From:                              MGMA Washington Connexion [mgmawashingtonconnexion@mgma.mmsend.com] on behalf of MGMA Washington Connexion [mgmawashingtonconnexion@mgma.com]

Sent:                               Thursday, August 06, 2009 4:48 PM

To:                                  

Subject:                          8/6: Expect stricter HIPAA enforcement under HHS consolidation

 

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Hello,

In this issue


Expect stricter HIPAA enforcement under HHS consolidation

The Department of Health and Human Services (HHS) announced that the Office for Civil Rights (OCR) will now be responsible for enforcing the Health Insurance Portability and Accountability Act of 1996 (HIPAA) security rule in addition to the privacy rule. (The Centers for Medicare & Medicaid Services was previously responsible for the security rule). This consolidation of HIPAA enforcement activity highlights the Administration’s heightened scrutiny of security and privacy of health information. In fact, the American Recovery and Reinvestment Act of 2009 mandates enhanced patient privacy rights and physician practice requirements, increased financial penalties for violations of the privacy rule and the security rules and allocated additional resources for enforcement.

View the Federal Register notice of the delegation of authority to OCR

Register for MGMA’s Aug. 27 Webinar on this topic to learn more about the effects of this and other privacy changes on your practice. 


Contact Congress today to voice your healthcare reform concerns!

While Congress is now in recess, its members are meeting with constituents and Congressional leaders are currently crafting key healthcare reform bills to be considered in September. Therefore now is the time for you to contact your Senators and Representative and communicate your healthcare reform concerns. Use the MGMA Advocacy Center to tell your representatives to finally repeal the Medicare physician payment formula and remind them not to link new payment systems to this flawed update system. Urge them to include administrative simplification proposals to reduce costs. Finally, remind them that as your elected representatives, they should not delegate authority to make important Medicare-related reforms to a non-elected entity. 

Send them an email now using the MGMA grassroots message!    


 Recovery Audits to begin soon in South Carolina

The Recovery Audit Contractor (RAC) for jurisdiction C recently posted seven automatic CMS-approved audit issues targeting South Carolina.  Demand letters could be sent during August. 

The United States is divided into four RAC jurisdictions and practice administrators should familiarize themselves with their jurisdiction-specific sample demand letters to learn how to recognize a RAC audit. Determine which jurisdiction your state is in by viewing the CMS RAC map and then access the appropriate RAC sample letter:

Jurisdiction A, DCS sample letter

Jurisdiction B, CGI sample letter

Jurisdiction C, Connolly Consulting sample letter

Jurisdiction D, HealthDataInsights website (no sample letter posted) 

For more RAC information, visit the MGMA RAC site,the CMS RAC site, or order the MGMA RAC on-demand Webinar.

August 6, 2009

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Member Resources

Health Care Reform Resource Center

Medicare Provider Enrollment Toolkit

Red Flags Rule Resource Center

Recovery Audit Contractors Resource Center


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