HIPAA Compliance Solutions

Steve Bass, Lisa Miller, Bryan Nylin

  • 出版商: MicroSoft
  • 出版日期: 2001-11-28
  • 售價: $1,680
  • 貴賓價: 9.5$1,596
  • 語言: 英文
  • 頁數: 176
  • 裝訂: Paperback
  • ISBN: 0735614962
  • ISBN-13: 9780735614963
  • 已過版

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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