   A HIPAA Glossary & Acronymary 114
PART II   Consolidated HIPAA Administrative Simplification Final Rule Definitions  
    45 CFR 160.103 Definitions 140
    45 CFR 160.202 Definitions 145
    45 CFR 162.103 Definitions 146
    45 CFR 164.501 Definitions 147
    45 CFR 164.504 Uses and Disclosures: Organizational Requirements 153
PART III   Purpose & Maintenance  
    Purpose 154
    Maintenance 154
INDEX 155

商品描述(中文翻譯)

描述:

來自微軟和華盛頓出版公司的綜合策略

“最重要的是,這個解決方案將幫助我們與客戶和合作夥伴達成新的整合水平,並使我們成為一個更靈活的組織。”
查爾斯·C·艾默里,博士
高級副總裁 資訊系統及首席資訊官
新澤西州的Horizon Blue Cross/Blue Shield

健康保險可攜性與責任法案(HIPAA)要求電子醫療管理的標準化。華盛頓出版公司(WPC)——HIPAA實施指南的主要出版商——與微軟共同開發了一個先進的解決方案,以幫助醫療行業順利過渡。基於微軟BizTalk™ Server 2000及WPC的技術,這個基於標準的電子數據交換解決方案通過加速交易並消除提供者、計劃、患者和付款者之間的紙張處理,幫助降低HIPAA合規成本。了解以下內容:

• 基礎知識:了解HIPAA的起源、影響對象、目標和合規日期,以及它如何影響現有的資訊系統。
• 商業案例:獲取有關HIPAA的長期好處和使用基於紙張的索賠系統的後勤影響的事實。
• 解決方案:了解微軟和WPC解決方案中的技術如何幫助您管理註冊、索賠、付款和其他交易。

目錄:

前言—變革的準備:HIPAA與醫療管理的重塑

引言
解決方案
OnlyConnect框架
BizTalk Server 2000
微軟HIPAA加速器
WPC與微軟顧問服務
微軟解決方案提供(MSO)支援
獨立軟體供應商與系統整合商
財務負責的解決方案

第一章 HIPAA
關注醫療業務
K2 Trek:監管概述
EDI

第二章 實施HIPAA,還是不實施?
誰必須遵守?
在聯邦公報中的公告
EDI的商業價值
X12方法
HIPAA恐懼症
悲觀的聲音
實施成本
超越權宜之計:對必須實施HIPAA的實體的價值

第三章 微軟與華盛頓出版公司提供的HIPAA解決方案
核心技術
專業技術與顧問
合作夥伴
OnlyConnect框架
解決方案的實踐

第四章 技術部署概述
協同工作
BizTalk Server 2000
BizTalk映射器
OnlyConnect差距分析工具
OnlyConnect FirstPass

第五章 新的醫療經濟:根本變革的願景
技術賦能消費者
醫療保健的格局
提供者組織與醫生
付款者
設備製造商
私營部門雇主、公營部門機構:資助醫療保健
新醫療經濟的願景
新的醫療景觀

附錄A 什麼是聯邦公報?
交易和代碼集標準的最終HIPAA規則
時間表

HIPAA補充資訊
第一部分 HIPAA術語表與縮寫
第二部分 綜合HIPAA行政簡化最終規則定義
45 CFR 160.103 定義